Maggie Valley Nursing and Rehabilitation

75 Fisher Loop · Maggie Valley, NC · 28751 · 8289264326

114 certified beds For profit - Corporation Chain: Lifeworks Rehab

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Federal penalties on record: $49,484 in fines in the last 24 months.
  • 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.

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Red flags

1 immediate-jeopardy citation 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.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

RN staffing in the bottom 10% nationally

0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

1.57 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 50
Serious harm & abuse 20% 78
Staffing 20% 36
Federal penalties 15% 24
Trend 10% 91
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day1.573.48 min · 4.1 strong
RN hours / resident-day0.230.55–0.75
Weekend hours / resident-day1.41≈ weekday level
Nursing turnover / year38%median 45%
Fines (3-yr window)3 · $52,629

Inspection citations (17 in the current record)

  • Potential for harm · F March 19, 2026

    Honor the resident's right to manage his or her financial affairs.

    Corrected April 15, 2026 · Resident Rights

  • Potential for harm · D March 19, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected April 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 19, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected April 15, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 19, 2026

    Provide and implement an infection prevention and control program.

    Corrected April 15, 2026 · Infection Control

  • Actual harm · G May 29, 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 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 29, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L January 14, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected March 7, 2025 · Infection Control

  • Potential for harm · D January 14, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 7, 2025 · Pharmacy Service

  • Potential for harm · D January 14, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected March 7, 2025 · Resident Rights

  • Potential for harm · E January 14, 2025 · found via complaint

    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 March 7, 2025 · Pharmacy Service

  • Potential for harm · D January 14, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 7, 2025 · Nutrition and Dietary

  • Potential for harm · E July 26, 2023

    Ensure each resident receives an accurate assessment.

    Corrected August 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 26, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 24, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 26, 2023

    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 August 24, 2023 · Pharmacy Service

  • Potential for harm · E July 26, 2023

    Dispose of garbage and refuse properly.

    Corrected August 24, 2023 · Nutrition and Dietary

  • No harm found · B July 26, 2023

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected July 26, 2023 · Resident Rights

  • No harm found · C July 26, 2023

    Post nurse staffing information every day.

    Corrected July 26, 2023 · Nursing and Physician Services

Federal penalties

DateTypeAmount / length
May 29, 2025Fine$32,139
January 14, 2025Fine$17,345
January 14, 2025Payment Denial22 days
August 7, 2023Fine$3,145

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345102 · certified since November 23, 1973. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.