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A+
Excellent

Black Mountain Neuro-Medical Treatment Center

932 Old US Highway 70 · Black Mountain, NC 28711

8282596700 · Government - State

163 beds74.3 residents166 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Black Mountain Neuro-Medical Treatment Center receives an overall staffing grade of A+ (Excellent). With 7.8179 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 3.95 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 20.79% compared to weekdays. The facility relies heavily on temporary agency staff (19.77% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Had 31 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
⚠️19.77% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 5.9579). This means the care experience can be very different depending on the day.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
Total Nurse HPRD
7.8179hrs/resident/day▲ 3.95
CMS benchmark: 3.48
RN HPRD
2.6393hrs/resident/day▲ 1.97
Recommended: 0.75
Weekend Drop-off
20.79%
8.306 weekday → 6.5788 weekend
⚠ Significant weekend reduction
Agency Staff
19.77%
26.26% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
31days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
4.7318hrs/resident/day
Direct care aides
LPN HPRD
0.4467hrs/resident/day
Licensed practical nurses
Consistency
5.9579std 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. Buncombe County Average+3.75 HPRD
4.07
07.82 HPRD
vs. North Carolina State Average+4.01 HPRD
3.80
07.82 HPRD
vs. National Average+3.95 HPRD
3.87
07.82 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2024Q4 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Black Mountain Neuro-Medical Treatment Center ★
Black Mountain · This facility
—
A+
7.81792.6393★★★★★
Mountain Ridge Health and Rehab
Black Mountain
0 mi
F
3.3860.2132★☆☆☆☆
Highland Farms
Black Mountain
2.2 mi
A
4.77791.2542★★★★☆
Bear Mountain Health and Rehabilitation
Asheville
12.4 mi
D
3.02560.3762★★★☆☆
The Laurels Of Greentree Ridge
Asheville
12.7 mi
B
3.79221.0043★★★★★
Elevate Health and Rehabilitation
Asheville
13.6 mi
D
3.21060.3972★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
5
Total Deficiencies
$15,269
Fines Assessed
Aug 15, 2024Health
2 deficiencies cited
▼
Mar 24, 2023Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 24, 2023Fine
$15,269
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2024Q4 · 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.