nursing home in Brevard, NC
Sapphire Ridge Health and Rehabilitation
115 N Country Club Road, Brevard, NC 28712 · (828) 884-2031
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sapphire Ridge Health and Rehabilitation at a glance
Sapphire Ridge Health and Rehabilitation is a 147-bed for-profit nursing home in Brevard, North Carolina (Transylvania County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 7, 2026) found 4 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $22,568.
Nursing staff turnover is 43% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 147
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Ascent Healthcare Management
- Medicare-certified since
- July 17, 1981
- Resident/family council
- Resident
- County
- Transylvania County
- CMS Certification Number
- 345208
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.47 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.40 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.15 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 43% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 53.8% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 48 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $22,568 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 147 | 105 | 107 | |
| Average residents per day | 104 | 87 | 86 | |
| Occupancy | 70.7% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.9% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.9% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.1% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.2% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 11.1% | 18.3% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 10.1% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3% | 5.9% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 31.2% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 24.8% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 89.4% | 94.1% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.8% | 92% | 93.6% | Average |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.2% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 65.7% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 58.1% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 7, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Tag K0311 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| May 7, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 2, 2026 |
| May 7, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 2, 2026 |
| May 7, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 2, 2026 |
| May 7, 2026 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected June 2, 2026 |
| March 7, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected June 7, 2025 |
| March 7, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 7, 2025 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0809 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 7, 2025 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 7, 2025 Standard | 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. Infection Control Deficiencies · Tag F0887 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 7, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 1, 2025 |
| March 7, 2025 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Standard | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 1, 2025 |
| March 7, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected April 1, 2025 |
| November 17, 2023 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | F Potential harm, widespread | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | F Potential harm, widespread | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected April 30, 2024 |
| November 17, 2023 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Resident Rights Deficiencies · Tag F0626 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0622 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 17, 2023 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected December 15, 2023 |
| November 17, 2023 Complaint | 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. Resident Rights Deficiencies · Tag F0625 | B No harm, pattern | Corrected December 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $22,568 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 17, 2023 | Fine | $22,568 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HOLL, BLAIR Individual | adp of the snf | NOT APPLICABLE | 07/04/2025 |
| ROBINSON, SUSAN Individual | adp of the snf | NOT APPLICABLE | 07/04/2025 |
| PISGAH HOLDCO LLC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2024 |
| FRIEDMAN, YISROEL Individual | indirect ownership interest | NOT APPLICABLE | 01/01/2024 |
| FRIEDMAN, YISROEL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
| ROBINSON, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Other nursing homes near Sapphire Ridge Health and Rehabilitation
Transylvania Regional Hospital
260 Hospital Drive, Brevard, NC 28712 · 2.7 mi
For-profit · 10 beds · Part of HCA Healthcare
★★★★★5Much above averageThe Oaks-Brevard
300 Morris Road, Brevard, NC 28712 · 3 mi
For-profit · 110 beds · Part of Pruitthealth
★★★★★3AverageThe Greens at Hendersonville
1870 Pisgah Drive, Hendersonville, NC 28791 · 15.4 mi
For-profit · 120 beds · Part of Cch Healthcare
★★★★★3AverageValley Hill Health & Rehab Center
1510 Hebron Road, Hendersonville, NC 28739 · 15.8 mi
For-profit · 150 beds · Part of Saber Healthcare Group
★★★★★2Below averageThe Lodge at Mills River
5593 Old Haywood Road, Mills River, NC 28759 · 16.7 mi
For-profit · 50 beds · Part of Sanstone Health & Rehabilitation
- CMS high performer
★★★★★5Much above averageOrchard Valley Health and Rehabilitation
200 Heritage Circle, Hendersonville, NC 28791 · 17 mi
For-profit · 134 beds · Part of Ascent Healthcare Management
★★★★★1Much below average
Frequently asked questions
What is Sapphire Ridge Health and Rehabilitation's rating?
Sapphire Ridge Health and Rehabilitation has 2 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Sapphire Ridge Health and Rehabilitation receive?
Its most recent standard health inspection found 4 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Sapphire Ridge Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Sapphire Ridge Health and Rehabilitation?
It is for profit - limited liability company and part of Ascent Healthcare Management. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sapphire Ridge Health and Rehabilitation and how do I contact it?
Sapphire Ridge Health and Rehabilitation is at 115 N Country Club Road, Brevard, NC 28712. Phone: (828) 884-2031.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.