Fletcher Rehabilitation and Healthcare Center
86 Old Airport Road, Fletcher, NC 28732 · (828) 654-9060
For profit - Limited Liability company · 90 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Fletcher Rehabilitation and Healthcare Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2025, found 19 citations, 1 for actual harm or immediate jeopardy (the North Carolina average is 4.7). It was fined 2 times in the last three years, $62,868 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 2, 2025 found 19 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 2, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 2, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives an accurate assessment.June 2, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 2, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 2, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 2, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 2, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 2, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Reasonably accommodate the needs and preferences of each resident.June 2, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 2, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.June 2, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 2, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.June 2, 2025 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.June 2, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.June 2, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 2, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 2, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.June 2, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.June 2, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 21 citations.
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 25, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 12, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.June 2, 2025 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.June 2, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 2, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 2, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 2, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.June 2, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.June 2, 2025 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 2, 2025 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep residents' personal and medical records private and confidential.March 27, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.March 27, 2025 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.March 27, 2025 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 27, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Give the resident's representative the ability to exercise the resident's rights.February 2, 2024 · F0551 · Level of harm: Potential for minimal harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.February 2, 2024 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.February 2, 2024 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.February 2, 2024 · F0641 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 2, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.February 2, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 2, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $8,788December 12, 2025
- Fine of $54,080March 27, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.15 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.53 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.71 | 0.89 | 0.86 |
| Nurse aides | 1.91 | 2.34 | 2.32 |
| Total nursing staff turnover | 78.3% | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Average residents per day | 75.1 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Hendersonville Health and Rehabilitation Flat Rock · ★★★★★ 5 out of 5 stars
- Carolina Village Inc Hendersonville · ★★★★★ 5 out of 5 stars
- The Greens at Hendersonville Hendersonville · ★★★★★ 3 out of 5 stars
- The Lodge at Mills River Mills River · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Fletcher Rehabilitation and Healthcare Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.