Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Murphy Rehabilitation & Nursing during CMS and state inspections, most recent first.
The facility was cited for food safety and hygiene deficiencies, including improper storage of a flour scoop, lack of hair restraints, and failure to change gloves between tasks. These practices were observed during kitchen operations, with staff acknowledging lapses due to oversight and time constraints.
The facility failed to use official DNR or MOST forms recognized by North Carolina EMS for residents who chose a DNR status. Instead, facility-generated forms were used, which were not recognized by EMS. Interviews with staff revealed inconsistencies in the documentation process, with the facility not requiring the official forms, leading to a deficiency in compliance with state regulations.
A facility failed to discard expired medications from their medication carts, including Latanoprost eye drops and sore throat relief lozenges. The Latanoprost was stored beyond the recommended period due to a labeling issue, and the sore throat lozenges were not removed due to a lack of routine checks. Staff interviews revealed a lack of clear instructions for checking expiration dates.
A resident with severe cognitive impairment was prescribed an antibiotic for a UTI, but the Responsible Party was not notified until two days later during a visit. The Charge Nurse, responsible for notifying families, failed to inform the RP due to being overwhelmed with other medical issues. The DON and Administrator confirmed the notification should have occurred when the lab results were received.
The facility inaccurately coded MDS assessments for two residents regarding nutritional status. One resident experienced significant weight loss not reflected in the MDS, while another was incorrectly coded as having a feeding tube. The Assistant Dietary Manager acknowledged these errors, and the Administrator emphasized the need for accurate MDS assessments.
A resident with a physician's order for daily compression stockings to treat edema did not receive the treatment on two consecutive days. The treatment nurse did not apply the stockings, citing the resident's discomfort, but had not officially discontinued the order. The resident, who was dependent on staff for dressing, reported not refusing the application as no one had come to apply them.
The facility failed to obtain a physician's order for a resident requiring supplemental oxygen and did not post cautionary safety signs for another resident using oxygen. A resident with COPD was observed receiving oxygen without a corresponding order, and staff were unsure why the order was missing. Another resident with respiratory failure had a physician's order for continuous oxygen, but cautionary signage was not posted outside their room, contrary to facility policy.
A resident with severe cognitive impairment experienced a delay in dental care after their partial denture broke. Despite the resident's discomfort and self-consciousness, the facility did not promptly address the issue. The social worker and transportation coordinator failed to ensure timely repair, resulting in continued discomfort for the resident.
A resident with an order for daily compression stockings for edema was found without them on two consecutive days, despite documentation indicating they were applied. The resident, who was cognitively intact and dependent on staff for dressing, reported that no one had applied the stockings. The Treatment Nurse admitted to incorrect documentation, citing the resident's discomfort, but the resident had not refused the stockings.
Food Safety and Hygiene Deficiencies in Kitchen Practices
Penalty
Summary
The facility was found to have several deficiencies related to food safety and hygiene practices in the kitchen. During an observation, a plastic scoop was found inside a dry flour bin with its handle touching the flour, which could lead to cross-contamination. The Dietary Manager acknowledged that the staff had forgotten to remove the scoop. Additionally, a dietary aide was observed bagging utensils without wearing a hair restraint, which he admitted to forgetting to put on. Further observations revealed that two staff members failed to change gloves between tasks, increasing the risk of cross-contamination. One staff member was seen touching various kitchen objects and then handling food items without changing gloves. Another staff member prepared salads and sandwiches without changing gloves between handling packaging and food items. Both staff members admitted to not following proper procedures due to being behind schedule. The Corporate Dietary Manager observed these practices but did not intervene, and the Dietary Manager had no comments on the situation.
Failure to Use Official DNR Forms
Penalty
Summary
The facility failed to utilize an official form for code status, specifically the portable Do Not Resuscitate (DNR) or Medical Order for Scope of Treatment (MOST) form, as recognized by North Carolina Emergency Medical Services (EMS) and pursuant to state statute. This deficiency was identified for five residents who had chosen a DNR status, indicating they did not want chest compressions if their heart stopped. The facility instead used a facility-generated form that was not recognized by EMS, and there was no official DNR or MOST form present for these residents. The deficiency was discovered through record reviews and staff interviews. The code status book at the nurse's station contained facility-generated forms for the residents, which were signed by either the residents or their responsible parties, along with facility staff members. However, these forms were not the official DNR forms recognized by EMS, and there were no MOST forms for the residents. Physician orders confirmed the residents' DNR status, but the lack of official documentation could lead to confusion in emergency situations. Interviews with facility staff, including a Unit Secretary, a nurse, the Medical Director, the Assistant Director of Nursing (ADON), and the Director of Nursing (DON), revealed inconsistencies in the understanding and implementation of the code status documentation process. While the facility encouraged the use of the MOST form, it was not required, and the only mandatory document was the facility's Code Status Resuscitation Request/Order form. This lack of adherence to state requirements for official documentation of DNR status represents a significant deficiency in the facility's compliance with regulatory standards.
Expired Medications Found in Facility's Medication Carts
Penalty
Summary
The facility failed to properly manage and discard expired medications, specifically Latanoprost eye drops and sore throat relief lozenges, from their medication carts. During a medication storage audit, it was found that an opened bottle of Latanoprost eye drops was stored at room temperature beyond the manufacturer's recommended six-week period after opening. The eye drops were labeled with a blue sticker indicating they should be refrigerated, which covered the original instructions for room temperature storage, leading to confusion among the nursing staff. Nurse #1, who was responsible for checking the medication cart, did not find any expired medications during her last check and was unaware of a specified routine for checking expiration dates. Additionally, expired sore throat relief lozenges were found in another medication cart. The Medication Aide responsible for this cart did not recall receiving instructions to regularly check for expired medications and mentioned that she only checked the cart during downtime. The Director of Nursing acknowledged the issue with the labeling of the Latanoprost and expressed an expectation for the facility to be free of expired medications. The Administrator also stated that it was her expectation to keep the facility free of expired medications.
Failure to Notify Responsible Party of New Antibiotic Order
Penalty
Summary
The facility failed to immediately notify a resident's Responsible Party (RP) of a new order for antibiotic medication to treat a bacterial infection. Resident #4, who was admitted to the facility with severe cognitive impairment, had a urine culture on December 12, 2024, that tested positive for Escherichia coli, indicating a urinary tract infection. A physician ordered amoxicillin potassium clavulanate to be administered to Resident #4, and the first dose was given on the same day at 8:00 PM. However, there were no progress notes indicating that the RP was informed of the positive lab results or the new medication order on December 12 or 13, 2024. The RP was only informed of the new medication order on December 14, 2024, during a visit to the facility. Interviews with the nursing staff revealed that the Charge Nurse, who was responsible for notifying families of new medication orders, failed to inform the RP due to being overwhelmed with other medical issues at the time. The Director of Nursing and the Administrator confirmed that the RP should have been notified when the lab results were received and the antibiotic medication was started, but there was no documentation to support that this notification occurred in a timely manner.
Inaccurate MDS Coding for Nutritional Status
Penalty
Summary
The facility failed to accurately code the Minimum Data Set (MDS) assessments for two residents in the area of nutritional status. Resident #80, who was admitted with diagnoses including diabetes and dysphagia, experienced a 7.47% weight loss in the last month, which was not reflected in her annual MDS assessment. The Assistant Dietary Manager, responsible for coding the nutrition section, acknowledged the oversight during an interview, confirming that the MDS should have indicated a non-physician prescribed weight loss of 5% or more in the last month. Resident #23, admitted with diagnoses including diabetes mellitus and non-Alzheimer's dementia, was incorrectly coded as having a feeding tube in the quarterly MDS assessment. However, a review of physician's orders showed no order for a feeding tube, and the resident was on a controlled carbohydrate diet with regular texture and thin consistency liquids. The Assistant Dietary Manager admitted to mistakenly coding the resident as having a feeding tube. The Administrator expressed the expectation that MDS assessments should be completed accurately.
Failure to Apply Compression Stockings as Ordered
Penalty
Summary
The facility failed to apply tubing grip stockings to a resident as ordered by the physician. The resident, who was cognitively intact and dependent on staff for lower body dressing, had a physician's order for compression stockings to be applied daily to treat edema. However, observations and interviews revealed that the resident did not have the stockings applied on two consecutive days, despite the treatment nurse documenting otherwise. The resident reported that the stockings made her uncomfortable, but she had not refused their application as no one had come to apply them. The treatment nurse admitted to not applying the stockings on the specified days and mentioned that he intended to have the order discontinued due to the resident's discomfort. The Director of Nursing confirmed that any floor staff could apply the stockings and was aware of the resident's discomfort. However, there was no indication that the order had been officially discontinued by the medical director, leading to a failure in providing the prescribed treatment.
Failure to Obtain Oxygen Orders and Post Safety Signage
Penalty
Summary
The facility failed to obtain a physician's order for a resident who required supplemental oxygen. Resident #51, who was admitted with chronic obstructive pulmonary disease (COPD), was observed on two separate occasions receiving oxygen via nasal cannula without a corresponding physician's order in the resident's chart. Interviews with nursing staff, including the Assistant Director of Nursing (ADON) and the Director of Nursing (DON), confirmed that there should have been an order for the oxygen use, but none was present. The staff were unsure why the order was missing, despite the facility having standing orders for oxygen that could be implemented by nursing staff. Additionally, the facility failed to place cautionary safety signs indicating the use of oxygen for another resident. Resident #52, who was admitted with respiratory failure and had a physician's order for continuous oxygen use, was observed without cautionary signage outside their room on two occasions. Interviews with nursing staff and the DON revealed that the facility had recently implemented a policy for placing cautionary signage, but it was not followed in this instance. The staff were unaware of the missing signage and acknowledged that it should have been in place.
Failure to Provide Timely Dental Care for Resident with Broken Denture
Penalty
Summary
The facility failed to provide timely dental services for a resident with a broken partial denture. The resident, who had severe cognitive impairment, was admitted with natural teeth and an upper partial denture. The care plan included arranging dental exams as needed. However, the resident's partial denture broke, and despite the resident's discomfort and self-consciousness, the facility did not promptly address the issue. The resident's responsible party reported the broken denture to the social worker, who examined it and noted the absence of a metal bracket. The social worker informed the responsible party that the resident would be seen by the dentist during the next visit, which was expected to be in three months. Despite the resident's discomfort and the responsible party's concerns, the facility did not take immediate action to repair the denture. The transportation coordinator, responsible for dental appointments, failed to follow up with the dental representative after initially contacting them about the broken denture. The dental representative confirmed they had no record of receiving the denture for repair. This lack of follow-up and communication resulted in the resident continuing to experience discomfort and self-consciousness due to the broken denture.
Inaccurate Documentation of Compression Stockings Application
Penalty
Summary
The facility failed to ensure accurate medical records for a resident who was ordered to have compression stockings applied daily for edema. Despite documentation indicating that the stockings were applied on two specific days, observations and interviews with the resident revealed that the stockings were not applied on those days. The resident, who was cognitively intact and dependent on staff for lower body dressing, reported that no one had come to apply the stockings, although she did not refuse their application. Interviews with the Treatment Nurse and other staff revealed discrepancies in the documentation. The Treatment Nurse admitted to charting that the stockings were applied when they were not, citing the resident's discomfort as a reason for not applying them. However, the resident had not refused the stockings, and the nurse did not use the available options in the electronic medical record to indicate refusal or incomplete application. The Director of Nursing confirmed that the Treatment Nurse should not have documented the application of the stockings if they were not applied.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Murphy
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Diversicare Of Copper Basin | 15 mi | ★★★★★ | 0 | 0 |
| Union County Nursing Home | 15.7 mi | ★★★★★ | 3 | 0 |
| Clay County Health And Rehabilitation | 18 mi | ★★★★★ | 11 | 0 |
| Pruitthealth - Blue Ridge | 18.3 mi | ★★★★★ | 0 | 0 |
| Valley View Care And Rehabilitation | 18.5 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.