Pisgah Manor Health Care CenterCMS ratings, inspections and fines
- Address
- 104 Holcombe Cove Road, Candler, NC 28715
- CCN
- 345393
- Ownership type
- For-profit, corporation
- Certified beds
- 118
- Residents per day
- 105
- CMS flags
- None in the CMS record
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 Pisgah Manor Health Care Center an overall rating of 2 of 5 stars. The last standard survey was on 20 May 2026. The latest survey cycle has 1 health citation. The median for nursing homes in North Carolina is 3. CMS lists 1 fine of $59,391 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 | Buncombe County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 19 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) | 20 May 2026 | 1 | 3 |
| Cycle 2 | 1 Apr 2025 | 2 | 5 |
| Cycle 3 | No date | 9 | 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 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 1 citation
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 20 May 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 23 May 2026 |
Survey cycle 2: 2 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Apr 2025 |
| 1 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | L | Standard survey | 2 Apr 2025 |
Survey cycle 3: 9 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 |
|---|---|---|---|---|---|
| 6 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 2 Jan 2024 |
| 6 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 2 Jan 2024 |
| 6 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Jan 2024 |
| 6 Dec 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 2 Jan 2024 |
| 6 Dec 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 2 Jan 2024 |
| 6 Dec 2023 | 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 | Complaint investigation | 2 Jan 2024 |
| 6 Dec 2023 | 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. | E | Standard survey | 2 Jan 2024 |
| 6 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jan 2024 |
| 6 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Standard survey | 2 Jan 2024 |
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 |
|---|---|---|---|
| 1 Apr 2025 | Fine | $59,391 |
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 | 2.86 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.76 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.45 | 0.89 | |
| Nurse aides | 1.65 | 2.34 | |
| All nurse staff, weekends | 2.68 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 59.1%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 52.6%
- 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 | 17.5% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.1% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.6% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.0% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 17.5% | 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, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Liberty Healthcare Group LLC
- Chain
- Liberty Senior Living (37 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Long Term Care Management Services LLC | 5% or greater direct ownership interest | 100% | 10 Mar 2011 |
| Long Term Care Management Services LLC | Operational/managerial control | 10 Mar 2011 |
The site shows organisations only. It does not show the names of persons.
Other homes in Buncombe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Aston Park Health Care Center | Asheville | 5 of 5 | 2 | $0 | 16 Apr 2026 | |
| River Bend Health and Rehabilitation | Asheville | 1 of 5 | 25 | $147,579 | 13 Jun 2025 | |
| Stonecreek Health and Rehabilitation | Asheville | 3 of 5 | 4 | $38,431 | 17 Jun 2026 | |
| Elevate Health and Rehabilitation | Asheville | 1 of 5 | 4 | $174,346 | 2 Sep 2025 | |
| Emerald Ridge Health and Rehabilitation | Asheville | 1 of 5 | 11 | $73,475 | 9 Apr 2026 | |
| The Laurels of Greentree Ridge | Asheville | 5 of 5 | 2 | $0 | 7 May 2025 | |
| Deerfield Episcopal Retirement | Asheville | 5 of 5 | 1 | $0 | 4 Jun 2026 | |
| Bear Mountain Health and Rehabilitation | Asheville | 3 of 5 | 8 | $0 | 9 May 2025 | |
| Givens Health Center | Asheville | 5 of 5 | 1 | $0 | 18 Mar 2026 | |
| The Laurels of Summit Ridge | Asheville | 4 of 5 | 2 | $0 | 2 Jul 2026 | |
| The Greens at Weaverville | Weaverville | 4 of 5 | 3 | $0 | 31 Jul 2025 | |
| Biltmore Haven Nursing and RehabilitationSpecial Focus candidate | Arden | 1 of 5 | 19 | $189,174 | 1 May 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 Pisgah Manor Health Care Center (CCN 345393). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/pisgah-manor-health-care-center-candler-nc-345393/
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 Pisgah Manor Health Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 20 May 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 1 Apr 2025.
- Who operates Pisgah Manor Health Care Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Liberty Senior Living. The CMS ownership file names Long Term Care Management Services LLC for operational or managerial control. This site does not show the names of persons.
- Is Pisgah Manor Health Care 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.