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Nursing home report

Mountain Ridge Health and Rehab

Registered name: Mountain Ridge Rehabilitation and Healthcare Cente

Black Mountain, NC · Medicare-certified · 97 beds

Needs attention
For-profit
Data as of September 1, 2026
1 of 5 overall

Mountain Ridge Health and Rehab in Black Mountain, NC has a 1-out-of-5 overall rating, with 1-star health inspections and 2-star staffing, while quality measures are 4 stars. It reports 3.47 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $31,792 in fines in the last 24 months plus a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.4654 hrs/resident/day

Quality measures

Last inspection: July 9, 2026Penalties, last 24 months: $31,792recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4654.

Staffing detail

Registered nurses
0.32
Licensed practical nurses
0.95
Nurse aides
2.20
Weekend nursing
2.91

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 64%

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).

Long-stay residents on antipsychotic medication

9.6%3.3%Improving

Residents with a fall causing major injury

2.8%0%Improving

Residents with pressure ulcers (bedsores)

6.5%5.7%Improving

Residents with a urinary tract infection

1.5%0%Improving

Residents who lost too much weight

10.9%13.6%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

32.8%21.2%Improving

Residents whose ability to walk got worse

—31.3%—

Long-stay residents on antianxiety or sleep medication

19.1%20.6%Worsening

Short-stay residents newly given an antipsychotic

1.8%1.9%No change

Residents with a long-term catheter

1.3%0%Improving

Residents with new or worsening incontinence

26.9%40%Worsening

Residents with depressive symptoms

0%4.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—100%—

Long-stay residents given the pneumonia vaccine

98.6%94.5%Worsening

Short-stay residents given the seasonal flu vaccine

—100%—

Short-stay residents given the pneumonia vaccine

100%90%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to provide safe and appropriate breathing care when a resident needed it. Cited May 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 695 — 42 CFR §483.25(i) — S/S: E

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited May 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $15,185 was recorded.

  3. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  4. PENALTY

    A federal fine of $8,531 was recorded.

  5. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  6. PENALTY

    A federal fine of $8,076 was recorded.

  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  8. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found
  9. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $31,792 in total fines.

  • Federal fine

    Jul 9, 2026

    $15,185
  • Federal fine

    Oct 21, 2025

    $8,531
  • Federal fine

    Oct 21, 2025

    $8,076

Operator & ownership

Ownership
For profit - Corporation
Occupancy
84.5 residents on an average day (87% of 97 beds)
Resident voice
Resident council
Medicare history
Certified for 48 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.