Autumn Care of Waynesville has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality rating. It is flagged for the lowest overall rating, reported nurse staffing is below the federal benchmark (3.43 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Last inspection: September 9, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4252.
Staffing detail
Registered nurses
0.48
Licensed practical nurses
0.82
Nurse aides
2.12
Weekend nursing
3.05
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 94%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
13.5%8.8%Improving
Residents with a fall causing major injury
1.6%7.2%Worsening
Residents with pressure ulcers (bedsores)
5.7%3.5%Improving
Residents with a urinary tract infection
4.8%1.4%Improving
Residents who lost too much weight
4.8%30.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10%6.6%Improving
Residents whose ability to walk got worse
—8.8%—
Long-stay residents on antianxiety or sleep medication
24.2%18.5%Improving
Short-stay residents newly given an antipsychotic
1.7%2.7%Worsening
Residents with a long-term catheter
2.4%0%Improving
Residents with new or worsening incontinence
16.8%15.1%Improving
Residents with depressive symptoms
0%17.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
84.1%91.3%Improving
Short-stay residents given the seasonal flu vaccine
—51.4%—
Short-stay residents given the pneumonia vaccine
64.5%41.7%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: K
The home failed to ensure nurses and nurse aides had the needed skills to care for each resident and support their well-being. Cited May 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 726 — 42 CFR §483.35 — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal fine of $107,387 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $107,387 in total fines.
Federal fine
May 9, 2024
$107,387
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of SABER HEALTHCARE GROUP · 127 homes · 2.9 stars avg
Occupancy
83.3 residents on an average day (93% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.