How to file a complaint about care →
No fines or payment denials in the published 3-year window.
185 Norwood Hollow Road, Banner Elk, NC 28604 (opens Google Maps) · Avery County · (828) 898-5136· 118 certified beds · avg 66 residents/day · certified since Oct 1, 1981 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. F-0690
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. F-0761
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Aug 6, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0761 |
| Aug 6, 2025 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Aug 21, 2024 | E · Potential for more than minimal harm, pattern | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Aug 21, 2024 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Aug 21, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| May 24, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688 |
Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 3 | 0 | E |
| 2025 | 3 | 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.32 | 4.01 | 3.95 | bottom 23% in North Carolina; bottom 28% in the U.S. |
| Registered Nurse hours | 0.43 | 0.64 | 0.69 | bottom 31% in North Carolina; bottom 27% in the U.S. |
| Weekend total nurse staffing | 3.09 | 3.56 | 3.50 | bottom 36% in North Carolina; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.21 | 0.41 | 0.48 | bottom 20% in North Carolina; bottom 13% in the U.S. |
| Total nursing staff turnover (%) | 17.6 | 49.0 | 45.8 | top 1% in North Carolina; top 2% in the U.S. |
| RN turnover (%) | 28.6 | 45.7 | 42.9 | top 21% in North Carolina; top 26% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.18, RN 0.41, weekend 2.96.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.18 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Life Care Center of Banner Elk. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Developers Investment Company INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 08/24/2015 |
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/24/2015 |
| Barker, Joseph | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2022 |
| Barker, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 09/30/2015 |
| Developers Investment Company INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/24/2015 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 09/30/2015 |
| Kilpatrick, Lynn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/18/2013 |
| Kilpatrick, Lynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/18/2013 |
| Kilpatrick, Lynn | Individual | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Laws, Brandy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/20/2025 |
| Laws, Brandy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/20/2025 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2015 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/10/2025 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Preston, Forrest | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2000 |
| Solomon, Jennifer | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2019 |
| Solomon, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2019 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Life Care Centers of America — 194 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking. Showing 8 of the 193 others, continuing from this facility's own place in that list.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| The Foley Center at Chestnut Ridge | 10.7 mi | Blowing Rock, NC | ★★☆☆☆ | 2/5 | |
| The Waters of Roan Highlands,llc | 10.8 mi | Roan Mountain, TN | ★★★★★ | 5/5 | |
| Glenbridge Health and Rehabilitation | 12.7 mi | Boone, NC | ★☆☆☆☆ | 1/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345203.
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