Waters of Dillsboro-Ross Manor, the
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 45 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (15 vs median 6)
Bottom 25% in IN · Below recommended RN staffing · Worst in INFINITY HEALTHCARE CONSULTING chain · No penalties on record
What this means for your family
While some families report positive experiences, the facility has a pattern of serious complaints regarding cleanliness and staffing levels. If you choose this facility, it is critical that you visit frequently and remain highly involved in your loved one's daily care to ensure hygiene and medical needs are met.
Google Reviews
Google Reviews
45 reviews on Google“The Waters of Dillsboro-Ross Manor receives highly polarized feedback, with some families praising the staff's kindness and care, while others report severe neglect and unsanitary conditions. Critical reviews frequently cite issues with hygiene, slow response times, and poor communication, while positive reviews often highlight a friendly environment and successful rehabilitation outcomes. Potential families should be aware of the significant inconsistency in care quality reported across different stays.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and caring nursing staff
- Effective rehabilitation therapy
- Positive outcomes for some long-term residents
Concerns
- Facility cleanliness and strong odors (mentioned by 4 reviewers)
- Understaffing leading to slow response times (mentioned by 3 reviewers)
- Neglect of basic hygiene (showers, dressing changes) (mentioned by 3 reviewers)
- Poor communication and difficulty reaching staff (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 46 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed some of your staff are mentioned for being very friendly and caring; how do you ensure that this level of personal connection is maintained across all shifts?
- 2What specific protocols do you have in place to ensure the facility remains clean and fresh-smelling for the residents and their visitors?
- 3How does the nursing team manage communication with families to ensure we are always kept up-to-date on any changes in our loved one's condition?
- 4Could you walk us through your process for medication management and how you ensure accuracy and timeliness for every resident?
- 5In the event of a medical emergency during the night, what is the immediate procedure for getting a doctor or supervisor involved?
- 6What kind of daily activities or social programs are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“My mamaw was there for almost 3 hours and nobody helped her to get dressed, she was still in a hospital gown after being transported, nobody came to get her lunch tray until hours later, the place was absolutely filthy, it smelled strongly of old pee, the outside was a mess and the staff was rude.”
“Sometimes they are a little slow when summoned because of not enough staff. They are helping really sick patients first. The food is good and plenty servings.”
“I’m sure they could use a few more people and some modernization. As with anyplace, you need to make sure you visit the resident and stay on top of things.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
4
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of complaint-triggered deficiencies, with families filing 11 reports that led to federal citations across multiple surveys. The most recurring issues involve medication management, resident safety and accident prevention, and care planning, with many problems persisting across multiple years rather than being fully resolved. While most deficiencies show correction dates, the repeated nature of similar violations and high volume of family complaints suggest ongoing quality concerns that warrant careful consideration.
Mar 26, 2026Routine10
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Emergency Preparedness Deficiencies
Implement emergency and standby power systems.
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.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 5, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Jul 18, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jun 17, 2025Complaint4
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
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.
May 16, 2025Complaint1
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Mar 6, 2025Routine7
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Ownership & Operations
Who Operates This Facility
Waters of Dillsboro-Ross Manor, the
for profit
Chain Affiliation
Infinity Healthcare Consulting
70 facilities nationwide
Chain avg rating: 2.2/5 · Rank 55 of 69 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
45 reviews from families & visitors
Official Website
Visit watersofdillsboro.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.