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Sapphire Ridge Health and Rehabilitation

115 N Country Club Road, Brevard, NC 28712 · Transylvania County · (828) 884-2031

147 certified beds, about 104 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1981

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345208 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on May 7, 2026, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 29 health citations since November 2023 was rated as actual harm or immediate jeopardy.

CMS lists 1 fine totaling $22,568 in the last three years; the largest was $22,568, and the latest is dated November 17, 2023.

Nurses and nurse aides worked 3.47 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

43.0% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Ascent Healthcare Management, an affiliated group of 6 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 29 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
13E
0F
Potential for minimal harm
0A
1B
1C
May 7, 2026Standard inspection, Complaint inspection · 4 citations
  1. 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 · Corrected (the home has a date of correction) June 2, 2026
    Inspectors wroteBased on record review, observations and staff interviews, the facility failed to date open containers of nutritional supplements and failed to remove nutritional supplements stored past the use by date in 2 of 3 nourishment room refrigerators (North and South Units). This practice had the potential to affect residents receiving nutritional supplements.
  2. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 2, 2026
    Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for an evaluation for a Level II Preadmission Screening and Resident Review (PASRR) determination for a resident who was admitted to the facility with a serious mental health disorder for 1 of 2 residents reviewed for PASRR (Resident #11).
  3. 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) June 2, 2026
    Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to provide assistance with denture care for 1 of 4 dependent residents reviewed for activities of daily living (Resident #100).
  4. C
    Ensure residents have reasonable access to and privacy in their use of communication methods.
    F576 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) June 2, 2026
    Inspectors wroteBased on interviews with residents and staff, the facility failed to ensure residents' right to receive mail delivered on Saturdays. This had the potential to affect 107 of 107 residents in the facility.
March 7, 2025Standard inspection, Complaint inspection · 12 citations
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on an observation of the lunch meal tray preparation, record review, and interviews with the Dietary Manager and staff, the facility failed to provide the correct portion size of beef hamburger steak for residents receiving a mechanically altered diet. This failure had the potential to affect 18 of 97 residents who received a lunch meal tray with a mechanically altered diet.
  2. 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) April 1, 2025
    Inspectors wroteBased on observations, record review and resident, family and staff interviews, the facility failed to serve the lunch meal at the posted times on 03/05/25 and 03/06/25 in the main dining room during 2 of 3 meal observations.
  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 · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review, observations, and staff interviews the facility failed to remove food items stored and available for use that had signs of spoilage or were past the expiration date from the walk-in refrigerator and dry goods storage area located in the kitchen. The facility also failed to date an opened container of nectar thick milk stored in the nutrition refrigerator used for residents on the memory care unit for 1 of 2 nutrition refrigerators. This deficient practice had the potential to affect food and beverages served to residents.
  4. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review and staff interviews the facility failed to include documentation in the medical record of refusal or acceptance of influenza and pneumonia vaccinations for 5 of 5 residents (Resident #20, Resident #44, Resident #37, Resident #80, and Resident #62) reviewed for immunizations and failed to assess the eligibility to receive the influenza and pneumonia vaccines for 2 of 5 (Resident #44 and Resident #37).
  5. E
    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review and staff interviews the facility failed to include documentation in the medical record of refusal or acceptance of the COVID-19 vaccination for 5 of 5 residents (Resident #20, Resident #44, Resident #37, Resident #80, and Resident #62) reviewed for immunizations and failed to assess the eligibility to receive the COVID-19 vaccine for 1 of 5 (Resident #44) residents reviewed for immunizations.
  6. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · 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) April 1, 2025
    Inspectors wroteBased on observations, record review and staff interviews, the facility failed to provide a dignified dining experience for a dependent resident seated at a table in the main dining room waiting to be served and assisted with his lunch while watching other residents in the main dining room receive and eat their lunch for 1 of 2 residents reviewed for dignity (Resident #49). The reasonable person concept was applied to this deficiency as an individual might feel forgotten or experience frustration at not being able to eat while watching others receive and eat their meals.
  7. D
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on observations, record review, resident and staff interviews the facility failed to honor a resident's preference for twice weekly showers for 1 of 3 residents reviewed for choices (Resident #104).
  8. D
    Honor the resident's right to organize and participate in resident/family groups in the facility.
    F565 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review, resident and staff interviews, the facility failed to communicate resolution to concerns voiced for 1 of 2 Resident Council meetings reviewed (January 2025).
  9. D
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review and staff and resident interviews the facility failed to implement their grievance policy for 1 of 1 resident (Resident #8) reviewed for grievances.
  10. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review and staff interviews the facility failed to complete a thorough investigation of an allegation of staff-to-resident abuse for 1 of 9 residents reviewed for abuse (Resident #8).
  11. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2025
    Inspectors wroteBased on record review, observations and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of restraints (Resident #71), dental (Resident #20), and falls (Resident #4) for 3 of 26 resident assessments reviewed for accuracy.
  12. 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 1, 2025
    Inspectors wroteBased on observations, record review, resident, and staff interviews the facility failed to provide assistance with nail care and shaving for 1 of 5 dependent residents reviewed for activities of daily living (Resident #99).
November 17, 2023Standard inspection, Complaint inspection · 13 citations
  1. E
    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
    F622 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on record review, Medical Director and staff interviews, the facility failed to provide written documentation which stated the reason the facility could not meet the residents' needs for 2 of 4 residents reviewed for transfer and discharge (Residents #87 and #184).
  2. E
    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
    F626 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on record review, Responsible Party, Hospital Case Manager, Medical Director and staff interviews, the facility failed to allow residents to return to the facility after being sent to the hospital for a psychiatric evaluation using the residents' behaviors prior to discharge as a basis for their decision for 2 of 4 residents reviewed for transfer and discharge (Residents #87 and #184).
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on record review and interviews with staff and the Medical Director (MD), the facility failed to check capillary blood glucose prior to administering insulin lispro (a rapid acting medication used to treat high blood sugar) for 1 of 2 resident reviewed for insulin administration (Resident #88).
  4. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observations, staff interviews and record reviews, the facility failed to remove expired medications in accordance with manufacturer's expiration dates for 1 of 3 medication storage rooms and 1 of 6 medications carts observed during medication storage checks (South Wing medication storage room and Memory care unit medication cart).
  5. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · 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) December 15, 2023
    Inspectors wroteBased on a breakfast meal tray line observation, record review, and staff interviews the facility failed to serve fortified oatmeal in a six-ounce portion per the menu. This failure had the potential to affect 15 residents receiving fortified foods.
  6. 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) December 15, 2023
    Inspectors wroteBased on observations and facility staff interview the facility failed to maintain a clean walk-in cooler for 1 of 1 walk-in coolers and maintain the tiled floor where the steam table was located in good repair.
  7. E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observations, record review, and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the complaint investigation survey completed on 09/20/21 and the recertification survey completed on 06/03/22. This was for two repeat deficiencies, one in the area quality of care originally cited on 09/20/21 during a complaint investigation survey and one in the area of food procurement, store/prepare/serve originally cited on 06/03/22 during a recertification survey. Both deficiencies were subsequently recited on 11/17/23 during the recertification and complaint investigation survey. [...]
  8. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on record reviews and staff interviews, the facility failed to maintain accurate advanced directives throughout the medical record for 3 of 19 sampled residents reviewed for advanced directives (Residents #60, #63 and #71).
  9. D
    Ensure each resident receives an accurate assessment.
    F641 · 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) December 15, 2023
    Inspectors wrote3. Resident #2 was admitted to the facility on [DATE] and the active diagnoses included dementia, anxiety, and depression. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #2 had one unstageable pressure ulcer that was not present on admission. Review of the significant change MDS assessment dated [DATE] revealed Resident #2 had one unstageable pressure that was present on admission. Review of Resident #2's medical records revealed the resident had not left facility from 10/13/23 through 10/20/23. During an interview on 11/17/23 at 11:04 AM the Regional MDS Consultant stated Resident #2 had an unstageable pressure ulcer on the sacrum she acquired while at the facility. He stated the significant change MDS dated [DATE] was an error in coding the pressure was present on admission. [...]
  10. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · 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) December 15, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to develop a care plan that incorporated the Preadmission Screening and Resident Review (PASRR) Level II determination recommendations for a resident with an active diagnosis of a serious mental illness for 1 of 1 resident reviewed for PASRR (Resident #71).
  11. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · 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) December 15, 2023
    Inspectors wroteBased on observation, record review, and interviews with staff the facility failed to administer a water flush via gastrostomy tube (a feeding tube inserted into the stomach to provide nutrition and hydration) as ordered by the physician for 1 of 1 resident reviewed for tube feeding (Resident #67).
  12. 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 · found on a complaint visit · Corrected (the home has a date of correction) December 15, 2023
    Inspectors wroteBased on observation, record review and staff interview the facility failed to clean the water chamber of a continuous positive airway pressure (CPAP) machine for 1 of 2 sampled residents reviewed for respiratory care (Resident #22).
  13. B
    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
    F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · found on a complaint visit · deficient, provider has December 15, 2023
    Inspectors wroteBased on record reviews, Responsible Party and staff interviews, the facility failed to provide written notification to the Responsible Party regarding bed hold upon a resident's transfer to the hospital for 3 of 4 residents reviewed for hospitalization (Residents #87, #184, and #80).

Fire safety inspections

28 fire safety citations on file: 10 on May 7, 2026, 6 on March 7, 2025, 12 on November 17, 2023.

Every fire safety citation28 citations
  1. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · May 7, 2026 · Not yet corrected
  2. E
    Provide properly protected cooking facilities.
    K 324 · May 7, 2026 · Not yet corrected
  3. D
    Use approved construction type or materials.
    K 161 · May 7, 2026 · Not yet corrected
  4. D
    Install proper backup exit lighting.
    K 281 · May 7, 2026 · Not yet corrected
  5. D
    Have an enclosure around a vertical opening shaft.
    K 311 · May 7, 2026 · Not yet corrected
  6. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · May 7, 2026 · Not yet corrected
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · May 7, 2026 · Not yet corrected
  8. D
    Install corridor and hallway doors that block smoke.
    K 363 · May 7, 2026 · Not yet corrected
  9. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · May 7, 2026 · Not yet corrected
  10. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · May 7, 2026 · Not yet corrected
  11. D
    Use approved construction type or materials.
    K 161 · March 7, 2025 · Corrected (the home has a date of correction)
  12. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · March 7, 2025 · Corrected (the home has a date of correction)
  13. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · March 7, 2025 · Corrected (the home has a date of correction)
  14. D
    Have simulated fire drills held at unexpected times.
    K 712 · March 7, 2025 · Corrected (the home has a date of correction)
  15. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · March 7, 2025 · Corrected (the home has a date of correction)
  16. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · March 7, 2025 · Corrected (the home has a date of correction)
  17. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · November 17, 2023 · Corrected (the home has a date of correction)
  18. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 17, 2023 · Corrected (the home has a date of correction)
  19. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · November 17, 2023 · Corrected (the home has a date of correction)
  20. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · November 17, 2023 · Corrected (the home has a date of correction)
  21. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 17, 2023 · Corrected (the home has a date of correction)
  22. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · November 17, 2023 · Corrected (the home has a date of correction)
  23. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · November 17, 2023 · Corrected (the home has a date of correction)
  24. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · November 17, 2023 · Corrected (the home has a date of correction)
  25. D
    Install corridor and hallway doors that block smoke.
    K 363 · November 17, 2023 · Corrected (the home has a date of correction)
  26. D
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · November 17, 2023 · Corrected (the home has a date of correction)
  27. D
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · November 17, 2023 · Corrected (the home has a date of correction)
  28. D
    Have proper medical gas storage and administration areas.
    K 923 · November 17, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
November 17, 2023Fine $22,568

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)3.473.853.86
Registered nurses0.470.620.69
All nursing staff on weekends3.153.423.42
Nurse aides2.40
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)43.0%49.0%45.8%
Registered nurse turnover53.8%45.6%42.9%
Administrators who left1

CMS expects 3.24 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 3.60 on weekdays and 3.15 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 75.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.47 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.470.473.603.15 75.7%0 of 90104
Oct to Dec 20253.430.493.543.15 75.1%0 of 92103
Jul to Sep 20253.380.473.552.96 67.0%0 of 92102
Apr to Jun 20253.440.443.603.02 70.8%0 of 91105
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.

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
14.015.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.12.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.93.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.31.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
11.118.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.95.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.114.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
26.322.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
9.912.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.81.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.81.8

Owners and operators

Legal business name: BREVARD NC OPCO LLC. CMS links this home to Ascent Healthcare Management, a group of 6 nursing homes averaging 2.2 stars overall.

NameRoleTypeShareSince
Pisgah Holdco LLCDirect ownership interestOrganization01/01/2024
Friedman, YisroelIndirect ownership interestIndividual01/01/2024
Friedman, YisroelOperational/managerial controlIndividual01/01/2024
Robinson, SusanOperational/managerial controlIndividual01/01/2024
Holl, BlairAdp of the SNFIndividual07/04/2025
Robinson, SusanAdp of the SNFIndividual07/04/2025

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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on May 7, 2026: "Ensure residents have reasonable access to and privacy in their use of communication methods."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on May 7, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on May 7, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on May 7, 2026: "PASARR screening for Mental disorders or Intellectual Disabilities"
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.15 hours per resident per day, below the North Carolina average of 3.42.
  6. How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.

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 Sapphire Ridge Health and Rehabilitation's Medicare star rating?
CMS rates Sapphire Ridge Health and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Sapphire Ridge Health and Rehabilitation get at its last inspection?
4 health deficiencies at the standard inspection on May 7, 2026. The North Carolina average is 4.7.
Has Sapphire Ridge Health and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $22,568 in the last three years.
Does Sapphire Ridge Health and Rehabilitation 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 Sapphire Ridge Health and Rehabilitation?
CMS lists 6 owners and managers, and links the home to Ascent Healthcare Management. Legal business name: BREVARD NC OPCO LLC.

Sources

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