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D
Poor

Grace Heights Health & Rehabilitation

109 Foothills Drive · Morganton, NC 28655

8285807000 · For profit - Limited Liability company

120 beds96.4 residents118 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Grace Heights Health & Rehabilitation receives an overall staffing grade of D (Poor). With 3.9942 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.3609 HPRD, below the recommended 0.75. It is 0.10 HPRD above the national average.

Weekend staffing drops significantly — dropping 27.08% compared to weekdays. The facility has low agency staff usage (0.3% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.3609 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 27.08% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.3%) — mostly permanent, familiar staff
Total Nurse HPRD
3.9942hrs/resident/day▲ 0.10
CMS benchmark: 3.48
RN HPRD
0.3609hrs/resident/day▼ 0.32
Recommended: 0.75
Weekend Drop-off
27.08%
4.2842 weekday → 3.1242 weekend
⚠ Significant weekend reduction
Agency Staff
0.3%
3.36% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6264hrs/resident/day
Direct care aides
LPN HPRD
0.9209hrs/resident/day
Licensed practical nurses
Consistency
0.5571std 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. Burke County Average+0.28 HPRD
3.72
03.99 HPRD
vs. North Carolina State Average+0.23 HPRD
3.77
03.99 HPRD
vs. National Average+0.10 HPRD
3.90
03.99 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
Grace Heights Health & Rehabilitation ★
Morganton · This facility
—
D
3.99420.3609★★★★☆
Magnolia Lane Nursing and Rehabilitation Center
Morganton
2.3 mi
C
3.03960.5966★★☆☆☆
Autumn Care of Drexel
Morganton
3.6 mi
C
3.89620.5228★★★☆☆
Hickory Falls Health and Rehabilitation
Granite Falls
12.6 mi
D
3.14960.3809★★★★☆
Deer Park Health and Rehabilitation
Nebo
14.1 mi
B
3.61190.9032★☆☆☆☆
Lenoir Health and Rehabilitation Center
Lenoir
16.3 mi
F
3.20920.237★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
13
Total Deficiencies
$0
Fines Assessed
Sep 11, 2024Health
1 deficiency cited
▼
Mar 7, 2024Health
2 deficiencies cited
▼
May 25, 2022Health
10 deficiencies cited
▼
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.