Smaller home · May offer a more intimate, personalized care environment.
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.
Community insights.
About this community
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.
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
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• 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
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
| 12 | 46 | 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
| 3.0 | 5.01 | 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
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
| 4 | 21 | 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
| 4 | 19 | 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
| 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 |
Places of interest near The Landings of Mills River
0.4 miles from city center
Estimated distance in miles from Mills River's city center to The Landings of Mills River's address, calculated via Google Maps.
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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.
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City and state of the facility. Used for mapping and state-average comparisons.
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Licensed bed capacity (maximum allowed). Not the same as how many beds are currently filled.
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Indicates whether residents are allowed to have pets in the facility.
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Third-party neighborhood walkability score (0–100). Convenience/context metric, not a healthcare quality measure.
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Reported or derived occupancy for the facility—typically how fully licensed capacity is utilized. Compare across peers in the same market.
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Better Business Bureau grade for the operating company. Reflects complaint handling and business practices, not clinical care quality.
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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.
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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.
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Count of regulatory inspections in the reporting window. Higher volume can reflect more oversight visits, complaint-driven surveys, or routine licensure cycles.
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Share of inspections that resulted in deficiencies, expressed as a percentage of total inspections in the window.
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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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