Autumn Care of Waynesville
360 Old Balsam Road, Waynesville, NC 28786 · (828) 456-7381
For profit - Corporation · 90 certified beds
Autumn Care of Waynesville has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 6 citations (the North Carolina average is 4.7). It was fined 1 time in the last three years, $107,387 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 4, 2026 found 6 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 4, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 4, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 4, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 4, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 4, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 4, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 11 citations.
- Provide and implement an infection prevention and control program.September 9, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give the resident's representative the ability to exercise the resident's rights.May 22, 2025 · F0551 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 22, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.November 26, 2024 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.May 9, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 9, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.May 9, 2024 · F0623 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 9, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.May 9, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 9, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Have a Compliance and Ethics Program.May 9, 2024 · F0895 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $107,387May 9, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.43 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.48 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.82 | 0.89 | 0.86 |
| Nurse aides | 2.12 | 2.34 | 2.32 |
| Total nursing staff turnover | 69.8% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 90 |
| Average residents per day | 83.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Skyland Terrace and Rehabilitation Waynesville · ★★★★★ 4 out of 5 stars
- Smoky Mountain Health and Rehabilitation Center Waynesville · ★★★★★ 3 out of 5 stars
- Silver Bluff Canton · ★★★★★ 3 out of 5 stars
- Maggie Valley Health and Rehabilitation Center Maggie Valley · ★★★★★ 2 out of 5 stars
Compare every nursing home in Waynesville, NC · Nursing homes in North Carolina
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Data from Medicare (CMS), updated October 2026, from Autumn Care of Waynesville on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.