Nursing homeActive
Life Care Center of Banner Elk
185 Norwood Hollow Road, Banner Elk, NC 286048288985136118 certified beds · 66 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
7
● 0● 7● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-08-06
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-08-06 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-08-21 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-05-24 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 345203-20250806-F690
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 345203-20250806-F761
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-22Record 345203-20250806-F880
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 345203-20240821-F565
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 345203-20240821-F679
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 345203-20240821-F700
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-12Record 345203-20230524-F688
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.41
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.18
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.96
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover18%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover29%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.1% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 28.6% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.1% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.0% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.6% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Barker, Joseph Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Developers Investment Company Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Todd Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kilpatrick, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Laws, Brandy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Preston, Aubrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Solomon, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ziegler, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barker, Joseph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cross, Cindy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Developers Investment Company Inc Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Henry, Terry Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kilpatrick, Lynn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Kilpatrick, Lynn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Laws, Brandy Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Lay, Lisa Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Life Care Centers Of America, Inc. Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Preston, Forrest Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Solomon, Jennifer Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Swanker, Richard Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Thurmond, Joan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Life Care Centers Of America — 194 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Avery.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| The Waters Of Roan Highlands,LLC Roan Mountain | 10.8 mi | 2026-05-13 | 000 |
| The Foley Center at Chestnut Ridge Blowing Rock | 10.7 mi | 2025-07-31 | 0164 |
| Glenbridge Health And Rehabilitation Boone | 12.7 mi | 2026-03-27 | 2381 |
| The Greens at Spruce Pines Spruce Pine | 20.6 mi | 2026-05-14 | 0111 |
| Mountain City Care & Rehabilitation Center Mountain City | 24.4 mi | 2026-04-22 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |