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C
Below Standard

The Foley Center at Chestnut Ridge

621 Chestnut Ridge Parkway · Blowing Rock, NC 28605

8283863300 · For profit - Limited Liability company

92 beds81 residents205 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
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

The Foley Center at Chestnut Ridge receives an overall staffing grade of C (Below Standard). With 3.8747 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4694 HPRD, below the recommended 0.75. It is 0.02 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.3% compared to weekdays. The facility relies heavily on temporary agency staff (27.39% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.4694 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️27.39% 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 (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 8.3% drop-off
Total Nurse HPRD
3.8747hrs/resident/day▼ 0.02
CMS benchmark: 3.48
RN HPRD
0.4694hrs/resident/day▼ 0.21
Recommended: 0.75
Weekend Drop-off
8.3%
3.9678 weekday → 3.6384 weekend
Agency Staff
27.39%
0.35% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.4898hrs/resident/day
Direct care aides
LPN HPRD
0.8645hrs/resident/day
Licensed practical nurses
Consistency
0.3021std 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. Watauga County Average+0.31 HPRD
3.57
03.87 HPRD
vs. North Carolina State Average+0.11 HPRD
3.77
03.87 HPRD
vs. National Average-0.02 HPRD
3.90
03.87 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
The Foley Center at Chestnut Ridge ★
Blowing Rock · This facility
—
C
3.87470.4694★★★☆☆
Glenbridge Health And Rehabilitation
Boone
3.1 mi
D
3.25680.366★☆☆☆☆
Life Care Center of Banner Elk
Banner Elk
10.6 mi
C
3.03930.4085★★★★★
Lenoir Health and Rehabilitation Center
Lenoir
15.8 mi
F
3.20920.237★★☆☆☆
Margate Health and Rehab Center
Jefferson
22.1 mi
C
3.12720.5068★☆☆☆☆
Hickory Falls Health and Rehabilitation
Granite Falls
26.8 mi
D
3.14960.3809★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
20
Total Deficiencies
$17,114
Fines Assessed
Jul 31, 2025Health
3 deficiencies cited
▼
Jul 3, 2024Health
17 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 3, 2024Fine
$17,114
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.