Sapphire Ridge Health and Rehabilitation

115 N Country Club Road · Brevard, NC · 28712 · 8288842031

147 certified beds For profit - Limited Liability company Chain: Ascent Healthcare Management

  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 57
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 71
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day3.15≈ weekday level
Nursing turnover / year53%median 45%
Fines (3-yr window)1 · $22,568

Inspection citations (29 in the current record)

  • Potential for harm · D May 7, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Deficient, Provider has no plan of correction · Resident Assessment and Care Planning

  • Potential for harm · D May 7, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Deficient, Provider has no plan of correction · Quality of Life and Care

  • Potential for harm · E May 7, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Deficient, Provider has no plan of correction · Nutrition and Dietary

  • No harm found · C May 7, 2026

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Deficient, Provider has no plan of correction · Resident Rights

  • Potential for harm · D March 7, 2025

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected April 1, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected April 1, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 1, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025

    Respond appropriately to all alleged violations.

    Corrected April 1, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 7, 2025

    Ensure each resident receives an accurate assessment.

    Corrected April 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 7, 2025

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected April 1, 2025 · Nutrition and Dietary

  • Potential for harm · E March 7, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 1, 2025 · Nutrition and Dietary

  • Potential for harm · E March 7, 2025

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected April 1, 2025 · Infection Control

  • Potential for harm · E March 7, 2025

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected April 1, 2025 · Infection Control

  • Potential for harm · D March 7, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 1, 2025 · Resident Rights

  • Potential for harm · D March 7, 2025 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 1, 2025 · Quality of Life and Care

  • Potential for harm · E March 7, 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 April 1, 2025 · Nutrition and Dietary

  • Potential for harm · D November 17, 2023 · found via complaint

    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 December 15, 2023 · Resident Rights

  • Potential for harm · E November 17, 2023 · found via complaint

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Corrected December 15, 2023 · Resident Rights

  • Potential for harm · E November 17, 2023 · found via complaint

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    Corrected December 15, 2023 · Resident Rights

  • Potential for harm · D November 17, 2023 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected December 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 17, 2023 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected December 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 17, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected December 15, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected December 15, 2023 · Quality of Life and Care

  • Potential for harm · D November 17, 2023 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected December 15, 2023 · Quality of Life and Care

  • Potential for harm · E November 17, 2023 · 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 December 15, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 17, 2023Fine$22,568

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 345208 · certified since July 17, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.