Eckerd Living Center
250 Hospital Drive, Highlands, NC 28741 · Macon County · 80 certified beds · avg 45 residents/day · certified since Apr 28, 1993
Part of chain: HCA HEALTHCARE (3 facilities, chain avg rating 4.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 10, 2026 | D · Potential for harm, one-off | The facility did not make sure residents actually saw their doctor face-to-face at all required visits. Doctors must examine nursing home residents in person on a regular schedule. |
| Feb 19, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 19, 2025 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Sep 28, 2023 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | F |
| 2025 | 2 | 0 | F |
| 2026 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.11 | 4.01 | 3.95 | top 11% in North Carolina; top 12% in the U.S. |
| Registered Nurse hours | 1.36 | 0.64 | 0.69 | top 5% in North Carolina; top 6% in the U.S. |
| Weekend total nurse staffing | 4.06 | 3.56 | 3.50 | top 17% in North Carolina; top 21% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.53 | 0.41 | 0.48 | top 21% in North Carolina; top 30% in the U.S. |
| Total nursing staff turnover (%) | 36.7 | 49.0 | 45.8 | top 21% in North Carolina; top 28% in the U.S. |
| RN turnover (%) | 0.0 | 45.7 | 42.9 | top 1% in North Carolina; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.35, RN 1.16, weekend 3.46. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Partnership
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Frisco Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hca Healthcare INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hca INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Healthtrust INC - the Hospital Company | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hercules Holding II | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| Hti Hospital Holdings INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| MH Hospital Holding INC | Organization | 5% or Greater Indirect Ownership Interest | — | 02/01/2019 |
| MH Master Holding LLLP | Organization | 5% or Greater Direct Ownership Interest | 99% | 02/01/2019 |
| Emory, Ava | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Groesser, Tyler | Individual | Corporate Officer | NOT APPLICABLE | 04/30/2025 |
| Groesser, Tyler | Individual | ADP of the SNF | NOT APPLICABLE | 04/30/2025 |
| Hca INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| MH Master Holding LLLP | Organization | Limited Partnership Interest | NOT APPLICABLE | 02/01/2019 |
| MH Master LLC | Organization | General Partnership Interest | NOT APPLICABLE | 02/01/2019 |
| Neal, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Neal, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Smith, Eric | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2021 |
| Smith, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2021 |
| Stover, Lani | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you explain health changes and treatment options to residents and their families?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How often does the attending doctor physically see each resident, and how is that documented?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Macon Valley Nursing and Rehabilitation Center | 15.1 mi | Franklin, NC | ★★☆☆☆ | 2/5 | abuse |
| Mountain View Health Care | 18.3 mi | Clayton, GA | ★☆☆☆☆ | 1/5 | abuse |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345437.