nursing home in Canton, NC
Silver Bluff
100 Silver Bluff Drive, Canton, NC 28716 · (828) 648-2044
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Silver Bluff at a glance
Silver Bluff is a 131-bed for-profit nursing home in Canton, North Carolina (Haywood County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the North Carolina average of 2.9.
Residents receive about 3.2 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (January 8, 2026) found 5 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 51.4% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 131
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Liberty Senior Living
- Medicare-certified since
- September 24, 1990
- Resident/family council
- Resident
- County
- Haywood County
- CMS Certification Number
- 345341
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.25 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.59 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 2.88 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 51.4% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 52.4% | 45.6% | 42.9% | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 22 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 131 | 105 | 107 | |
| Average residents per day | 115 | 87 | 86 | |
| Occupancy | 87.9% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.3% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 23.1% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 18.9% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.3% | 18.3% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 15.8% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0.5% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.1% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.8% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 95.9% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.3% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.4% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.3% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 20 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 2 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 8, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Have an externally vented heating system. Services Deficiencies · Tag K0522 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Construct fire resistant interior walls. Smoke Deficiencies · Tag K0331 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected May 25, 2026 |
| January 8, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 20, 2026 |
| January 8, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 20, 2026 |
| January 8, 2026 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected January 20, 2026 |
| January 8, 2026 Standard | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 20, 2026 |
| January 8, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected January 20, 2026 |
| November 7, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected March 1, 2025 |
| November 7, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 1, 2025 |
| November 7, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected March 1, 2025 |
| November 7, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected March 1, 2025 |
| November 7, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected March 1, 2025 |
| November 7, 2024 Complaint | Ensure 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 29, 2024 |
| November 7, 2024 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected December 2, 2024 |
| November 7, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected September 26, 2024 |
| June 12, 2023 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | D Potential harm, isolated | Corrected October 5, 2023 |
| June 12, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected October 5, 2023 |
| June 12, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected October 5, 2023 |
| June 12, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 5, 2023 |
| June 12, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | C No harm, widespread | Corrected October 5, 2023 |
| June 12, 2023 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | C No harm, widespread | Corrected October 5, 2023 |
| June 12, 2023 Standard | 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 · Tag F0600 | J Immediate jeopardy, isolated | Corrected June 21, 2023 |
| June 12, 2023 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | J Immediate jeopardy, isolated | Corrected June 21, 2023 |
| June 12, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 21, 2023 |
| June 12, 2023 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected June 21, 2023 |
| June 12, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 21, 2023 |
| June 12, 2023 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 21, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 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 | 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 |
| MCNEILL, JOHN Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| MCNEILL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| MCNEILL, RONALD Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| MILLER, ROBERT Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| SEXTON, JOHN Individual | adp of the snf | NOT APPLICABLE | 07/22/2025 |
| WILSON, JEFFREY Individual | adp of the snf | NOT APPLICABLE | 09/05/2024 |
| MILLER, ROBERT Individual | corporate director | NOT APPLICABLE | 09/05/2024 |
| CALCUTT, JOSEPH Individual | corporate officer | NOT APPLICABLE | 09/05/2024 |
| WILSON, JEFFREY Individual | corporate officer | 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 |
| 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 |
| 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 |
| WILSON, JEFFREY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 08/04/2026 |
| LAFATA, JOHN Individual | operational/managerial control | NOT APPLICABLE | 09/05/2024 |
| SEXTON, JOHN Individual | operational/managerial control | NOT APPLICABLE | 09/05/2024 |
| MCNEILL, ROBERT Individual | trustee of the snf | NOT APPLICABLE | 09/05/2024 |
| OLIVER, ANNA Individual | trustee of the snf | NOT APPLICABLE | 09/05/2024 |
| PURVIS, JENNY Individual | trustee of the snf | NOT APPLICABLE | 09/05/2024 |
Other nursing homes near Silver Bluff
Skyland Terrace and Rehabilitation
516 Wall Street, Waynesville, NC 28786 · 5.8 mi
For-profit · 90 beds
★★★★★4Above averageSmoky Mountain Health and Rehabilitation Center
1349 Crabtree Road, Waynesville, NC 28785 · 5.9 mi
For-profit · 50 beds · Part of Principle Long Term Care
★★★★★3AverageAutumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · 7.6 mi
For-profit · 90 beds · Part of Saber Healthcare Group
★★★★★1Much below averageMaggie Valley Health and Rehabilitation Center
75 Fisher Loop, Maggie Valley, NC 28751 · 12.6 mi
For-profit · 114 beds
★★★★★2Below averagePisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715 · 13 mi
For-profit · 118 beds · Part of Liberty Senior Living
★★★★★2Below averageAston Park Health Care Center
380 Brevard Road, Asheville, NC 28806 · 16.9 mi
Non-profit · 120 beds · Part of Lutheran Services Carolinas
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Silver Bluff's rating?
Silver Bluff has 3 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Silver Bluff receive?
Its most recent standard health inspection found 5 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Silver Bluff accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Silver Bluff?
It is for profit - corporation and part of Liberty Senior Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Silver Bluff and how do I contact it?
Silver Bluff is at 100 Silver Bluff Drive, Canton, NC 28716. Phone: (828) 648-2044.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.