Fletcher Rehabilitation and Healthcare Center
86 Old Airport Road · Fletcher, NC · 28732 · 8286549060
90 certified beds For profit - Limited Liability company Chain: Yad Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$62,868 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
77% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 2.76 | ≈ weekday level |
| Nursing turnover / year | 77% | median 45% |
| Fines (3-yr window) | 2 · $62,868 |
Inspection citations (43 in the current record)
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Potential for harm · D March 25, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 3, 2026 · Quality of Life and Care
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Actual harm · G December 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Past Non-Compliance · Quality of Life and Care
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Actual harm · G June 2, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · D June 2, 2025
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.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D June 2, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D June 2, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 20, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 2, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2025
Ensure each resident receives an accurate assessment.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 2, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · E June 2, 2025
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.
Corrected June 20, 2025 · Nursing and Physician Services
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Potential for harm · D June 2, 2025
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.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · F June 2, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · E June 2, 2025
Provide and implement an infection prevention and control program.
Corrected June 20, 2025 · Infection Control
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Potential for harm · D June 2, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D June 2, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 20, 2025 · Resident Assessment and Care Planning
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Potential for harm · E June 2, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 20, 2025 · Quality of Life and Care
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Potential for harm · E June 2, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 20, 2025 · Nursing and Physician Services
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Potential for harm · D June 2, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 20, 2025 · Pharmacy Service
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Potential for harm · D June 2, 2025 · found via complaint
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected June 20, 2025 · Nutrition and Dietary
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Potential for harm · E June 2, 2025 · found via complaint
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.
Corrected June 20, 2025 · Nutrition and Dietary
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No harm found · C June 2, 2025
Post nurse staffing information every day.
Corrected June 9, 2025 · Nursing and Physician Services
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Potential for harm · D March 27, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected June 20, 2025 · Resident Rights
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Potential for harm · D March 27, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · E March 27, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D March 27, 2025 · found via complaint
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.
Corrected June 20, 2025 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 12, 2025 | Fine | $8,788 |
| March 27, 2025 | Fine | $54,080 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345522 · certified since January 29, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.