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CMS Nursing Home Compare · March 2026

The Lodge at Mills River

5593 Old Haywood Road, Mills River, NC 28759

The Lodge at Mills River, a 50-bed for profit - limited liability company nursing facility in Mills River, NC, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8286844857

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5 / 5
Much above average · CMS overall · nat'l 3.0
3.56
Below average · nurse hrs/day · nat'l 3.89
6
Inspection findings · 1 serious
$0
Federal penalties (0)

Health Inspection

5/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
345253
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
50
Residents
45
In Hospital
No
County
Henderson
Last Inspection
Jun 3, 2025

Staffing Data

How the 3.56 total nursing hours per resident-day are staffed:

RN Hours
0.88 (nat'l avg: 0.68)
LPN Hours
0.82
CNA Hours
1.87
Total Nursing Hours
3.56 (nat'l avg: 3.89)
PT Hours
0.13
Nursing Turnover
51.9%
RN Turnover
63.6%

What the CMS Record Reveals About The Lodge at Mills River

The Lodge at Mills River operates 50 certified beds in Mills River, NC with approximately 45 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 5★ · staffing 2★ · quality 5★).

The inspection file contains 6 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 3.56 total hours per resident day (national average 3.89); RN hours specifically are 0.88 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Lodge at Mills River falls into a category where comparative context matters. Reported nursing turnover at this facility is 51.9%, above the level where continuity of care typically begins to suffer.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (6 most recent)

B - Pattern - No harm Jun 3, 2025 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Jun 4, 2025

E - Pattern - Minimal harm Dec 1, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Dec 26, 2022

D - Isolated - Minimal harm Dec 1, 2022 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 26, 2022

J - Isolated - Jeopardy Dec 1, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 15, 2022

D - Isolated - Minimal harm Dec 1, 2022 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 26, 2022

D - Isolated - Minimal harm Dec 1, 2022 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Dec 26, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.7% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 11.8% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay N/A No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 97.8% No

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for The Lodge at Mills River?
The Lodge at Mills River has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at The Lodge at Mills River?
The Lodge at Mills River reports 3.56 total nursing hours per resident day (national average: 3.89). RN hours are 0.88 per resident day (national average: 0.68). Nursing staff turnover is 51.9%.
How many beds does The Lodge at Mills River have?
The Lodge at Mills River has 50 certified beds with approximately 45 residents. The facility is located at 5593 Old Haywood Road, Mills River, NC 28759.
Does The Lodge at Mills River have any deficiencies on record?
Yes, The Lodge at Mills River has 6 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has The Lodge at Mills River received any fines or penalties?
No, The Lodge at Mills River has no fines or penalties on record.
Who owns The Lodge at Mills River?
The Lodge at Mills River is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was The Lodge at Mills River last inspected?
The most recent health inspection for The Lodge at Mills River was on Jun 3, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for The Lodge at Mills River?
The Lodge at Mills River is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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