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F
Critical

Mountain Ridge Health and Rehab

611 Old US Highway 70 East · Black Mountain, NC 28711

8286699991 · For profit - Corporation

97 beds83.2 residents146 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Mountain Ridge Health and Rehab receives an overall staffing grade of F (Critical). With 3.386 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2132 HPRD, below the recommended 0.75. It is 0.51 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.31% compared to weekdays. The facility has low agency staff usage (0.09% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.386 HPRD — needs 0.09 more hours per resident per day.
⚠️RN staffing (0.2132 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0.09%) — mostly permanent, familiar staff
Total Nurse HPRD
3.386hrs/resident/day▼ 0.51
CMS benchmark: 3.48
RN HPRD
0.2132hrs/resident/day▼ 0.47
Recommended: 0.75
Weekend Drop-off
15.31%
3.5392 weekday → 2.9972 weekend
Agency Staff
0.09%
1.47% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
2.2325hrs/resident/day
Direct care aides
LPN HPRD
0.9403hrs/resident/day
Licensed practical nurses
Consistency
0.3497std 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-0.35 HPRD
3.74
03.39 HPRD
vs. North Carolina State Average-0.38 HPRD
3.77
03.39 HPRD
vs. National Average-0.51 HPRD
3.90
03.39 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
Mountain Ridge Health and Rehab ★
Black Mountain · This facility
—
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★☆☆☆☆
StoneCreek Health and Rehabilitation
Asheville
14 mi
C
3.11990.4557★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
11
Total Deficiencies
$12,425
Fines Assessed
Oct 21, 2025Health
2 deficiencies cited· Includes actual harm
▼
May 30, 2025Health
4 deficiencies cited
▼
May 2, 2024Health
2 deficiencies cited
▼
Jan 12, 2023Health
3 deficiencies cited
▼

Penalty History

Oct 21, 2025Fine
$12,425
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.