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Nursing HomeMedicaid Investigative

Mountain View Manor Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

410 Buckner Branch Road, Bryson City, NC 28713120 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.3/5

based on 23 Google reviews

5
4
3
2
1
Mountain View Manor Nursing Center Nursing Home in Bryson City, NC — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 4.0)

Below average in NC · Below recommended RN staffing · $14,131 in fines

Source: Medicare data

What this means for your family

While some families report positive experiences with rehab and social events, there is a concerning pattern of recent reports regarding severe understaffing and neglect. We strongly advise you to conduct an unannounced visit during a weekend or evening shift to observe staffing levels and facility cleanliness firsthand before making a decision.

Google Reviews

Google Reviews

23 reviews on Google
Mountain View Manor Nursing Center receives highly polarized feedback, with recent reviews indicating a significant decline in quality and safety. While some families praise the compassionate care and rehabilitation services, multiple recent reports highlight severe understaffing, poor hygiene, and failures in basic resident care such as toileting and responsiveness. Families should be particularly cautious regarding the facility's ability to manage memory care and maintain consistent communication.

Quality Themes

Tap a score for details
Food4.0Staff4.0Clean2.0Activities8.0MedsN/AMemory1.0Comms2.0ValueN/A

Strengths

  • Compassionate individual nursing staff
  • Effective rehabilitation therapy
  • Engaging community events for families

Concerns

  • Severe understaffing leading to neglect (mentioned by 5 reviewers)
  • Poor facility hygiene and unpleasant odors (mentioned by 3 reviewers)
  • Inadequate memory care and lack of specialized support (mentioned by 2 reviewers)
  • Poor communication and unresponsive phone lines (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'14(2)'17(2)'19(4)'24(3)'26(4)

Distribution · 24 analyzed

5
11
4
3
3
2
2
0
1
8

How They Respond to Reviews

22%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about your nursing staff and the community events you host; could you tell us more about how families stay involved in those activities?
  • 2What specific steps is the facility taking to ensure the dining experience and food quality meet the needs of all residents?
  • 3How do you manage staffing levels during overnight shifts or weekends to ensure every resident receives consistent attention?
  • 4Could you walk us through your protocols for handling medical emergencies and how quickly a nurse can be reached after hours?
  • 5What specialized supports or training are in place for residents who require more intensive memory care?
  • 6What is your current process for maintaining facility cleanliness and addressing any maintenance or hygiene needs in the resident rooms?

Personalized based on this facility's data


Key Review Excerpts

The facility is desperately short of staff, they are so short of staff that my dad almost died, we called 911 for him. The facility is dirty and smells like body fluids.

Rehab patient's family · 2023☆☆☆☆

This facility states they have a memory care unit on their website and their pamphlets. They do not have a memory care unit.

Memory care family member · 2026☆☆☆☆

Residents sit in their urine and feces for hours, nurses are rude towards residents. Staff just seem miserable all around, but they're understaffed and under supported

Long-term resident's family · 2026☆☆☆☆
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.54hrs
72%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
12.1%
NC
5.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.2%
Worse than Avg
Here
23.2%
US
14.4%
NC
16.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
15.3%
NC
20.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.9%
Worse than Avg
Here
25.9%
US
19.4%
NC
21.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility19.0%
Worse than Avg
Here
19.0%
US
15.5%
NC
14.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility96.5%
Better than Avg
Here
96.5%
US
93.4%
NC
91.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility59.4%
Worse than Avg
Here
59.4%
US
81.8%
NC
80.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.8%
Worse than Avg
Here
77.8%
US
79.8%
NC
78.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.9%
Better than Avg
Here
0.9%
US
1.6%
NC
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
2penalties
Well above state avg (5.6)
20 complaint-triggered
$14,131 in fines

Mountain View Manor has concerning patterns with 20 complaint-triggered deficiencies where families reported issues. The facility repeatedly struggles with infection control, meal planning and nutrition, and resident care planning across all three surveys. While deficiencies are eventually corrected, the same core problems persist, suggesting ongoing challenges in maintaining consistent quality standards and resident safety.

Apr 17, 2025Routine
14
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Apr 17, 2025Complaint
2
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Jan 26, 2024Complaint
18
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0646Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0700Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0807Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

0808Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

0803Minimal · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0842Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Jan 26, 2024Routine
4
0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0374Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install smoke barrier doors that can resist smoke for at least 20 minutes.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Jul 15, 2022Routine
9
0888Actual harm · IsolatedCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

0111Potential for harm · WidespreadCorrected

Construction Deficiencies

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Federal Penalties

Fine

Jan 26, 2024

$14,131

Payment Denial

Jan 26, 2024

17-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Mountain View Manor Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Diversicare Healthcare

Chain Size

46 facilities nationwide

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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