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C
Below Standard

Autumn Care of Waynesville

360 Old Balsam Road · Waynesville, NC 28786

8284567381 · For profit - Limited Liability company

90 beds85.7 residents229 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Autumn Care of Waynesville receives an overall staffing grade of C (Below Standard). With 3.4597 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6016 HPRD, below the recommended 0.75. It is 0.44 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.29% compared to weekdays. The facility relies heavily on temporary agency staff (22.09% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4597 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.6016 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️22.09% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4597hrs/resident/day▼ 0.44
CMS benchmark: 3.48
RN HPRD
0.6016hrs/resident/day▼ 0.08
Recommended: 0.75
Weekend Drop-off
14.29%
3.6054 weekday → 3.09 weekend
Agency Staff
22.09%
26.65% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1073hrs/resident/day
Direct care aides
LPN HPRD
0.512hrs/resident/day
Licensed practical nurses
Consistency
0.3518std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Haywood County Average-0.12 HPRD
3.58
03.46 HPRD
vs. North Carolina State Average-0.31 HPRD
3.77
03.46 HPRD
vs. National Average-0.44 HPRD
3.90
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Autumn Care of Waynesville ★
Waynesville · This facility
—
C
3.45970.6016★☆☆☆☆
Maggie Valley Nursing and Rehabilitation
Maggie Valley
6.3 mi
B
3.6090.5562★☆☆☆☆
Vero Health & Rehab of Sylva
Sylva
12.6 mi
B
3.75720.6503★☆☆☆☆
Sapphire Ridge Health and Rehabilitation
Brevard
22.4 mi
C
3.38130.4749★☆☆☆☆
Aston Park Health Care Center
Asheville
24.5 mi
B
3.83131.1893★★★★★
The Lodge at Mills River
Mills River
24.7 mi
B
3.57970.8773★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
25
Total Deficiencies
$107,387
Fines Assessed
Sep 9, 2025Health
1 deficiency cited
▼
May 22, 2025Health
5 deficiencies cited
▼
Nov 26, 2024Health
1 deficiency cited
▼
May 9, 2024Health
18 deficiencies cited· Includes actual harm
▼

Penalty History

May 9, 2024Fine
$107,387
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.