nursing home in Robbinsville, NC
Graham Healthcare and Rehabilitation Center
811 Snowbird Road, Robbinsville, NC 28771 · (828) 479-8421
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★3
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Graham Healthcare and Rehabilitation Center at a glance
Graham Healthcare and Rehabilitation Center is a 80-bed for-profit nursing home in Robbinsville, North Carolina (Graham 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 3.7 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.9 hours.
Its most recent standard health inspection (March 5, 2026) found 6 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $13,870.
Nursing staff turnover is 70% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Principle Long Term Care
- Medicare-certified since
- February 5, 1991
- Resident/family council
- Resident
- County
- Graham County
- CMS Certification Number
- 345355
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) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.67 hrs | 3.85 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.61 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.26 hrs | 2.34 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.33 hrs | 3.42 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 70% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 60% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 3 | 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) | 6 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 2 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 41 | 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) | $13,870 | $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 | 80 | 105 | 107 | |
| Average residents per day | 57 | 87 | 86 | |
| Occupancy | 71.1% | 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) | 4.1% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.2% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.3% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.6% | 2.3% | 1.6% | Average |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 20.8% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.5% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.1% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 3.2% | 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) | 38.6% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 8.7% | 20.7% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 95.8% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 92% | 93.6% | Better |
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) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 65.9% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.7% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 28, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Corrected May 7, 2026 |
| May 28, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected May 7, 2026 |
| March 5, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | E Potential harm, pattern | Corrected April 1, 2026 |
| March 5, 2026 Standard | 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 April 1, 2026 |
| March 5, 2026 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected April 1, 2026 |
| March 5, 2026 Standard | 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 April 1, 2026 |
| December 19, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected April 19, 2025 |
| December 19, 2024 Standard | 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 January 25, 2025 |
| December 19, 2024 Standard | 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 | E Potential harm, pattern | Corrected January 25, 2025 |
| December 19, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected January 25, 2025 |
| December 19, 2024 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 | D Potential harm, isolated | Corrected January 25, 2025 |
| July 18, 2024 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected May 6, 2024 |
| July 20, 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 September 11, 2023 |
| July 20, 2023 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected September 11, 2023 |
| July 20, 2023 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 September 11, 2023 |
| July 20, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected September 11, 2023 |
| July 20, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 11, 2023 |
| July 20, 2023 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 11, 2023 |
| July 20, 2023 Standard | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Tag F0867 | D Potential harm, isolated | Corrected August 11, 2023 |
| July 20, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 11, 2023 |
| July 20, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 11, 2023 |
| July 20, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 11, 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 $13,870 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 28, 2026 | Fine | $13,870 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BOICE, GALE Individual | adp of the snf | NOT APPLICABLE | 03/05/2018 |
| HILL, RAYMOND Individual | adp of the snf | NOT APPLICABLE | 01/01/2011 |
| HILL, ROBERT Individual | adp of the snf | NOT APPLICABLE | 01/01/2011 |
| HILL, STEPHEN Individual | adp of the snf | NOT APPLICABLE | 01/01/2011 |
| STEPHENS, DONNA Individual | adp of the snf | NOT APPLICABLE | 10/07/2025 |
| STOVER, LANI Individual | adp of the snf | NOT APPLICABLE | 08/01/2021 |
| BOICE, GALE Individual | corporate officer | NOT APPLICABLE | 03/05/2018 |
| JOHNSON, DIANNE Individual | corporate officer | NOT APPLICABLE | 01/01/2011 |
| PRINCIPLE LONG TERM CARE, INC. Organization | operational/managerial control | NOT APPLICABLE | 06/01/2016 |
| STEPHENS, DONNA Individual | operational/managerial control | NOT APPLICABLE | 08/04/2025 |
Other nursing homes near Graham Healthcare and Rehabilitation Center
Valley View Care and Rehabilitation
551 Kent Street, Andrews, NC 28901 · 8.1 mi
For-profit · 76 beds · Part of Avardis Health
★★★★★2Below averageClay County Health and Rehabilitation
86 Valley Hideaway Drive, Hayesville, NC 28904 · 18.6 mi
For-profit · 90 beds · Part of Avardis Health
★★★★★2Below averageMountain View of Bryson City
410 Buckner Branch Road, Bryson City, NC 28713 · 21 mi
For-profit · 120 beds
★★★★★1Much below averageMacon Valley Nursing and Rehabilitation Center
3195 Old Murphy Road, Franklin, NC 28734 · 23.8 mi
For-profit · 200 beds · Part of Principle Long Term Care
- Abuse citation
★★★★★2Below average- ★★★★★4Above average
- ★★★★★1Much below average
All nursing homes in Robbinsville, NC · Compare side by side
Frequently asked questions
What is Graham Healthcare and Rehabilitation Center's rating?
Graham Healthcare and Rehabilitation Center 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 Graham Healthcare and Rehabilitation Center receive?
Its most recent standard health inspection found 6 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Graham Healthcare and Rehabilitation Center 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 Graham Healthcare and Rehabilitation Center?
It is for profit - corporation and part of Principle Long Term Care. The ownership section on this page lists the owners and managers reported to CMS.
Where is Graham Healthcare and Rehabilitation Center and how do I contact it?
Graham Healthcare and Rehabilitation Center is at 811 Snowbird Road, Robbinsville, NC 28771. Phone: (828) 479-8421.
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.