Nursing home
Autumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · Map
For profit - Limited Liability company · Part of Saber Healthcare Group (126 facilities) · 90 certified beds
Autumn Care of Waynesville is a Medicare-certified nursing home in Waynesville, North Carolina. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.46 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on May 22, 2025 cited 6 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $107,387In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Autumn Care of Waynesville compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.46 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.35 | 2.33 | 2.34 | above avg |
| Nursing staff turnover | 60.8% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $107,387, 1 total penalty.
What inspectors found at Autumn Care of Waynesville
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 9, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 22, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Nov 26, 2024 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 9, 2024 · Full report (PDF) - Immediate jeopardy
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · May 9, 2024 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 9, 2024 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 9, 2024 · Full report (PDF) - Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · May 9, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 360 Old Balsam Road
Waynesville, NC 28786 - CMS certification #
- 345110
- Ownership
- For profit - Limited Liability company
- Certified beds
- 90
- Avg residents/day
- 85.7
- Provider type
- Medicare and Medicaid
- First certified
- 1974-03-06
- Chain
- Saber Healthcare Group (126 facilities)
- Setting
- Rural
Part of Saber Healthcare Group
Saber Healthcare Group operates 126 nursing facilities across the United States. View all Saber Healthcare Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Autumn Care of Waynesville using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day
- Workplace safety 1 OSHA workplace safety inspection since 2019, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Autumn Care of Waynesville says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jun 18, 2019: programmed (planned) inspection, complete (safety). Case closed Aug 14, 2019. 1 violation cited (1 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 142641 - Autumn Corporation DBA Autumn Care of Waynesville.
Details
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(g)(1)). Penalty $0 proposed, $0 now. To be fixed by Jul 1, 2019.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Haywood Regional Medical Center, Clyde. 6.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Skyland Terrace and Rehabilitation, Waynesville. 2.9 miles away, straight line.
- Nearest home health agency office
- Home Care Services Of Haywood Regional Medical Center, Waynesville. 5.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 13.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28786 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Davita Waynesville Dialysis Center, Clyde, 6.5 miles away, straight line (CMS rating 5 of 5 stars)
Davita Sylva Dialysis Center, Sylva, 12.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 28786.
Haywood Hospice And Palliative Care, office in Waynesville, 5.5 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 27.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Autumn Care of Waynesville a good nursing home?
CMS gives Autumn Care of Waynesville an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Autumn Care of Waynesville staffed?
Autumn Care of Waynesville reports 3.46 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Autumn Care of Waynesville had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Autumn Care of Waynesville have?
Autumn Care of Waynesville is certified for 90 beds.