Federal inspection record · CMS data as of October 1, 2026
Fletcher Rehabilitation and Healthcare Center
86 Old Airport Road, Fletcher, NC · (828) 654-9060
- Certified beds
- 90
- Residents per day
- 74
- Ownership
- For-Profit
- Chain
- Yad Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 29, 2003
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Fletcher Rehabilitation and Healthcare Center carries 68 inspection points. That is fewer than 24% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
34 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning7E
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- B
Ensure each resident receives an accurate assessment.
Quality of Life and Care6E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Resident Rights5D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- B
Give the resident's representative the ability to exercise the resident's rights.
Nutrition and Dietary4F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4E
- D
Ensure that residents are free from significant medication errors.
- D
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 drugs.
- D
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 drugs.
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Nursing and Physician Services3E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- C
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation2E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2026-09-03
4 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-06-02
23 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2024-02-02
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 46 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
2 h 46 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 84% of nursing staff and 74% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$62,868 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-12 | Fine | $8,788 |
| 2025-03-27 | Fine | $54,080 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 2.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts worse | 2.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine41.6 pts worse | 50.8% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.9 pts worse | 91.8% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.3 pts worse | 8.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms8.4 pts worse | 15.2% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.1 pts worse | 10.2% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts worse | 23.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.3 pts worse | 20.2% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened5.4 pts worse | 22.0% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.5 pts better | 14.5% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts worse | 1.3% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.5 pts better | 1.6% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.6 pts worse | 28.5% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 9.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine60.3 pts worse | 21.2% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 17.4% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine58.3 pts worse | 22.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1 pts worse | 23.2% | 22.2% | 23.4% |
·
Who owns and runs it
4 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Fletcher Holdings I LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Alter, Tzvi | 5% Or Greater Indirect Ownership Interest · Individual | 0% | 23 facilities |
| Lane, Timothy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| West Nc Holdings LLC | 5% Or Greater Indirect Ownership Interest · Organization | 0% | 5 facilities |
·
Fire safety
5 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Install corridor and hallway doors that block smoke.
Services1F
- F
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Biltmore Haven Nursing and Rehabilitation
Arden, NC · Avardis Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 52 min
- Fines
- $179,790
-
The Lodge at Mills River
Mills River, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- B
- Nursing / resident / day
- 3 h 55 min
- Fines
- $0
-
Givens Health Center
Asheville, NC
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 10 min
- Fines
- $0