Fletcher Rehabilitation and Healthcare CenterCMS ratings, inspections and fines
- Address
- 86 Old Airport Road, Fletcher, NC 28732
- CCN
- 345522
- Ownership type
- For-profit, limited liability company
- Certified beds
- 90
- Chain
- Yad Healthcare
- Residents per day
- 75
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Fletcher Rehabilitation and Healthcare Center an overall rating of 1 of 5 stars. The last standard survey was on 2 Jun 2025. The latest survey cycle has 21 health citations. The median for nursing homes in North Carolina is 3. CMS lists 2 fines with a total of $62,868 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Henderson County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 2 Jun 2025 | 21 | 3 |
| Cycle 2 | 2 Feb 2024 | 11 | 5 |
| Cycle 3 | No date | 11 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 3 Apr 2026 |
| 12 Dec 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 2 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0578 | 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. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0726 | 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. | E | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 9 Jun 2025 |
| 2 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0761 | 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. | D | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0809 | 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. | E | Complaint investigation | 20 Jun 2025 |
| 2 Jun 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 20 Jun 2025 |
| 2 Jun 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 20 Jun 2025 |
Survey cycle 2: 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 20 Jun 2025 |
| 27 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Complaint investigation | 2 Jun 2025 |
| 27 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 2 Jun 2025 |
| 27 Mar 2025 | F0761 | 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. | D | Complaint investigation | 20 Jun 2025 |
| 2 Feb 2024 | F0551 | Give the resident's representative the ability to exercise the resident's rights. | B | Complaint investigation | 29 Feb 2024 |
| 2 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 20 Dec 2022 |
| 2 Feb 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Complaint investigation | 29 Feb 2024 |
| 2 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | B | Complaint investigation | 29 Feb 2024 |
| 2 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 29 Feb 2024 |
| 2 Feb 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 29 Feb 2024 |
| 2 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 29 Feb 2024 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Jul 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0761 | 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. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 Aug 2022 |
| 29 Jul 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 31 Aug 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 12 Dec 2025 | Fine | $8,788 | |
| 27 Mar 2025 | Fine | $54,080 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.15 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.53 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.71 | 0.89 | |
| Nurse aides | 1.91 | 2.34 | |
| All nurse staff, weekends | 2.62 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 78.3%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.7% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.4% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Fletcher Operator LLC
- Chain
- Yad Healthcare (13 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fletcher Holdings I LLC | 5% or greater direct ownership interest | 100% | 1 Jun 2024 |
| West NC Holdings LLC | 5% or greater indirect ownership interest | 1 Jun 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Henderson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Lodge at Mills River | Mills River | 5 of 5 | 1 | $0 | 3 Jun 2025 | |
| Orchard Valley Health and Rehabilitation | Hendersonville | 1 of 5 | 7 | $16,452 | 20 Feb 2026 | |
| The Laurels of Hendersonville | Hendersonville | 3 of 5 | 4 | $36,257 | 5 Jun 2026 | |
| Life Care Center of Hendersonville | Hendersonville | 3 of 5 | 5 | $40,986 | 27 Aug 2025 | |
| Carolina Village Inc | Hendersonville | 5 of 5 | 0 | $0 | 9 Apr 2026 | |
| The Greens at Hendersonville | Hendersonville | 3 of 5 | 2 | $101,733 | 16 Jan 2026 | |
| Valley Hill Health & Rehab Center | Hendersonville | 2 of 5 | 6 | $58,949 | 27 Jun 2025 | |
| Hendersonville Health and Rehabilitation | Flat Rock | 5 of 5 | 0 | $0 | 18 Sep 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Fletcher Rehabilitation and Healthcare Center (CCN 345522). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/fletcher-rehabilitation-and-healthcare-center-fletcher-nc-345522/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Fletcher Rehabilitation and Healthcare Center last inspected?
- The latest inspection with a citation in the CMS record was on 25 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 2 Feb 2024.
- Who operates Fletcher Rehabilitation and Healthcare Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Yad Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Fletcher Rehabilitation and Healthcare Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.