The Landings of Mills River
Assisted Living & Memory Care · Mills River, NC

The Landings of Mills River

Assisted Living & Memory Care · Mills River, NC
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The Landings of Mills River accepts Medicaid.

Overview of The Landings of Mills River

The Landings of Mills River sits at 4143 Haywood Road in Mills River, North Carolina, in the mountains southwest of Asheville. It offers assisted living and memory care. The location is rural, and the Walk Score of 17 confirms what the address suggests. Errands require a car here, and so does most everything else.

Licensed capacity is 65 beds; twenty residents live there now, which puts occupancy at 31 percent. That is a lightly populated building. Space is available, and the resident group is small enough that recognition between staff and residents comes easily.

Nursing services are provided, and staffing runs 24 hours. The community also operates a Secured Living program for residents with dementia who need a protected setting. That program runs alongside general assisted living rather than in place of it.

Housekeeping, maintenance, and transportation are all covered by the community. Transportation carries real weight given how far the location sits from most services. Dining is restaurant-style. Residents also have a library, an entertainment room, and an outdoor common area suited to the mountain surroundings.

North Carolina’s Department of Health and Human Services, Division of Health Service Regulation surveys adult care homes without advance notice. At this community, inspection themes have gathered around medication management, care planning and documentation, dietary and food service, and housekeeping and upkeep. Medicaid is accepted, which shapes the financial picture for families working within limits or planning to spend down.

The Landings of Mills River is a 65-bed assisted living and memory care community running at low occupancy in a rural mountain setting, with round-the-clock staffing, a secured dementia program, and Medicaid acceptance.

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 65 Rank #191 / 368Bed count — State benchmarkedThis home is ranked 191st out of 368 homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #380 / 508Walk Score — State benchmarkedThis home is ranked 380th out of 508 homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
17 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #193 / 213Occupancy rate — State benchmarkedThis home is ranked 193rd out of 213 homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 213. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in North Carolina that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
30.8% This home usually has availability
Lower than the North Carolina average: 69.5%
Occupied beds
20 / 65

About this community

License Details

StatusActive
CountyHenderson
License NumberHAL-045-127

Safety & Compliance

Secured Perimeter
Emergency SystemsYes
Safety FeaturesEmergency Alert System

Payment & Insurance

1 service
Accept Medicaid

Staffing & Medical

2 services
Nursing Services
24-Hour Staffing

Additional Policies & Features

Pets not allowed

Amenities & Lifestyle

Housekeeping
Transportation
Dining
Library
Specific ProgramsSecured Living

Contact The Landings of Mills River

Inspection History

In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.

Since 2018 · 8 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes.
12 deficiencies 4 inspections 0 penalties 7 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. North Carolina state average
Overall vs. NC average 1 Worse Metrics worse than North Carolina average:
• Inspection deficiency rate (9% above)
3 Better Metrics better than North Carolina average:
• Total deficiencies (74% below)
• Deficiencies per inspection (40% below)
• Inspections with deficiencies (79% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 1246 This facility has 74% fewer total deficiencies than a typical North Carolina assisted living residence (12 vs. NC avg 46).↓ 74% better
Deficiencies per inspection Info Average deficiencies per inspection. 3.05.01 This facility has 40% fewer deficiencies per inspection than a typical North Carolina assisted living residence (3 vs. NC avg 5.01).↓ 40% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all inspections conducted at this facility. 421 This facility has had 81% fewer total inspections than the North Carolina average (4 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 81% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 419 This facility has 79% fewer inspections with deficiencies than a typical North Carolina assisted living residence (4 vs. NC avg 19).↓ 79% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 100%92% This facility has 8 percentage points higher inspection deficiency rate than a typical North Carolina assisted living residence (100% vs. NC avg 92%).↑ 8% worse

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
3 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 40th (tied) of 138 homes in North Carolina See full North Carolina ranking
Division Of Health Service Rating
4/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
102.00 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Places of interest near The Landings of Mills River

Address 0.4 miles from city center Info Estimated distance in miles from Mills River's city center to The Landings of Mills River's address, calculated via Google Maps.

Calculate Travel Distance to The Landings of Mills River

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Address

Compare Assisted Living around the area

Info below is compiled from the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia.
City and state of the facility. Used for mapping and state-average comparisons.
Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
Indicates whether residents are allowed to have pets in the facility.
Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
NC DHSR Star Rating (0–4 stars). Issued by North Carolina's Division of Health Service Regulation based on annual facility inspections. Stars reflect overall compliance with state health and safety rules - 4 stars requires scores of 100+ on two consecutive annual inspections. Ratings can change between inspections if new violations or licensure actions occur.
DHSR Quality Score (/200). Each annual inspection starts at a base of 100 points. Facilities earn demerit points for violations and citations, and merit points for correcting issues, maintaining resident/family councils, sprinkler systems, and other quality programs. The "/200" display reflects the two most recent annual inspections combined - giving a longer-term view of compliance trends rather than a single snapshot.
Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
Housing or bed configuration options (e.g. studio, shared), often from facility-reported amenities and licensing details.
Wilkesboro Assisted Living Center
AL
MC
NH
SNF
North Wilkesboro
102
Facility 102
NC AVG 70
Rank #64 / 368
No
61
Facility 61
NC AVG 35
Rank #59 / 508
70.6%
Facility 70.6%
NC AVG 69.5%
Rank #118 / 213
-
104.00/200
Facility 104.00/200
NC AVG 92.2
Rank #28 / 321
6
83%
Facility 83%
NC AVG 91.8%
Rank #40 / 333
-
Brookdale Reidsville
AL
MC
Reidsville
76
Facility 76
NC AVG 70
Rank #150 / 368
Yes
32
Facility 32
NC AVG 35
Rank #270 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
-
104.50/200
Facility 104.50/200
NC AVG 92.2
Rank #20 / 321
5
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
Studio / Suite
The Landings of Mills River
AL
MC
Mills River
65
Facility 65
NC AVG 70
Rank #191 / 368
No
17
Facility 17
NC AVG 35
Rank #380 / 508
30.8%
Facility 30.8%
NC AVG 69.5%
Rank #193 / 213
-
102.00/200
Facility 102.00/200
NC AVG 92.2
Rank #96 / 321
4
100%
Facility 100%
NC AVG 91.8%
Rank #138 / 333
-
Walnut Ridge
AL
MC
NH
Walnut Cove
63
Facility 63
NC AVG 70
Rank #205 / 368
No
50
Facility 50
NC AVG 35
Rank #142 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
A+
103.50/200
Facility 103.50/200
NC AVG 92.2
Rank #31 / 321
5
80%
Facility 80%
NC AVG 91.8%
Rank #33 / 333
Studio / Suite
Navion of Rocky Mount
AL
MC
Rocky Mount (Northgreen)
60
Facility 60
NC AVG 70
Rank #214 / 368
Yes
37
Facility 37
NC AVG 35
Rank #228 / 508
100.0%
Facility 100.0%
NC AVG 69.5%
Rank #1 / 213
-
100.00/200
Facility 100.00/200
NC AVG 92.2
Rank #136 / 321
9
89%
Facility 89%
NC AVG 91.8%
Rank #71 / 333
Suite

Rank badges are statewide: each community is ranked against every NC community we track that reports that metric, not just the 5 on this page. See how we rank facilities

Frequently Asked Questions about The Landings of Mills River

Is The Landings of Mills River in a walkable area?

The Landings of Mills River has a walk score of 17. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of The Landings of Mills River?

According to NC state health department records, The Landings of Mills River's license number is HAL-045-127.

What is the occupancy rate at The Landings of Mills River?

The Landings of Mills River's occupancy is 30.8%.

Are pets allowed at The Landings of Mills River?

No, The Landings of Mills River has a no-pet policy.

How many beds does The Landings of Mills River have?

The Landings of Mills River has 65 beds.

Has The Landings of Mills River had any deficiencies?

The Landings of Mills River has had 12 reported deficiencies according to records from NC Dept. of Health and Human Services (NCDHHS).

Are there photos of The Landings of Mills River?

Yes — there are 2 photos of The Landings of Mills River in the photo gallery on this page.

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