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C
Below Standard

Sapphire Ridge Health and Rehabilitation

115 N Country Club Road · Brevard, NC 28712

8288842031 · For profit - Limited Liability company

147 beds102.2 residents117 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
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

Sapphire Ridge Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.3813 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4749 HPRD, below the recommended 0.75. It is 0.52 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.47% compared to weekdays. The facility relies heavily on temporary agency staff (66.97% 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: 3.3813 HPRD — needs 0.10 more hours per resident per day.
⚠️RN staffing (0.4749 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️66.97% 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 (2)

✅No days with zero registered nurse hours this quarter
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.3813hrs/resident/day▼ 0.52
CMS benchmark: 3.48
RN HPRD
0.4749hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
16.47%
3.5464 weekday → 2.9622 weekend
Agency Staff
66.97%
57.08% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.2296hrs/resident/day
Direct care aides
LPN HPRD
0.6524hrs/resident/day
Licensed practical nurses
Consistency
0.2929std 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. Transylvania County Average-1.72 HPRD
5.11
03.38 HPRD
vs. North Carolina State Average-0.38 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
Sapphire Ridge Health and Rehabilitation ★
Brevard · This facility
—
C
3.38130.4749★☆☆☆☆
Valley Hill Health & Rehab Center
Hendersonville
15.8 mi
C
3.38760.4462★★☆☆☆
The Lodge at Mills River
Mills River
16.7 mi
B
3.57970.8773★★★★★
Orchard Valley Health and Rehabilitation
Hendersonville
17 mi
C
3.13640.524★☆☆☆☆
Carolina Village Inc
Hendersonville
18.1 mi
A+
6.69971.5261★★★★★
Autumn Care of Waynesville
Waynesville
22.4 mi
C
3.45970.6016★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
30
Total Deficiencies
$22,568
Fines Assessed
Mar 7, 2025Health
12 deficiencies cited
▼
Nov 17, 2023Health
13 deficiencies cited
▼
Jun 3, 2022Health
5 deficiencies cited
▼

Penalty History

Nov 17, 2023Fine
$22,568
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.