Glenbridge Health and Rehabilitation

Name: Glenbridge Health and Rehabilitation
Address: 211 Milton Brown Heirs Road, Boone, NC, 28607, US
Telephone: 8282646720

211 Milton Brown Heirs Road, Boone, NC 28607 · Watauga County · 134 certified beds · avg 107 residents/day · certified since May 4, 1977

Part of chain: BRIGHTON HEALTHCARE (8 facilities, chain avg rating 1.5★)

1/5

Health inspection rating (on-site)

Serious findings on record

$32,349

Fines, last 3 years

2.99

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Feb 6, 2025 · F-0551

The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.

Why it matters: Decisions about a resident's care could be made without the input of the person legally chosen to protect them.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Apr 16, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (41)

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
Mar 27, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 27, 2026	E · Potential for harm, repeated	The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly.
Mar 27, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Mar 27, 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.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint
Mar 27, 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.
Mar 27, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Mar 27, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Mar 27, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 27, 2026	B · Minimal risk, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Apr 16, 2025	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Apr 16, 2025	E · Potential for harm, repeated	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. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Apr 16, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Apr 16, 2025	C · Minimal risk, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint
Feb 6, 2025	▲ J · Immediate jeopardy, one-off	The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.
Feb 6, 2025	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Feb 6, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 6, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Feb 6, 2025	E · Potential for harm, repeated	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 6, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 6, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Feb 6, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 6, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Dec 13, 2023	E · Potential for harm, repeated	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. · from a complaint
Dec 13, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint
Dec 13, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 13, 2023	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Oct 5, 2023	F · Potential for harm, facility-wide	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Oct 5, 2023	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. · from a complaint
Oct 5, 2023	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 5, 2023	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Oct 5, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint
Oct 5, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (16 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	10	0	F
2025	21	1	J ▲
2026	10	0	E

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)

3 fines totaling $32,349, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Feb 6, 2025	Fine	$13,449
Feb 6, 2025	Fine	$13,703
Feb 6, 2025	Payment Denial	56 days from Mar 7, 2025
Oct 5, 2023	Fine	$5,197

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)	2.99	4.01	3.95	bottom 6% in North Carolina; bottom 14% in the U.S.
Registered Nurse hours	0.47	0.64	0.69	bottom 38% in North Carolina; bottom 33% in the U.S.
Weekend total nurse staffing	2.63	3.56	3.50	bottom 7% in North Carolina; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.41	0.48	bottom 38% in North Carolina; bottom 26% in the U.S.
Total nursing staff turnover (%)	60.6	49.0	45.8	bottom 23% in North Carolina; bottom 15% in the U.S.
RN turnover (%)	60.0	45.7	42.9	bottom 30% in North Carolina; bottom 22% 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 3.53, RN 0.55, weekend 3.10. Staffing rating: 1/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Glenbridge Health and Rehabilitation	Organization	5% or Greater Direct Ownership Interest	100%	12/01/2022
Brand Sonnenschine LLP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2022
Brighton Management One LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2022
Fischer, David	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2022
Fischer, David	Individual	Corporate Director	NOT APPLICABLE	12/01/2022
Fischer, David	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Fischer, David	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Forvis Mazars LLP	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2022
Jones, Kristy	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2022
Jones, Kristy	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
Lefkowitz, Zev	Individual	Managing Control - Governing Body	NOT APPLICABLE	12/01/2022
Lefkowitz, Zev	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022
LTC Consulting Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2022
Turbett, Timothy	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2022

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 involve a resident's representative in care decisions, and how quickly are they consulted?"
"Does your facility have an active resident council, and how does management respond to its concerns?"
"What alternatives do you try before using bed rails, and how do you involve families in that decision?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"How do you explain health changes and treatment options to residents and their families?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"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
The Foley Center at Chestnut Ridge	3.1 mi	Blowing Rock, NC	★★☆☆☆	2/5
Life Care Center of Banner Elk	12.7 mi	Banner Elk, NC	★★★★☆	4/5
Lenoir Health and Rehabilitation Center	17.7 mi	Lenoir, NC	★☆☆☆☆	1/5
Margate Health and Rehabilitation, LLC	19.0 mi	Jefferson, NC	★★★☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Boone →

Facility data as of CMS processing date 2026-08-01. CCN 345163.

The Care File

Visit checklist — Glenbridge Health and Rehabilitation

211 Milton Brown Heirs Road, Boone, NC 28607 · 8282646720

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $32,349

Most serious findings on record:

▲ Feb 6, 2025 (F-0551, Immediate jeopardy, one-off): The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role.

Questions for the administrator:

☐ "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
☐ "Does your facility have an active resident council, and how does management respond to its concerns?"
☐ "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345163 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)