nursing home in Candler, NC
Pisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715 · (828) 667-9851
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pisgah Manor Health Care Center at a glance
Pisgah Manor Health Care Center is a 118-bed for-profit nursing home in Candler, North Carolina (Buncombe 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 2.9 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (May 20, 2026) found 1 health citation. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $59,391.
Nursing staff turnover is 59.1% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 118
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Liberty Senior Living
- Medicare-certified since
- July 16, 1991
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Buncombe County
- CMS Certification Number
- 345393
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) | 2 / 5 | 2.7 / 5 | 2.9 / 5 | Worse |
| 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) | 2.86 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.76 hrs | 0.62 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.65 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.68 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 59.1% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 52.6% | 45.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 46.5 | 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) | $59,391 | $36,617 | $30,972 | Worse |
| 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 | 118 | 105 | 107 | |
| Average residents per day | 105 | 87 | 86 | |
| Occupancy | 89.2% | 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) | 8.1% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 17.5% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.1% | 2.3% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.1% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.5% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 15.6% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.3% | 7.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.5% | 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) | 20.1% | 21.3% | 19.5% | Average |
| Long-stay residents with new or worse incontinence (lower is better) | 27.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.9% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97% | 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) | 2.6% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 81.6% | 78.1% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 85.6% | 80.6% | 82% | Average |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 20, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected September 28, 2026 |
| May 20, 2026 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected September 28, 2026 |
| May 20, 2026 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 23, 2026 |
| April 1, 2025 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected May 29, 2025 |
| April 1, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected May 29, 2025 |
| April 1, 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 May 29, 2025 |
| April 1, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | L Immediate jeopardy, widespread | Corrected April 2, 2025 |
| April 1, 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 2, 2025 |
| December 6, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected February 14, 2024 |
| December 6, 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 February 14, 2024 |
| December 6, 2023 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 2, 2024 |
| December 6, 2023 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 January 2, 2024 |
| December 6, 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 | E Potential harm, pattern | Corrected January 2, 2024 |
| December 6, 2023 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 January 2, 2024 |
| December 6, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 2, 2024 |
| December 6, 2023 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 January 2, 2024 |
| December 6, 2023 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 January 2, 2024 |
| December 6, 2023 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected January 2, 2024 |
| December 6, 2023 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected January 2, 2024 |
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 $59,391 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 1, 2025 | Fine | $59,391 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| LONG TERM CARE MANAGEMENT SERVICES LLC Organization | 5% or greater direct ownership interest | 100% | 03/10/2011 |
| MILLER, ROBERT Individual | corporate director | NOT APPLICABLE | 09/01/2024 |
| PURIFOY, PENNY Individual | corporate director | NOT APPLICABLE | 03/10/2011 |
| CALCUTT, JOSEPH Individual | corporate officer | NOT APPLICABLE | 03/10/2011 |
| WILSON, JEFFREY Individual | corporate officer | NOT APPLICABLE | 03/10/2011 |
| CALCUTT, JOSEPH Individual | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
| GRANDY, MICHELLE Individual | operational/managerial control | NOT APPLICABLE | 08/03/2009 |
| LONG TERM CARE MANAGEMENT SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
| MCNEILL, JOHN Individual | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
| MCNEILL, RONALD Individual | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
| PURIFOY, PENNY Individual | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
| WILSON, JEFFREY Individual | operational/managerial control | NOT APPLICABLE | 03/10/2011 |
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★★★★★1Much below averageEmerald Ridge Health and Rehabilitation
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Frequently asked questions
What is Pisgah Manor Health Care Center's rating?
Pisgah Manor Health Care 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 Pisgah Manor Health Care Center receive?
Its most recent standard health inspection found 1 citation, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Pisgah Manor Health Care 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 Pisgah Manor Health Care Center?
It is for profit - corporation and part of Liberty Senior Living. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pisgah Manor Health Care Center and how do I contact it?
Pisgah Manor Health Care Center is at 104 Holcombe Cove Road, Candler, NC 28715. Phone: (828) 667-9851.
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.