Autumn Care of Waynesville
360 Old Balsam Road · Waynesville, NC · 28786 · 8284567381
90 certified beds For profit - Limited Liability company Chain: Saber Healthcare Group
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.37 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 1 · $107,387 |
Inspection citations (25 in the current record)
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Potential for harm · D September 9, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · D May 22, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E May 22, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 16, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025 · found via complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected June 16, 2025 · Resident Rights
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Potential for harm · D May 22, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 26, 2024 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected November 29, 2024 · Pharmacy Service
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Immediate jeopardy · K May 9, 2024
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected May 30, 2024 · Nursing and Physician Services
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Immediate jeopardy · J May 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K May 9, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 30, 2024 · Quality of Life and Care
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Actual harm · G May 9, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 30, 2024 · Quality of Life and Care
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Actual harm · G May 9, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 30, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected May 30, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected May 30, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected May 30, 2024 · Resident Rights
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Potential for harm · D May 9, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 30, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 9, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 30, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 30, 2024 · Pharmacy Service
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Potential for harm · D May 9, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected May 30, 2024 · Pharmacy Service
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Potential for harm · E May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 30, 2024 · Nutrition and Dietary
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Potential for harm · D May 9, 2024
Provide and implement an infection prevention and control program.
Corrected May 30, 2024 · Infection Control
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Potential for harm · D May 9, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 30, 2024 · Resident Rights
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Potential for harm · D May 9, 2024 · found via complaint
Have a Compliance and Ethics Program.
Corrected May 30, 2024 · Administration
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No harm found · C May 9, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected May 30, 2024 · Resident Rights
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No harm found · B May 9, 2024 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 30, 2024 · Resident Rights
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 9, 2024 | Fine | $107,387 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345110 · certified since March 6, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.