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C
Below Standard

Mountain View Manor Nursing Center

410 Buckner Branch Road · Bryson City, NC 28713

8284882101 · For profit - Limited Liability company

120 beds70.7 residents91 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

Mountain View Manor Nursing Center receives an overall staffing grade of C (Below Standard). With 3.379 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5844 HPRD, below the recommended 0.75. It is 0.52 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 11.15% compared to weekdays. The facility relies heavily on temporary agency staff (31.59% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.379 HPRD — needs 0.10 more hours per resident per day.
⚠️RN staffing (0.5844 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️31.59% 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
3.379hrs/resident/day▼ 0.52
CMS benchmark: 3.48
RN HPRD
0.5844hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
11.15%
3.489 weekday → 3.0998 weekend
Agency Staff
31.59%
11.6% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0065hrs/resident/day
Direct care aides
LPN HPRD
0.7605hrs/resident/day
Licensed practical nurses
Consistency
0.3158std 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. Swain County Average-1.33 HPRD
4.71
03.38 HPRD
vs. North Carolina State Average-0.39 HPRD
3.77
03.38 HPRD
vs. National Average-0.52 HPRD
3.90
03.38 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 View Manor Nursing Center ★
Bryson City · This facility
—
C
3.3790.5844★★☆☆☆
Vero Health & Rehab of Sylva
Sylva
14.7 mi
B
3.75720.6503★☆☆☆☆
Macon Valley Nursing and Rehabilitation Center
Franklin
17.5 mi
B
3.89990.6963★★☆☆☆
Maggie Valley Nursing and Rehabilitation
Maggie Valley
21.8 mi
B
3.6090.5562★☆☆☆☆
Autumn Care of Waynesville
Waynesville
25.8 mi
C
3.45970.6016★☆☆☆☆
Sapphire Ridge Health and Rehabilitation
Brevard
43.2 mi
C
3.38130.4749★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
31
Total Deficiencies
$14,131
Fines Assessed
Apr 17, 2025Health
10 deficiencies cited
▼
Jan 26, 2024Health
18 deficiencies cited· Includes actual harm
▼
Jul 15, 2022Health
3 deficiencies cited· Includes actual harm
▼

Penalty History

Jan 26, 2024Fine
$14,131
Jan 26, 2024Payment Denial
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.