Silver Bluff
100 Silver Bluff Drive, Canton, NC 28716 · Haywood County · 131 certified beds · avg 115 residents/day · certified since Sep 24, 1990
Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Jun 12, 2023 · F-0561
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.
Why it matters: Losing everyday choices makes residents feel powerless in their own home.
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: Jun 21, 2023 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Jun 12, 2023 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Jun 21, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Jan 8, 2026 | 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. |
| Jan 8, 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. |
| Jan 8, 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. |
| Jan 8, 2026 | D · Potential for harm, one-off | 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. |
| Jan 8, 2026 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Nov 7, 2024 | 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. · from a complaint |
| Nov 7, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Nov 7, 2024 | 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 |
| Jun 12, 2023 | ▲ J · Immediate jeopardy, 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. |
| Jun 12, 2023 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. |
| Jun 12, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Jun 12, 2023 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. |
| Jun 12, 2023 | D · Potential for harm, one-off | 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. |
| Jun 12, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 6 | 2 | J ▲ |
| 2024 | 3 | 0 | E |
| 2026 | 5 | 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)
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) | 3.29 | 4.01 | 3.95 | bottom 20% in North Carolina; bottom 26% in the U.S. |
| Registered Nurse hours | 0.60 | 0.64 | 0.69 | top 39% in North Carolina; top 48% in the U.S. |
| Weekend total nurse staffing | 2.92 | 3.56 | 3.50 | bottom 21% in North Carolina; bottom 27% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.41 | 0.48 | bottom 39% in North Carolina; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 51.4 | 49.0 | 45.8 | bottom 44% in North Carolina; bottom 33% in the U.S. |
| RN turnover (%) | 52.4 | 45.7 | 42.9 | bottom 40% in North Carolina; bottom 32% 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 3.25, RN 0.59, weekend 2.88. Staffing rating: 2/5.
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: 3/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| John a McNeill Jr 2012 Irrv Tr | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| John a McNeill Jr 2014 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Liberty Healthcare Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Liberty Long Term Care LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Liberty Real Properties II LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| McNeill, John | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| McNeill, Robert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| McNeill, Ronald | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Ronald B and Cynthia J McNeil 2014 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Ronald B. and Cynthia J. McNeill 2013 Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/05/2024 |
| Calcutt, Joseph | Individual | Corporate Officer | NOT APPLICABLE | 09/05/2024 |
| Calcutt, Joseph | Individual | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| John a McNeill Jr 2014 Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| Lafata, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/05/2024 |
| Lafata, John | Individual | ADP of the SNF | NOT APPLICABLE | 07/22/2025 |
| Liberty Healthcare Management INC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| Liberty Healthcare Properties of Haywood County II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| Liberty Healthcare Properties of Haywood County LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| Liberty Real Properties II LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
| Long Term Care Management Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "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 |
|---|---|---|---|---|---|
| Skyland Terrace and Rehabilitation | 5.8 mi | Waynesville, NC | ★★★★☆ | 4/5 | |
| Smoky Mountain Health and Rehabilitation Center | 5.9 mi | Waynesville, NC | ★★★☆☆ | 3/5 | |
| Autumn Care of Waynesville | 7.7 mi | Waynesville, NC | ★☆☆☆☆ | 1/5 | |
| Maggie Valley Health and Rehabilitation Center | 12.6 mi | Maggie Valley, NC | ★★☆☆☆ | 2/5 | |
| Pisgah Manor Health Care Center | 13.0 mi | Candler, NC | ★★☆☆☆ | 2/5 | |
| Aston Park Health Care Center | 16.9 mi | Asheville, NC | ★★★★★ | 4/5 | |
| The Lodge at Mills River | 17.6 mi | Mills River, NC | ★★★★★ | 5/5 | |
| The Oaks-Brevard | 17.9 mi | Brevard, NC | ★★☆☆☆ | 2/5 | |
| Transylvania Regional Hospital | 18.2 mi | Brevard, NC | ★★★★☆ | 4/5 | |
| River Bend Health and Rehabilitation | 18.9 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | abuse |
| Stonecreek Health and Rehabilitation | 19.1 mi | Asheville, NC | ★★★☆☆ | 2/5 | |
| Elevate Health and Rehabilitation | 19.5 mi | Asheville, NC | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345341.