Elder Care Record

North Carolina › Watauga County › Blowing Rock

The Foley Center At Chestnut Ridge

621 Chestnut Ridge Parkway, Blowing Rock, NC 28605

CCN 345045 · For-profit, limited liability company · 92 certified beds · chain Liberty Senior Living

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

The Foley Center At Chestnut Ridge is a For-profit, limited liability company nursing home in Blowing Rock, North Carolina, certified for 92 beds and caring for about 81 residents a day.

CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.

Inspectors recorded 20 health deficiencies across the three most recent survey cycles (3, 17, 0 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 21.7 per 100 beds, more than the state median of 15.6.

CMS lists 1 penalty in the period covered: fines totalling $17K.

Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the North Carolina median of 3.5; nursing staff turnover is 64.5%.

20health deficiencies, 3 survey cycles4 at actual harm or worse
$17Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.5
88%occupancy (residents ÷ beds)81 residents a day

Compared with county, state and nation

MeasureThis facilityWatauga Co. medianNorth Carolina medianUS average
Overall star rating2233.0
Health citations, 3 cycles20411628.7
Citations per 100 beds21.730.615.626.8
Total nurse hours per resident day3.53.53.53.9
RN hours per resident day0.70.70.50.7
Nursing staff turnover64.5%64.5%48.6%45.8%
Fines listed$17,114$32,349$8,512—

County and state figures are medians across facilities (2 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 217
Cycle 30

Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 3 Jul 2024.

Severity mix: J ×3 G ×1 D ×9 E ×7

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
31 Jul 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Aug 2025
31 Jul 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey23 Aug 2025
31 Jul 2025F0761Ensure 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.DStandard survey23 Aug 2025
3 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint investigation16 Jul 2024
3 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation16 Jul 2024
3 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint investigation16 Jul 2024
3 Jul 2024F0697Provide safe, appropriate pain management for a resident who requires such services.GComplaint investigation16 Jul 2024
3 Jul 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EComplaint investigation16 Jul 2024
3 Jul 2024F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard survey16 Jul 2024
3 Jul 2024F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey16 Jul 2024
3 Jul 2024F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey16 Jul 2024
3 Jul 2024F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation16 Jul 2024
3 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Jul 2024
3 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation16 Jul 2024
3 Jul 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey16 Jul 2024
3 Jul 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey16 Jul 2024
3 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation16 Jul 2024
3 Jul 2024F0760Ensure that residents are free from significant medication errors.DStandard survey16 Jul 2024
3 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey16 Jul 2024
3 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey16 Jul 2024

Penalties

DateTypeAmountDetail
3 Jul 2024Fine$17,114

Staffing

Total nursing3.45 h
Nurse aides2.18 h
LPN0.61 h
RN0.66 h
Weekend total3.26 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 64.5%, RNs 30.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityNorth Carolina medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay17.7%14.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.0%0.4%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.7%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.6%3.3%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.8%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay12.8%17.0%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.0%5.2%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay13.8%13.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Liberty Healthcare Group Llc. Chain: Liberty Senior Living (37 facilities).

OrganisationRole in the CMS recordInterestSince
Liberty Healthcare Group LLC5% or greater direct ownership interest100%10/01/2019
Long Term Care Management Services LLCOperational/managerial controlNOT APPLICABLE10/01/2019

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Watauga County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Glenbridge Health and RehabilitationBoone1341114130.6$32K27 Mar 2026

All 2 facilities in Watauga County

Questions and answers

How many deficiencies has The Foley Center At Chestnut Ridge been cited for?

20 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.

Has The Foley Center At Chestnut Ridge been fined?

Yes. CMS lists fines totalling $17K in the period covered.

How does staffing at The Foley Center At Chestnut Ridge compare?

Reported total nurse staffing is 3.5 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.

Who operates The Foley Center At Chestnut Ridge?

It is part of the Liberty Senior Living chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Liberty Healthcare Group LLC and Long Term Care Management Services LLC. Individual owners and managers are not listed on this site.

When was The Foley Center At Chestnut Ridge last inspected?

The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.