Deficiency Index

The Foley Center at Chestnut Ridge

Blowing Rock, North Carolina · CCN 345045

14 surveys since 2010. The first finding at harm level was recorded in 2024.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
75
Surveys
14
Harm or worse
4
Immediate jeopardy
3
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy3

Findings at the most serious level CMS records.

Beyond CMS’s monthly file12/14

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
92
Ownership
For profit - Limited Liability company
Chain
LIBERTY SENIOR LIVING
County
Watauga · rural
Medicare-certified since
1968

CMS ratings

Overall
2
Health inspection
2
Staffing
3
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 94 for-profit facilities of 66–99 beds in North Carolina.

Last survey on record

Jul 31, 2025

466 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.453.42
Registered-nurse hours per resident day0.66—
Annual nurse turnover64.5%51.3%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$17,114 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ315.0%K—L—
Actual harmG15.0%H—I—
No harm, potential for more than minimalD945.0%E735.0%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 20 of the 75 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8122×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5781×

    Honor 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.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • F6001×

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

In the surveyor’s words

From the most serious findings on record at The Foley Center at Chestnut Ridge, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF580Jul 3, 2024

    Based on record review, staff, Social Worker (SW), Nurse Practitioner (NP), and Medical Director (MD) interviews the facility failed to notify a medical provider when Resident #278 was noted by Medication Aide (MA) #1 to have difficulty breathing, had an oxygen saturation in the high 70's/low 80's (normal oxygen saturation is 92 to 100%), and was asking for help. On [DATE] at 7:00 am MA #1 was told by Nurse #2 that Resident #278 was having issues with breathing. MA #1 checked Resident #278 and noted an oxygen saturation in the high 70's/low 80's, and got the Director of Nursing (DON). The DON advised MA #1 to place Resident #278 on oxygen and continue to monitor her oxygen saturation levels. […]

  • Immediate jeopardy, isolatedF600Jul 3, 2024

    Based on record reviews, and Resident Representative (RR), staff, Nurse Practitioner (NP), and Medical Director (MD) interviews the facility failed to protect a Resident's right to be free from neglect when they failed to provide effective care and services to a resident experiencing a medical emergency. On [DATE] MA #1 was told by Nurse #2 that Resident #278 was not doing well. MA #1 checked Resident #278 and noted an oxygen saturation in the high 70's/low 80's (normal oxygen saturation is 92 to 100%), and got the Director of Nursing (DON). The DON advised MA #1 to place Resident #278 on oxygen and monitor oxygen saturation levels. […]

  • Immediate jeopardy, isolatedF684Jul 3, 2024

    Based on record review, and staff, Resident Representative (RR), Social Worker (SW), Nurse Practitioner (NP), and Medical Director (MD) interviews Based on record review, and staff, Resident Representative (RR), Social Worker (SW), Nurse Practitioner (NP), and Medical Director (MD) interviews the facility failed to complete and document on-going thorough assessments for an acute change in condition and failed to respond effectively to a medical emergency. On [DATE] at 7:00 pm, Resident #278's Representative requested a chest x-ray, when Nurse #1 observed Resident #278 had a cough, congestion, and decreased appetite. […]

  • Actual harm, isolatedF697Jul 3, 2024

    Based on record review, Resident Representative (RR), staff, Nurse Practitioner (NP) interviews, the facility failed to address a resident's pain after a resident requested pain medication and was observed screaming in pain, crying, and very upset by Nurse #10 on [DATE]. The deficient practice occurred for 1 of 3 residents (Resident #279) reviewed for pain. The findings included: Resident #279 was admitted to the facility on [DATE] with a diagnosis of left artificial knee joint replacement. A review of a physician's order dated [DATE] revealed an order for Resident #279 to be administered oxycodone (pain medication) 10 milligrams (mg) every four hours as needed for pain for 5 days. The order expired on [DATE]. […]

  • No harm, potential for more than minimal, patternF812Jul 31, 2025

    Based on observations and staff interviews, the facility failed to label and date leftover food and failed to discard food items by the expiration or used by date for 1 of 3 nourishment room refrigerators (300/400 hall) reviewed for food storage. This practice had the potential to cause foodborne illnesses.Findings included:An observation and interview were conducted on 07/28/25 at 10:50 AM with the Certified Dietary Manager (CDM) for review of the nourishment room refrigerator. The following were observed in the nourishment room refrigerator designated for the 300 and 400 hall used to store food brought into the facility for residents: a. A 12-ounce unopened container of egg salad with a use by date of 7/19/25. […]

Read 20 findings in full →The most serious and the most recent: 20 of 75 on record.

Every survey on record

FindingsAt actual harm or above

  • Sep 17, 2026Standard1 finding
  • Jul 31, 2025Standard3 findings
  • Jul 3, 2024Standard and complaint17 findings · 4 harm
  • Sep 9, 2021Complaint1 finding
  • Jul 29, 2021Standard2 findings
  • May 31, 2019Standard2 findings
  • Jun 28, 2018Standard3 findings
  • May 5, 2017Standard5 findings
Show the 6 earlier surveys
  • Mar 11, 2016Standard9 findings
  • Apr 2, 2015Standard10 findings
  • Nov 22, 2013Standard1 finding
  • Sep 20, 2012—3 findings
  • Aug 25, 2011—10 findings
  • Jul 22, 2010—8 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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