North Carolina ›Banner Elk

Life Care Center of Banner Elk

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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★)

4/5
Health inspection rating (on-site)
inspected Aug 6, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)

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

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.

Inspection findings in the public record

Showing the latest 3 of 7 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 7 inspection findingsShow only the latest 3 findings

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.

DateSeverityWhat the facility was cited for
Aug 6, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2025D · Potential for more than minimal harm, isolatedThe 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, 2024E · Potential for more than minimal harm, patternThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2024D · Potential for more than minimal harm, isolatedThe 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, 2023D · Potential for more than minimal harm, isolatedThe 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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (3 → 3).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310D
202430E
202530D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.32
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.43
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.09
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.324.013.95bottom 23% in North Carolina; bottom 28% in the U.S.
Registered Nurse hours0.430.640.69bottom 31% in North Carolina; bottom 27% in the U.S.
Weekend total nurse staffing3.093.563.50bottom 36% in North Carolina; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)0.210.410.48bottom 20% in North Carolina; bottom 13% in the U.S.
Total nursing staff turnover (%)17.649.045.8top 1% in North Carolina; top 2% in the U.S.
RN turnover (%)28.645.742.9top 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.

Quality measures: assessments & claims

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

Costs & payment

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.

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Before you compare prices

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 / managerTypeRoleStakeSince
Developers Investment Company INCOrganizationDirect Ownership InterestNOT APPLICABLE08/24/2015
Preston, ForrestIndividualIndirect Ownership InterestNOT APPLICABLE08/24/2015
Barker, JosephIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2022
Barker, JosephIndividualADP of the SNFNOT APPLICABLE03/10/2025
Cross, CindyIndividualCorporate OfficerNOT APPLICABLE09/30/2015
Developers Investment Company INCOrganizationOperational/Managerial ControlNOT APPLICABLE08/24/2015
Fletcher, ToddIndividualOperational/Managerial ControlNOT APPLICABLE12/13/2024
Henry, TerryIndividualCorporate OfficerNOT APPLICABLE09/30/2015
Kilpatrick, LynnIndividualManaging Control - Governing BodyNOT APPLICABLE12/18/2013
Kilpatrick, LynnIndividualOperational/Managerial ControlNOT APPLICABLE12/18/2013
Kilpatrick, LynnIndividualADP of the SNFNOT APPLICABLE03/10/2025
Laws, BrandyIndividualManaging Control - Governing BodyNOT APPLICABLE01/20/2025
Laws, BrandyIndividualOperational/Managerial ControlNOT APPLICABLE01/20/2025
Lay, LisaIndividualCorporate OfficerNOT APPLICABLE02/09/2018
Life Care Centers of America, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE09/30/2015
Life Care Centers of America, INC.OrganizationADP of the SNFNOT APPLICABLE03/10/2025
Preston, AubreyIndividualOperational/Managerial ControlNOT APPLICABLE12/13/2024
Preston, ForrestIndividualADP of the SNFNOT APPLICABLE08/31/2000
Solomon, JenniferIndividualManaging Control - Governing BodyNOT APPLICABLE05/01/2019
Solomon, JenniferIndividualOperational/Managerial ControlNOT APPLICABLE05/01/2019

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.

Other facilities in the same chain

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.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
  • "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
  • "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?"
  • "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 18% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 23 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
The Foley Center at Chestnut Ridge10.7 miBlowing Rock, NC★★☆☆☆2/5
The Waters of Roan Highlands,llc10.8 miRoan Mountain, TN★★★★★5/5
Glenbridge Health and Rehabilitation12.7 miBoone, NC★☆☆☆☆1/5

Compare this facility with the 3 closest →

All facilities in Banner Elk →

Facility data as of CMS processing date 2026-08-01. CCN 345203.

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