nursing home in Fletcher, NC
Fletcher Rehabilitation and Healthcare Center
86 Old Airport Road, Fletcher, NC 28732 · (828) 654-9060
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- 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
Fletcher Rehabilitation and Healthcare Center at a glance
Fletcher Rehabilitation and Healthcare Center is a 90-bed for-profit nursing home in Fletcher, North Carolina (Henderson County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 3.1 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 (June 2, 2025) found 21 health citations. The North Carolina average is 4.7.
Federal regulators fined it 2 times in the past three years, totaling $62,868.
Nursing staff turnover is 78.3% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Yad Healthcare
- Medicare-certified since
- January 29, 2003
- Resident/family council
- Resident
- County
- Henderson County
- CMS Certification Number
- 345522
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 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) | 2 / 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) | 3.15 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.53 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.91 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.62 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 78.3% | 49% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 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) | 21 | 5 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 10 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 124 | 49.2 | 80.6 | Worse |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $62,868 | $36,617 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 105 | 107 | |
| Average residents per day | 75 | 87 | 86 | |
| Occupancy | 83.4% | 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) | 7% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 7.4% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 18.8% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.2% | 0.7% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 13.3% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 25.7% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 8.5% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 12.6% | 5.9% | 12.8% | Average |
| 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) | 25.5% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 26.8% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.9% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 58.4% | 92% | 93.6% | Worse |
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) | 57.5% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 22.9% | 80.6% | 82% | Worse |
Inspection citations
State inspectors cited this home for 43 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 25, 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 April 3, 2026 |
| December 12, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Past Non-Compliance |
| June 2, 2025 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected June 20, 2025 |
| June 2, 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 | F Potential harm, widespread | Corrected June 20, 2025 |
| June 2, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 2, 2025 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 2, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 2, 2025 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 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 2, 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 | E Potential harm, pattern | Corrected June 20, 2025 |
| June 2, 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 June 20, 2025 |
| June 2, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Complaint | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 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 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 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 June 20, 2025 |
| June 2, 2025 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Standard | 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 | D Potential harm, isolated | Corrected June 20, 2025 |
| June 2, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 9, 2025 |
| March 27, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 2, 2025 |
| March 27, 2025 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 2, 2025 |
| March 27, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 20, 2025 |
| March 27, 2025 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 | D Potential harm, isolated | Corrected June 20, 2025 |
| February 2, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 29, 2024 |
| February 2, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected March 29, 2024 |
| February 2, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected March 29, 2024 |
| February 2, 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 | E Potential harm, pattern | Corrected December 20, 2022 |
| February 2, 2024 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 February 29, 2024 |
| February 2, 2024 Complaint | 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 | E Potential harm, pattern | Corrected February 29, 2024 |
| February 2, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 2, 2024 Complaint | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 2, 2024 Complaint | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Tag F0551 | B No harm, pattern | Corrected February 29, 2024 |
| February 2, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | B No harm, pattern | Corrected February 29, 2024 |
| July 29, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected September 16, 2022 |
| July 29, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected September 16, 2022 |
| July 29, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 31, 2022 |
| July 29, 2022 Standard | 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 August 31, 2022 |
| July 29, 2022 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 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 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected August 31, 2022 |
| July 29, 2022 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 31, 2022 |
| July 29, 2022 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 31, 2022 |
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 2 federal penalties in the past three years, including $62,868 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 12, 2025 | Fine | $8,788 |
| March 27, 2025 | Fine | $54,080 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FLETCHER HOLDINGS I LLC Organization | 5% or greater direct ownership interest | 100% | 06/01/2024 |
| ALTER, TZVI Individual | 5% or greater indirect ownership interest | — | 06/01/2024 |
| WEST NC HOLDINGS LLC Organization | 5% or greater indirect ownership interest | — | 06/01/2024 |
| LANE, TIMOTHY Individual | operational/managerial control | NOT APPLICABLE | 06/01/2024 |
Other nursing homes near Fletcher Rehabilitation and Healthcare Center
Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704 · 2 mi
For-profit · 100 beds · Part of Avardis Health
★★★★★1Much below averageThe Lodge at Mills River
5593 Old Haywood Road, Mills River, NC 28759 · 4.3 mi
For-profit · 50 beds · Part of Sanstone Health & Rehabilitation
- CMS high performer
★★★★★5Much above averageGivens Health Center
600 Barrett Lane, Asheville, NC 28803 · 4.4 mi
Non-profit · 70 beds
- CMS high performer
★★★★★5Much above averageDeerfield Episcopal Retirement
1617 Hendersonville Road, Asheville, NC 28803 · 5 mi
Non-profit · 62 beds
- CMS high performer
★★★★★5Much above averageOrchard Valley Health and Rehabilitation
200 Heritage Circle, Hendersonville, NC 28791 · 5.3 mi
For-profit · 134 beds · Part of Ascent Healthcare Management
★★★★★1Much below average- ★★★★★2Below average
Frequently asked questions
What is Fletcher Rehabilitation and Healthcare Center's rating?
Fletcher Rehabilitation and Healthcare Center has 1 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 Fletcher Rehabilitation and Healthcare Center receive?
Its most recent standard health inspection found 21 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Fletcher Rehabilitation and Healthcare 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 Fletcher Rehabilitation and Healthcare Center?
It is for profit - limited liability company and part of Yad Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Fletcher Rehabilitation and Healthcare Center and how do I contact it?
Fletcher Rehabilitation and Healthcare Center is at 86 Old Airport Road, Fletcher, NC 28732. Phone: (828) 654-9060.
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.