Home / North Carolina / Candler
104 Holcombe Cove Road, Candler, NC 28715 · Buncombe County · (828) 667-9851
118 certified beds, about 105 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345393 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on May 20, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 12 health citations since December 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $59,391 in the last three years; the largest was $59,391, and the latest is dated April 1, 2025.
Nurses and nurse aides worked 2.86 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.
59.1% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Liberty Senior Living, an affiliated group of 37 nursing homes.
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.
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 12 health citations on file.
Inspectors wroteBased on observation and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions (EBP) when Nurse #1 failed to wear a gown while performing catheter care for Resident #3. This deficient practice occurred for 1 of 5 staff members observed for infection control practices (Nurse #1).
Inspectors wroteBased on observations, record review, and staff, Medical Director, and Health Department (HD) Nurse interviews, the facility failed to operationalize infection control policy and procedures in accordance with current Centers for Disease Control and Prevention (CDC) guidance. A) The facility failed to implement a broad-based approach to COVID testing for staff and residents when contact tracing testing failed to stop the transmission of COVID. Broad-based COVID testing per the (CDC) guidance was not implemented until 3/25/25. Before broad-based testing was implemented on 3/25/25, a total of 7 staff members and 14 residents tested positive for COVID. Results of the broad-based testing from 3/25/25 to 3/31/25 yielded one (1) staff member and 8 additional residents positive for COVID. [...]
Inspectors wroteBased on observations and staff interviews, the facility failed to date and seal leftover frozen food stored in 1 of 1 walk-in freezer. This practice had the potential to affect foods served to the residents.
Inspectors wroteBased on record review, observations and staff interviews, the facility failed to label an open vial and discard expired medications in 2 of 10 medication carts ([NAME] 2 and [NAME] 2 medication carts), and secure 1 of 10 medication carts ([NAME] medication cart).
Inspectors wroteBased on observations and staff interviews, the facility failed to remove expired food stored for use in 1 of 1 walk-in cooler, 1 of 1 walk-in freezer and the dry goods storage room and failed to date perishable food stored for use in the walk-in cooler. This practice had the potential to affect food served to residents.
Inspectors wroteBased on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification survey conducted on 6/10/22. This was for seven repeat deficiencies that were originally cited during the recertification and complaint survey on 6/10/22 and were subsequently recited during the recertification and complaint survey on 12/6/23 in the areas of resident rights/exercise of rights, accuracy of assessments, coordination of PASRR and assessments, activities of daily living care provided for dependent residents, treatment or services to prevent/heal pressure ulcers, sufficient nursing staff, and food procurement. [...]
Inspectors wroteBased on record review, family and staff interviews, the facility failed to maintain a resident's dignity by not providing assistance to a resident (Resident # 66) with a soiled brief when requested by a family member for 1 of 7 residents reviewed for dignity. The reasonable person concept was applied to this deficiency as individuals have the expectation of being treated with dignity and not having to wait for incontinence care after having a bowel movement.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the areas of cognitive patterns, mood, behavior, and participation in assessment and goal setting for 2 of 6 residents (Resident #57 and Resident #11) whose MDS were reviewed.
Inspectors wroteBased on record review and staff interviews the facility failed to ensure a Preadmission Screening and Resident Review (PASRR), level II was completed after new mental health diagnoses for 2 of 3 residents (Resident #37, #39) reviewed for PASRR.
Inspectors wroteBased on record review, observation, family and staff interviews, the facility failed to provide incontinence care to a dependent resident (Resident # 66) with a soiled brief when requested by a family member for 1 of 6 residents reviewed for activities of daily living.
Inspectors wroteBased on observation, record review, and interviews with resident and staff, the facility failed to provide pressure ulcer care per physician orders for 1 of 4 residents (Resident #94) reviewed for pressure ulcers.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to provide sufficient nursing staff to assist a resident with incontinence care for 1 of 6 residents reviewed for staffing (Resident #66).
7 fire safety citations on file: 2 on May 20, 2026, 3 on April 1, 2025, 2 on December 6, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 1, 2025 | Fine | $59,391 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.86 | 3.85 | 3.86 |
| Registered nurses | 0.76 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.68 | 3.42 | 3.42 |
| Nurse aides | 1.65 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 59.1% | 49.0% | 45.8% |
| Registered nurse turnover | 52.6% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.94 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 2.94 on weekdays and 2.68 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 17.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.85 in April to June 2025 to 2.86 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.86 | 0.76 | 2.94 | 2.68 | 17.7% | 0 of 90 | 105 |
| Oct to Dec 2025 | 2.90 | 0.62 | 2.98 | 2.68 | 25.0% | 0 of 92 | 103 |
| Jul to Sep 2025 | 2.79 | 0.64 | 2.90 | 2.52 | 19.6% | 0 of 92 | 102 |
| Apr to Jun 2025 | 2.85 | 0.72 | 2.98 | 2.52 | 18.7% | 0 of 91 | 101 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.1 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.1 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.5 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.6 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Pisgah Manor Health Care Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (51.4% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.4% 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. 187 eligible stays.
10.1% 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. 198 eligible stays.
6.2% 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. 129 eligible stays.
50.4% 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. 135 residents counted.
3.3% 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. 183 residents counted.
2.0% 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. 183 residents counted.
98.2% 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. 54 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.
Legal business name: LIBERTY HEALTHCARE GROUP LLC. CMS links this home to Liberty Senior Living, a group of 37 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Long Term Care Management Services LLC | 5% or greater direct ownership interest | Organization | 100% | 03/10/2011 |
| Miller, Robert | Corporate director | Individual | 09/01/2024 | |
| Purifoy, Penny | Corporate director | Individual | 03/10/2011 | |
| Calcutt, Joseph | Corporate officer | Individual | 03/10/2011 | |
| Wilson, Jeffrey | Corporate officer | Individual | 03/10/2011 | |
| Long Term Care Management Services LLC | Operational/managerial control | Organization | 03/10/2011 | |
| Calcutt, Joseph | Operational/managerial control | Individual | 03/10/2011 | |
| Grandy, Michelle | Operational/managerial control | Individual | 08/03/2009 | |
| McNeill, John | Operational/managerial control | Individual | 03/10/2011 | |
| McNeill, Ronald | Operational/managerial control | Individual | 03/10/2011 | |
| Purifoy, Penny | Operational/managerial control | Individual | 03/10/2011 | |
| Wilson, Jeffrey | Operational/managerial control | Individual | 03/10/2011 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.