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Fletcher Rehabilitation and Healthcare Center

86 Old Airport Road, Fletcher, NC 28732 · Henderson County · (828) 654-9060

90 certified beds, about 75 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2003

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345522 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 2, 2025, inspectors cited 19 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 43 health citations since July 2022, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $62,868 in the last three years; the largest was $54,080, and the latest is dated December 12, 2025.

Nurses and nurse aides worked 3.15 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.

78.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Yad Healthcare, an affiliated group of 13 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 43 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
26D
11E
1F
Potential for minimal harm
0A
2B
1C
March 25, 2026Complaint inspection · 1 citation
  1. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 3, 2026
    Inspectors wroteBased on record review, observations, and resident, and staff interviews, the facility failed to provide setup assistance with oral hygiene for 1 of 3 residents reviewed for activities of daily living (Resident #1).
December 12, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to safely transfer a dependent resident from the bed to the reclining wheelchair using a mechanical lift which resulted in an avoidable injury for 1 of 3 residents reviewed for accidents (Resident #1). On 11/18/25 around 6:30 AM, Nurse Aide #1 independently transferred Resident #1 to the reclining wheelchair and was unhooking the sling straps when the mechanical lift tilted and the sling bar of the mechanical lift hit Resident #1 above the left eyebrow causing a laceration. Resident #1 was sent to the Emergency Department for evaluation, a Computed Tomography (CT, detailed x-ray imaging of the inside of the head) revealed no negative findings, the laceration was repaired with sutures and Resident #1 returned to the facility the same day (11/18/25).
June 2, 2025Standard inspection, Complaint inspection · 19 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, interviews with the Wound Care Medical Doctor (MD), the Medical Director and staff, the facility failed to obtain treatment orders for pressure ulcers identified on 04/24/25 resulting in a seven day delay of treatment. Additionally, the facility failed to complete accurate head-to-toe skin checks used to identify new or existing pressure ulcers that include the site (location), type of wound, the length, width, depth, and stage. The skin/wound assessment completed on 05/13/25 indicated the resident's skin was intact with no new pressure ulcer. On 05/14/25 a tissue injury (intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration due to damage of underlying soft tissue) on the left heel was identified and measured 4 centimeters (cm) in length and 4.1 cm with width. [...]
  2. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wrote2. An observation of the dry storage room on 05/13/25 at 11:35 AM revealed 2 opened and undated bags of egg noodles and one opened and undated bag of croutons sitting on a shelf. An interview with the Regional Director of Operations on 05/13/25 at 11:40 AM revealed all opened food items should be dated when they were opened, and the Dietary Manager was responsible for ensuring all opened food items were labeled and dated. The Dietary Manager was unavailable for interview throughout the remainder of the survey. An interview with the Administrator on 05/16/25 at 9:47 AM revealed she expected all opened food items to be dated when opened by the staff member opening the item. 3. An observation of the walk-in cooler on 05/13/25 at 12:00 PM revealed an undated plastic bag of red potatoes sitting on a shelf. [...]
  3. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the areas of medications (Resident #3, Resident #6, Resident #36), pressure ulcer (Resident #86, Resident #74), and Preadmission Screening and Resident Review (PASRR), (Resident #23) for 6 of 8 residents reviewed for resident assessments.
  4. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wrote2. Resident #43 was admitted to the facility on [DATE] with diagnoses that included incomplete quadriplegia C1-C4 (spinal cord injury between the vertebrae in the upper neck resulting in loss of some motor functions but not all). The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #43 had intact cognition. He had impairment of both sides of the upper extremities and was dependent on staff assistance with self-care tasks, bed mobility and transfers. He displayed no behaviors and did not reject care during the MDS assessment period. A review of Resident 43's comprehensive care plans, last reviewed/revised on 05/07/25, revealed he had an activities of daily living self-care performance deficit related to quadriplegia. [...]
  5. E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review and interviews with residents and staff, the facility failed to provide sufficient nursing staff to ensure residents received bathing, incontinence care and personal hygiene assistance as needed and requested for 4 of 8 sampled residents (Residents #35, #43, #74, and #86) reviewed for activities of daily living. This tag is cross-referenced to: F 677: Based on observations, record review, resident and staff interviews, the facility failed to provide assistance with incontinence care upon request (Resident #35), oral hygiene and nail care (Resident #86), and showers (Resident #43, #74, and #86) for 4 of 8 dependent residents reviewed for activities of daily living. [...]
  6. 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.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide effective orientation to a new nurse on the facility's admission process when Nurse #6 failed to obtain and document code status information, obtain treatment orders for pressure ulcers, and complete accurate head-to-toe skin checks used to identify skin breakdown and new or existing pressure ulcers. [...]
  7. 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.
    F809 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, and interview with an individual resident, resident council and staff, the facility failed to serve the lunch meal at the scheduled times and in accordance with resident preferences on 05/11/25 and 05/12/25 in the main dining room for 2 of 3 meal observations.
  8. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, and staff interviews the facility failed to implement their infection control policies when Nurse Aide (NA) #3 and NA #5 did not don (put on) a gown while providing incontinence care to Resident #31 who required enhanced barrier precautions (EBP) due to the presence of a pressure ulcer and failed to follow their Hand Hygiene policy when NA #3 did not remove soiled gloves and perform hand hygiene before applying a clean brief and touching other items in the resident's environment while providing incontinence care to Resident #31; when Nurse #4 and Nurse #5 did not don gowns while providing pressure ulcer care to Resident #45 who required EBP due to the presence of a pressure ulcer; [...]
  9. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review, and interviews with residents and staff, the facility failed to ensure resident's accessibility to the light switch located behind the bed and failed to provide a bed with adequate length to prevent a resident's feet from hanging off at the end of the mattress for 2 of the 2 residents reviewed for accommodation of needs (Residents #58 and #43).
  10. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review, Medical Director (MD) interview, and staff interviews, the facility failed to obtain and document an advanced directive that included code status information upon admission for 1 of 4 residents reviewed for advance directive (Resident #283).
  11. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and interviews with the Medical Director and staff, the facility failed to notify the physician when pressure ulcers were identified on admission for 1 of 5 residents reviewed for pressure ulcers (Resident #86).
  12. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, interviews with the resident and staff, the facility failed to protect a resident's right to be free from neglect when Nurse Aide (NA) #1 disregarded a resident's request for incontinence care and did not check the resident for incontinence prior to going on break (Resident #35). Resident #35 was left sitting in a chair in her room that had a strong odor resembling bowel incontinence for approximately one hour. When Resident #35's incontinence care was provided her brief was heavily soiled with a bowel movement that had leaked onto her inner thighs and clothing. Resident #35 voiced she could smell herself and it was not the first time that had happened to her. The deficient practice occurred for 1 of 2 residents reviewed for abuse/neglect.
  13. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to complete the Care Area Assessment (CAA) comprehensively to address the underlying causes and contributing factors of the triggered areas for 1 of 1 sampled resident reviewed for comprehensive assessment (Residents #48).
  14. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, and Nurse Practitioner (NP), Medical Director (MD), resident and staff interviews, the facility failed to prevent a medication error when Nurse #1 administered an antidepressant, diuretic, hypoglycemic and blood pressure medications to Resident #283 that were prescribed for Resident #86. This deficient practice occurred for 1 of 2 residents reviewed for medication errors (Resident #283).
  15. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on record review, observations, and interviews with the Medical Director, resident and staff, the facility failed to monitor the resident's urinary catheter for complications of skin breakdown and ensure the catheter tubing was kept clean. A buildup of a white colored substance was observed on the urinary meatus (the opening at the tip of the penis where urine exits the body) where the catheter tubing was inserted, on the scrotum and between the skin folds of the groin. There was redness and irritation present on the genitals and skin folds between the groin and a strong odor resembling yeast. The deficient practice occurred for 1 of 3 residents reviewed for urinary catheters (Resident #86).
  16. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, and Nurse Practitioner (NP), Medical Director (MD), resident and staff interviews, the facility failed to prevent a significant medication error when Nurse #1 administered a steroid medication to Resident #283 that were prescribed for Resident #86. In addition, the facility failed to request a prescription from the physician to avoid a gap in medication administration when refilling a controlled medication and failed to utilize medication resources stored in the Pyxis (an automated dispensing machine that provided secure medication storage on patient care units, along with electronic tracking of the use of narcotics and other controlled medications) which resulted in the Resident #11 missing 3 doses of nerve pain medication, 3 doses of diabetic medication, and 1 dose of insulin. [...]
  17. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to secure an opened tube of antifungal cream for 1 of 2 residents reviewed for medication storage (Resident #40).
  18. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to ensure a food preference listed on the meal card was received for 1 of 3 residents reviewed for preferences (Resident #67).
  19. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has June 9, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure daily nurse staffing sheets accurately reflected the nursing staff who worked for 16 of 16 days reviewed (11/09/24, 11/10/24, 11/23/24, 12/07/24, 12/08/24, 12/28/24, 12/29/24, 04/13/25, 04/19/25, 04/20/25, 04/26/25, 04/27/25, 05/03/25, 05/04/25, 05/10/25, and 05/11/25).
March 27, 2025Complaint inspection · 4 citations
  1. E
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 2, 2025
    Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to post cautionary and safety signs that indicated the use of oxygen, ensure oxygen concentrators were clean of debris, and ensure nebulizer masks were covered when not in use for 4 of 10 sampled residents (Residents #2, #4, #5, and #6).
  2. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observation, record review and staff interviews, the facility failed to protect a resident's right to privacy when the Assistant Director of Nursing (ADON) received a medical report from Emergency Medical Services (EMS) personnel about a resident returning to the facility while standing in the hallway by the resident's room for 1 of 1 sampled resident (Resident #1). A reasonable person would not have wanted their private medical information discussed out in the hallway where other staff, residents and visitors could overhear.
  3. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 2, 2025
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to ensure fluids were available within reach for staff to offer and assist a resident with fluid intake in-between meals for 1 of 3 residents reviewed for hydration (Resident #2).
  4. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 20, 2025
    Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to secure nasal sprays and medicated creams stored in resident rooms in clear view at the bedside for 3 of 10 sampled residents (Residents #3, #4 and #5).
February 2, 2024Standard inspection, Complaint inspection · 7 citations
  1. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record review and interviews with staff and physician, the facility failed to protect residents' rights to be free from misappropriation of controlled medication for 5 of 5 residents (Resident #40, #126, #128, #129, and #130) reviewed for misappropriation of resident property.
  2. E
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on record review and interviews with the Resident, staff, Consultant Pharmacist, and Medical Director (MD), the Consultant Pharmacist failed to provide recommendations when the facility failed to transcribe four physician orders for a scheduled opioid pain medication to the medication administration record (MAR) from [DATE] through [DATE] and ensure there was a current order on the MAR to administer the pain medication for 1 of 5 residents reviewed for unnecessary medications (Residents #30).
  3. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on observations and staff interviews the facility failed to cover, label, and date open food items in 1 of 1 walk-in cooler; discard potentially hazardous food from 1 of 1 walk-in cooler; label and date food stored in 1 of 1 kitchen; indicate the expiration date of thawed milkshakes and label and date food and beverage items in 2 of 2 nourishment room refrigerators and freezers (100/200 Hall and 400 Hall); and maintain clean refrigerator and freezers in 2 of 2 nourishment rooms (100/200 Hall and 400 Hall). These practices had the potential to affect food and drink items served to residents.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to complete Care Area Assessments (CAAs) comprehensively to address the underlying causes and contributing factors of the triggered areas for 2 of 5 sampled residents (Residents #30 and #58).
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on record review, observations and interviews with the Family Member, Medical Doctor, and staff, the facility failed to obtain a physician's order and initiate wound care treatments and failed to document characteristics including the location, size, and type of wound upon first observation of an existing venous ulcer for 1 of 1 resident reviewed for professional standards (Resident #30).
  6. B
    Give the resident's representative the ability to exercise the resident's rights.
    F551 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on record review, and interviews with the Health Care Power of Attorney (HCPOA), the Resident Representative, staff, and the Medical Director, the facility failed to honor an immunization declination when Resident #376 was administered an influenza vaccine after her HCPOA had declined the vaccination. This was for 1 of 6 residents reviewed for vaccination status (Resident #376).
  7. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 29, 2024
    Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments in the area of falls for 1 of 5 residents reviewed for Resident Assessments (Resident #51).
July 29, 2022Standard inspection · 11 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wrote2. The Centers for Disease Control and Prevention (CDC) guidance entitled, Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes, updated on 02/02/22 indicated the following information under Manage Residents with Close Contact: *Manage Residents who had Close Contact with Someone with SARS-CoV-2 infection: *Residents who are not up to date with all recommended COVID-19 vaccine doses and who have had close contact with someone with SARS-CoV-2 infection should be placed in quarantine after their exposure, even if viral testing is negative. HCP (healthcare personnel) caring for them should use full personal protective equipment (PPE) (gowns, gloves, eye protection, and N95 or higher-level respirator). [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review, Medical Doctor (MD), Nurse Practitioner (NP) and staff interviews, the facility failed to notify the MD or NP of laboratory results when received for 1 of 7 sampled residents reviewed for unnecessary medications (Resident #65).
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review and interviews with staff the facility failed to develop a comprehensive care plan to address diabetes care for 1 of 7 residents reviewed for unnecessary medications (Resident #42).
  4. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review, observation and resident, staff and the Wound Doctor interviews, the facility failed to provide wound care to pressure ulcers per physician orders for 1 of 3 residents (Resident #33) reviewed for pressure ulcers.
  5. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on observations, record review, and staff interviews the facility failed to provide nectar thickened liquids as ordered by the Physician for 1 of 6 residents reviewed for nutrition (Resident #59).
  6. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review, observations, and interviews with resident, staff and the Medical Director, the facility failed to administer oxygen as prescribed by the physician for 1 of 2 residents reviewed for oxygen therapy (Resident #52).
  7. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review and staff interviews, the facility failed to provide sufficient nursing staff to provide wound care for 1 of 3 residents reviewed for pressure ulcers (Resident #33).
  8. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record reviews and interviews with staff and Medical Director (MD) the facility failed to acquire and administer insulin per physician order. As a result, Resident #42 missed 3 doses of insulin within 8 days. This affected 1 of 7 residents reviewed for unnecessary medications (Resident #42).
  9. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review, staff and Physician interviews, the facility failed to prevent a significant medication error when they failed to acquire and administer insulin as ordered by the physician. As a result, Resident #42 missed 3 doses of insulin within 8 days. This affected 1 of 7 residents reviewed for unnecessary medications (Resident #42).
  10. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on observations and staff interviews the facility failed to remove expired medications in accordance with the manufacturer's expiration date for 1 of 2 medication storage rooms (Main medication storage room), failed to lock the medication cart for 1 of 4 medication carts reviewed for medication storage, and failed to store eye drops prescribed for glaucoma in the medication cart for 1 of 1 resident observed with medications at bedside (Resident #68).
  11. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 31, 2022
    Inspectors wroteBased on record review and interviews with staff the facility failed to accurately document in the medical record an influenza vaccine was not administered for 1 of 6 residents reviewed for immunizations (Resident #20); and failed to accurately document in the medical record a pressure ulcer treatment was not provided for 1 of 5 residents reviewed for pressure ulcers (Resident #33).

Fire safety inspections

5 fire safety citations on file: 3 on February 2, 2024, 2 on July 29, 2022.

Every fire safety citation5 citations
  1. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 2, 2024 · Corrected (the home has a date of correction)
  2. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 2, 2024 · Corrected (the home has a date of correction)
  3. D
    Install corridor and hallway doors that block smoke.
    K 363 · February 2, 2024 · Corrected (the home has a date of correction)
  4. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · July 29, 2022 · Corrected (the home has a date of correction)
  5. D
    Have proper medical gas storage and administration areas.
    K 923 · July 29, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 12, 2025Fine $8,788
March 27, 2025Fine $54,080

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.153.853.86
Registered nurses0.530.620.69
All nursing staff on weekends2.623.423.42
Nurse aides1.91
Licensed practical nurses0.71
Nursing staff turnover (share who left in a year)78.3%49.0%45.8%
Registered nurse turnover66.7%45.6%42.9%
Administrators who left0

CMS expects 3.99 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.36 on weekdays and 2.62 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.15 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.150.533.362.62 21.1%0 of 9075
Oct to Dec 20253.280.623.482.76 19.4%1 of 9271
Jul to Sep 20253.370.653.562.89 16.5%0 of 9273
Apr to Jun 20253.280.773.552.60 27.0%0 of 9177
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
13.315.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.22.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.03.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
25.718.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.45.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.814.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
17.822.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
14.612.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Fletcher Rehabilitation and Healthcare Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (54.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

54.4% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 70 eligible stays.

Potentially preventable readmissions

11.5% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 80 eligible stays.

Infections that led to a hospital stay

7.4% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 60 eligible stays.

Self-care and mobility at discharge

52.0% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 50 residents counted.

Falls with major injury

0.0% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 72 residents counted.

New or worsened pressure ulcers

12.3% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 72 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 23 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FLETCHER OPERATOR LLC. CMS links this home to Yad Healthcare, a group of 13 nursing homes averaging 1.7 stars overall.

NameRoleTypeShareSince
Fletcher Holdings I LLC5% or greater direct ownership interestOrganization100%06/01/2024
West Nc Holdings LLC5% or greater indirect ownership interestOrganization06/01/2024
Alter, Tzvi5% or greater indirect ownership interestIndividual06/01/2024
Lane, TimothyOperational/managerial controlIndividual06/01/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on March 25, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on June 2, 2025: "Ensure each resident receives an accurate assessment."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on June 2, 2025: "Ensure that residents are free from significant medication errors."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on June 2, 2025: "Reasonably accommodate the needs and preferences of each resident."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.62 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Fletcher Rehabilitation and Healthcare Center's Medicare star rating?
CMS rates Fletcher Rehabilitation and Healthcare Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Fletcher Rehabilitation and Healthcare Center get at its last inspection?
19 health deficiencies at the standard inspection on June 2, 2025. The North Carolina average is 4.7.
Has Fletcher Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 2 fines totaling $62,868 in the last three years.
Does Fletcher Rehabilitation and Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Fletcher Rehabilitation and Healthcare Center?
CMS lists 4 owners and managers, and links the home to Yad Healthcare. Legal business name: FLETCHER OPERATOR LLC.

Sources

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