ElderGrade
D

44.9/100

Below average

The Foley Center At Chestnut Ridge

621 Chestnut Ridge Parkway, Blowing Rock, NC 28605

CMS 2/5 stars #1 of 2 in Watauga County (828) 386-3300
Certified beds
92
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 4 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $17,114 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 65%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 4.9/30 Staffing 15/30 Stability 5/15 Outcomes 12/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

4.9/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 3 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -1.1 for 20 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.58 total nurse hours per resident per day (national median 3.77)
  • 0.66 RN hours per resident per day
  • Weekend staffing drops 5% against weekdays

Staff stability

5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 65% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $17,114 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.45 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.66 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.26 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 64.50%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: July 31, 2025 (1 year ago).

E Jul 31, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

D Jul 31, 2025 F0658

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Jul 31, 2025 F0761

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...

No actual harm, potential for more than minimal harm

J Jul 3, 2024 F0580 From a complaint

Resident Rights Deficiencies

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

Immediate jeopardy to resident health or safety

J Jul 3, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Immediate jeopardy to resident health or safety

J Jul 3, 2024 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

G Jul 3, 2024 F0697 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Actual harm to a resident

E Jul 3, 2024 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of LIBERTY SENIOR LIVING, which operates 37 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
DIGGS, MATTHEW Individual W-2 MANAGING EMPLOYEE
WILSON, JEFFREY Individual CORPORATE DIRECTOR
LONG TERM CARE MANAGEMENT SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CALCUTT, JOSEPH Individual OPERATIONAL/MANAGERIAL CONTROL
LIBERTY HEALTHCARE GROUP LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about The Foley Center At Chestnut Ridge

What is the ElderGrade for The Foley Center At Chestnut Ridge? +

The Foley Center At Chestnut Ridge holds an ElderGrade of D (44.9 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at The Foley Center At Chestnut Ridge? +

Residents receive an average of 3.45 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has The Foley Center At Chestnut Ridge been cited for harming residents? +

Yes. 4 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does The Foley Center At Chestnut Ridge accept Medicaid? +

Yes, The Foley Center At Chestnut Ridge is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.