Nursing HomeInspections

Fletcher Rehabilitation and Healthcare Center

Nursing home in Fletcher, NC

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
86 Old Airport Road, Fletcher, NC 28732
Phone
(828) 654-9060
Listed under
For-profit
Medicare CCN
345522
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
90
Average residents per day
74
Ownership
For-profit, corporation
Legal business name
Fletcher Operator LLC
Chain
Yad Healthcare (14 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 29, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345522. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Sep 3, 2026. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 2, 2024 to Sep 3, 2026): 21 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 3, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Sep 3, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Mar 25, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Dec 12, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jun 2, 2025Post nurse staffing information every day.
Nursing and Physician Services
C
Potential for minimal harm, widespread
Jun 2, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 2, 2025Honor 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…
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 2, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 2, 2025Protect 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
D
Potential for more than minimal harm, isolated
Jun 2, 2025Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jun 2, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 2, 2025Provide 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
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $62,868 in the last three years.

Dec 12, 2025Fine: $8,788
Mar 27, 2025Fine: $54,080

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.77 hours
Registered nurse (RN) time per resident per day
0.58 hours
Nurse aide time per resident per day
1.81 hours
Total nurse staffing on weekends
2.22 hours
Nursing staff turnover (yearly)
84%
RN turnover (yearly)
74%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.