# Fletcher Rehabilitation and Healthcare Center Fletcher Rehabilitation and Healthcare Center is a Medicare/Medicaid-certified nursing home (Nursing home · SNF / NF) in Fletcher, NC, CMS Certification Number 345522, with 90 certified beds and about 74 residents per day. CMS rates it 1/5 overall (health inspections 2/5, staffing 1/5, quality measures 2/5). ## Key facts - Status: Active CMS certification - Address: 86 Old Airport Road, Fletcher, NC 28732 (Henderson County) - Ownership type: For profit - Corporation - Operator (legal business name): [Fletcher Operator LLC](https://carefield.site/operator/op-fletcher-operator-llc) - CMS chain: [Yad Healthcare](https://carefield.site/chain/cms-chain-640) — 14 facilities - Phone: 8286549060 - Medicare Care Compare: https://www.medicare.gov/care-compare/details/nursing-home/345522 ## Inspection record 9 inspections in the CMS window (latest 2026-09-03); 39 citations (34 health, 5 fire safety); 2 at actual harm and 0 at immediate jeopardy; 3 without a verified correction at last report. CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years; no citation in that window is not proof of a clean history. - 2025-12-12 — [F-0689](https://carefield.site/deficiency/cms-f0689) Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. — scope/severity G (Actual harm (not immediate jeopardy)); Past non-compliance; complaint survey - 2025-06-02 — [F-0686](https://carefield.site/deficiency/cms-f0686) Provide appropriate pressure ulcer care and prevent new ulcers from developing. — scope/severity G (Actual harm (not immediate jeopardy)); Corrected; complaint survey - 2026-09-03 — [F-0644](https://carefield.site/deficiency/cms-f0644) Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. — scope/severity D (No actual harm, potential for more than minimal harm); No plan of correction - 2026-09-03 — [F-0645](https://carefield.site/deficiency/cms-f0645) PASARR screening for Mental disorders or Intellectual Disabilities — scope/severity D (No actual harm, potential for more than minimal harm); No plan of correction - 2026-03-25 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0558](https://carefield.site/deficiency/cms-f0558) Reasonably accommodate the needs and preferences of each resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0578](https://carefield.site/deficiency/cms-f0578) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0580](https://carefield.site/deficiency/cms-f0580) Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0600](https://carefield.site/deficiency/cms-f0600) Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0636](https://carefield.site/deficiency/cms-f0636) Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0641](https://carefield.site/deficiency/cms-f0641) Ensure each resident receives an accurate assessment. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0658](https://carefield.site/deficiency/cms-f0658) Ensure services provided by the nursing facility meet professional standards of quality. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0677](https://carefield.site/deficiency/cms-f0677) Provide care and assistance to perform activities of daily living for any resident who is unable. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0690](https://carefield.site/deficiency/cms-f0690) Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0725](https://carefield.site/deficiency/cms-f0725) Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0726](https://carefield.site/deficiency/cms-f0726) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0760](https://carefield.site/deficiency/cms-f0760) Ensure that residents are free from significant medication errors. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0761](https://carefield.site/deficiency/cms-f0761) 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. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected - 2025-06-02 — [F-0806](https://carefield.site/deficiency/cms-f0806) Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. — scope/severity D (No actual harm, potential for more than minimal harm); Corrected; complaint survey - 2025-06-02 — [F-0809](https://carefield.site/deficiency/cms-f0809) 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. — scope/severity E (No actual harm, potential for more than minimal harm); Corrected; complaint survey - …and 19 more on the source page. ## Penalties - 2025-12-12 — Civil money penalty (fine): $8,788 - 2025-03-27 — Civil money penalty (fine): $54,080 ## Staffing (PBJ, hours per resident per day) - Total nurse: 2.77006 (state avg 3.87089, US 3.90085) - RN: 0.57937 - Nursing staff turnover: 83.8% ## Owners and managers of record (CMS disclosures) - [Fletcher Holdings I LLC](https://carefield.site/owner/org-fletcher-holdings-i-llc) — Direct owner, 100%, since 2024-06-01 - [West Nc Holdings LLC](https://carefield.site/owner/org-west-nc-holdings-llc) — Indirect owner, since 2024-06-01 - Tzvi Alter — Indirect owner, since 2024-06-01 - Timothy Lane — Operational / managerial control, since 2024-06-01 ## Nearby nursing homes - [Biltmore Haven Nursing and Rehabilitation](https://carefield.site/facility/cms-345477) — 3.2 km, CMS overall 1/5 - [The Lodge at Mills River](https://carefield.site/facility/cms-345253) — 6.9 km, CMS overall 5/5 - [Givens Health Center](https://carefield.site/facility/cms-345328) — 7 km, CMS overall 5/5 - [Deerfield Episcopal Retirement](https://carefield.site/facility/cms-345556) — 8 km, CMS overall 4/5 - [Orchard Valley Health and Rehabilitation](https://carefield.site/facility/cms-345285) — 8.6 km, CMS overall 1/5 - [Fleshers Fairview Health Care](https://carefield.site/facility/cms-345413) — 10.4 km, CMS overall 1/5 - [The Laurels of Hendersonville](https://carefield.site/facility/cms-345322) — 11.5 km, CMS overall 3/5 - [Life Care Center of Hendersonville](https://carefield.site/facility/cms-345463) — 12.1 km, CMS overall 3/5 ## Sources - cms_provider_info: https://data.cms.gov/provider-data/api/1/datastore/query/4pq5-n9py/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D - cms_ownership: https://data.cms.gov/provider-data/api/1/datastore/query/y2hd-n93e/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D - cms_health_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/r5ix-sfxw/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D - cms_fire_safety_deficiencies: https://data.cms.gov/provider-data/api/1/datastore/query/ifjz-ge4w/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D - cms_penalties: https://data.cms.gov/provider-data/api/1/datastore/query/g6vv-u9sr/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D - cms_inspection_dates: https://data.cms.gov/provider-data/api/1/datastore/query/svdt-c123/0?conditions%5B0%5D%5Bproperty%5D=cms_certification_number_ccn&conditions%5B0%5D%5Bvalue%5D=345522&conditions%5B0%5D%5Boperator%5D=%3D --- Source page: https://carefield.site/facility/cms-345522 · Carefield — Senior Care Intelligence. Facts come from the CMS Provider Data Catalog (Medicare/Medicaid-certified nursing homes). Missing data never means no issue exists.