Nursing homeActive

Silver Bluff

100 Silver Bluff Drive, Canton, NC 287168286482044131 certified beds · 115 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
14
1112
Penalties · 3 yrs
none on file
Last survey
2026-01-08
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 2
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
DateKindDeficienciesOfficial recordArchived PDF
2026-01-08Standard050CMS-2567 (Care Compare)
2024-11-07Standard030CMS-2567 (Care Compare)
2023-06-12Standard132CMS-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.

2026-01-08Standard survey · 5 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 345341-20260108-F686
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 345341-20260108-F759
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 2026-01-20Record 345341-20260108-F761
F791Provide or obtain dental services for each resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 345341-20260108-F791
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-20Record 345341-20260108-F812
2024-11-07Standard survey · 3 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-26Record 345341-20241107-F604
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-29Record 345341-20241107-F761
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-02Record 345341-20241107-F804
2023-06-12Standard survey · 6 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity JHarm
Dignity & rights
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-06-21Record 345341-20230612-F561
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2023-06-21Record 345341-20230612-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-21Record 345341-20230612-F607
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-21Record 345341-20230612-F610
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 2023-06-21Record 345341-20230612-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-06-21Record 345341-20230612-F732

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.59
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.25
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.88
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover51%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover52%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.0%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.3%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
23.1%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
3.1%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
18.9%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
15.8%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.1%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)
EntityRoleInterestSinceRegistry
Lafata, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sexton, John
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Calcutt, Joseph
Individual
CORPORATE OFFICERNOT APPLICABLE
Calcutt, Joseph
Individual
ADP OF THE SNFNOT APPLICABLE
John A Mcneill Jr 2012 Irrv Tr
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
John A Mcneill Jr 2014 Irrevocable Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
John A Mcneill Jr 2014 Irrevocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Lafata, John
Individual
ADP OF THE SNFNOT APPLICABLE
Liberty Healthcare Group LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Liberty Healthcare Management Inc
Organization
ADP OF THE SNFNOT APPLICABLE
Liberty Healthcare Properties Of Haywood County II LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Liberty Healthcare Properties Of Haywood County LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Liberty Long Term Care LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Liberty Real Properties II LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Liberty Real Properties II LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Long Term Care Management Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mcneill, John
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mcneill, John
Individual
ADP OF THE SNFNOT APPLICABLE
Mcneill, Robert
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mcneill, Robert
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Mcneill, Ronald
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Mcneill, Ronald
Individual
ADP OF THE SNFNOT APPLICABLE
Miller, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Miller, Robert
Individual
CORPORATE DIRECTORNOT APPLICABLE
Oliver, Anna
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Purvis, Jenny
Individual
TRUSTEE OF THE SNFNOT APPLICABLE
Ronald B And Cynthia J Mcneil 2014 Irrevocable Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Ronald B. And Cynthia J. Mcneill 2013 Irrevocable Trust
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Sexton, John
Individual
ADP OF THE SNFNOT APPLICABLE
Wilson, Jeffrey
Individual
INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE
Wilson, Jeffrey
Individual
ADP OF THE SNFNOT APPLICABLE
Wilson, Jeffrey
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Liberty Senior Living37 facilities
View chain record

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 Haywood.

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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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01