Skilled nursing · Biscoe, NC

Autumn Care Of Biscoe

401 Lambert Road, Biscoe, NC 27209

3 / 5CMS 141 bedsCapacity Apr 2026Inspected

PALMELLE

Below median

Federal · State

Mixed

The Palmelle read

Mixed. Autumn Care Of Biscoe carries a Palmelle Clarity Score of 59 out of 100, derived from federal CMS Care Compare data plus North Carolina state records. Health inspection rating sits at 3-star, staffing at 2-star, quality measures at 4-star. Long-stay antipsychotic prescribing is at 12.5 percent, below the 14 percent national median. Long-stay sedative prescribing is at 22.0 percent, above the 15 percent national median. RN coverage is 0.35 hours per resident per day. Nurse turnover 30 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, North Carolina DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

Low rate of pressure ulcers

Below national median. Suggests consistent repositioning and attention to skin integrity.

Stable nursing staff

This

30.9%

National

53%

Lower turnover than national median — residents see the same caregivers more consistently.

Worth asking about

Tour-day questions

Ask about staff-to-resident ratio by shift, weekend coverage, and how recent inspections went.

Federal CMS + North Carolina state data

The full inspection record.

Federal CMS ratings

Overall★★★★★3 / 5

Health inspection★★★★★3 / 5

Staffing★★★★★2 / 5

Quality measures★★★★★4 / 5

Staffing

RN hours per resident, daily

This

0.35

Nat

0.78

Total nurse hours / resident, daily

This

3.08

Nat

3.62

Annual nurse turnover

This

30%

Nat

53%

Annual RN turnover

This

11%

Nat

47%

Quality measures · long-stay residents

Antipsychotic

This

12.5%

Nat

14%

Sedative / sleep med

This

22.0%

Nat

15%

Physical restraint

This

0.0%

Nat

1.1%

Falls with major injury

This

4.4%

Nat

1.6%

Penalties & status

No abuse iconNot special focusInspection current$15,350 in fines (1)

Identity & licensing

CMS ID345000

OwnershipFor profit - Limited Liability company

ChainIndependent

Beds141

Avg residents96

NC licenseOn file · #NH0411

State administratorChristina Billings

State bed count151

Citations · last 36 months

Flagged by CMS data
Registered nurse hours are 0.35 per resident per day — below the recommended minimum of 0.75 hours. RNs are responsible for clinical assessments and oversight. Low RN coverage is associated with higher rates of hospitalization and missed diagnoses.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Pressure ulcer rate is 2.6% — under half the national median. Means the floor staff are repositioning residents on schedule and catching skin breakdown early. Hands-on attention shows up in this number.
From the latest CMS Care Compare reconcile
Flagged by CMS data
Annual nursing staff turnover is 31% — well below the industry average of 50-60%. The same caregivers are coming back week after week, which means residents see familiar faces who know their preferences and history. Continuity of care is one of the biggest invisible quality signals.
From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, North Carolina DPH · Last reconciled May 29, 2026

State record

North Carolina licensing.

License number

NH0411

License expires

12/31/2021

Licensed beds

151

Administrator

Christina Billings

Owner

Autumn Care of Biscoe, LLC

County

Montgomery

NH-only beds

141

Hospital-attached beds

Source: North Carolina Department of Health · last scraped 2026-05-29

Questions families ask

Common questions.

What is the CMS rating for Autumn Care Of Biscoe?

Autumn Care Of Biscoe has an overall CMS Care Compare rating of 3 out of 5 stars. It scores 3 of 5 on health inspection, 2 of 5 on staffing, and 4 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Autumn Care Of Biscoe been cited for resident harm?

It has $15,350 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 3 concerns on the latest reconcile. The full record for Autumn Care Of Biscoe appears in the record section above.

Does Autumn Care Of Biscoe use antipsychotic medications?

12.5 percent of long-stay residents at Autumn Care Of Biscoe are on antipsychotic medications, below the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is elevated at 22.0 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Autumn Care Of Biscoe's Palmelle Clarity Score?

Autumn Care Of Biscoe has a Palmelle Clarity Score of 59 out of 100, putting it near the national median. The score is a composite of federal CMS and North Carolina state inspection data. Higher is better.

How can I tour or contact Autumn Care Of Biscoe?

Autumn Care Of Biscoe is located at 401 Lambert Road, Biscoe, NC 27209. Phone: (910) 428-2117. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Autumn Care Of Biscoe a special focus facility?

Autumn Care Of Biscoe is not on the federal Special Focus Facility list, but it does have $15,350 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Autumn Care Of Biscoe's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Autumn Care Of Biscoe has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Autumn Care Of Biscoe compare to other Biscoe skilled nursing facilities?

Autumn Care Of Biscoe holds a Palmelle Clarity Score of 59. Browse the full Biscoe directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Autumn Care Of Biscoe?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Autumn Care Of Biscoe and two other facilities on your shortlist.

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