Fletcher Rehabilitation and Healthcare Center
Nursing Home · Fletcher, NC
CMS certification number345522
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
86 Old Airport RoadFletcher, NC 28732
Henderson County
- Phone
- (828) 654-9060
- ZIP code
- 28732 – all care providers
Facility details
- Certified beds
- 90
- Residents per day
- 75.1 (83% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Fletcher Operator LLC
- Chain
- Yad Healthcare (13 facilities, avg 1.7★)
- Medicare certified since
- January 29, 2003
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.15 (state 3.83 · U.S. 3.86)
- Registered nurses (RN)
- 0.53 (state 0.61 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.89 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.34 · U.S. 2.32)
- Weekend total
- 2.62 (state 3.40 · U.S. 3.42)
- Nursing staff turnover
- 78.3 (state 49.0 · U.S. 45.8)%
- RN turnover
- 66.7 (state 45.7 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- June 2, 2025
- Health deficiencies (last cycle)
- 21.0 (state 4.8 · U.S. 9.3)
- From complaints
- 10
- Citations on record (3 years)
- 43 health · 5 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-25 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-03 |
| 2025-12-12 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Past Non-Compliance |
| 2025-06-02 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-06-20 |
| 2025-06-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | 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. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | 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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-06-02 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-06-09 |
| 2025-03-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-03-27 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2025-03-27 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-03-27 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-20 |
| 2024-02-02 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2022-12-20 |
| 2024-02-02 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2024-02-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2024-02-02 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2024-02-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-29 |
| 2024-02-02 | Give the resident's representative the ability to exercise the resident's rights. F0551 · Resident Rights Deficiencies · complaint inspection |
B No actual harm, potential for minimal harm |
Corrected 2024-02-29 |
| 2024-02-02 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
B No actual harm, potential for minimal harm |
Corrected 2024-02-29 |
| 2022-07-29 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
| 2022-07-29 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-08-31 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $62,868 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-12 | Fine | $8,788 |
| 2025-03-27 | Fine | $54,080 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fletcher Holdings I LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Alter, Tzvi (individual) | 5%+ Indirect Ownership Interest | |
| West NC Holdings LLC (organization) | 5%+ Indirect Ownership Interest | |
| Lane, Timothy (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Fletcher Rehabilitation and Healthcare Center?
Fletcher Rehabilitation and Healthcare Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.
How many beds does Fletcher Rehabilitation and Healthcare Center have?
It has 90 certified beds and cares for about 75 residents per day.
Has Fletcher Rehabilitation and Healthcare Center been fined?
Yes. CMS lists 2 penalties totaling $62,868 in the last three years.
Who owns Fletcher Rehabilitation and Healthcare Center?
It is part of Yad Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Fletcher Rehabilitation and Healthcare Center?
(828) 654-9060. The facility is located at 86 Old Airport Road, Fletcher, NC 28732.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.