The Lodge at Mills River

5593 Old Haywood Road · Mills River, NC · 28759 · 8286844857

50 certified beds For profit - Limited Liability company Chain: Sanstone Health & Rehabilitation

  • Cleaner inspection record than most facilities nationally.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 100
Serious harm & abuse 20% 94
Staffing 20% 78
Federal penalties 15% 100
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.403.48 min · 4.1 strong
RN hours / resident-day0.780.55–0.75
Weekend hours / resident-day3.68≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)none

Inspection citations (6 in the current record)

  • No harm found · B June 3, 2025

    Post nurse staffing information every day.

    Corrected June 4, 2025 · Nursing and Physician Services

  • Immediate jeopardy · J December 1, 2022

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

    Corrected September 15, 2022 · Quality of Life and Care

  • Potential for harm · D December 1, 2022

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

    Corrected December 26, 2022 · Resident Rights

  • Potential for harm · D December 1, 2022

    Ensure each resident receives an accurate assessment.

    Corrected December 26, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D December 1, 2022

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

    Corrected December 26, 2022 · Quality of Life and Care

  • Potential for harm · E December 1, 2022

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

    Corrected December 26, 2022 · Nutrition and Dietary

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345253 · certified since December 19, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.