Fletcher Rehabilitation and Healthcare Center
Fletcher Rehabilitation and Healthcare Center is a 90-bed nursing home in Fletcher, North Carolina. CMS has certified it for Medicare and Medicaid since 2003-01-29. It averages 75.1 residents a day.
What harm was found in the violations cited at Fletcher Rehabilitation and Healthcare Center?
CMS lists 43 health-inspection deficiencies for Fletcher Rehabilitation and Healthcare Center since 2022-07-29, 32 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-03-25.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-25 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-12-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-06-02 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-06-02 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-06-02 | F0641, F0677, F0725, F0726, F0809, F0880 | Ensure each resident receives an accurate assessment. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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. / Provide and implement an infection prevention and control program. | E |
| 2025-06-02 | F0558, F0578, F0580, F0600, F0636, F0658, F0690, F0760, F0761, F0806 | Reasonably accommodate the needs and preferences of each resident. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. / 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2025-06-02 | F0732 | Post nurse staffing information every day. | C |
| 2025-03-27 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2025-03-27 | F0583, F0692, F0761 | Keep residents' personal and medical records private and confidential. / Provide enough food/fluids to maintain a resident's health. / 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. | D |
| 2024-02-02 | F0602, F0756, F0812 | Protect each resident from the wrongful use of the resident's belongings or money. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-02-02 | F0636, F0684 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-02-02 | F0551, F0641 | Give the resident's representative the ability to exercise the resident's rights. / Ensure each resident receives an accurate assessment. | B |
| 2022-07-29 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2022-07-29 | F0580, F0656, F0686, F0689, F0695, F0725, F0755, F0760, F0761, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was Fletcher Rehabilitation and Healthcare Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-12-12 | Fine | $8,788 |
| 2025-03-27 | Fine | $54,080 |
How is Fletcher Rehabilitation and Healthcare Center staffed relative to the NC average?
| Measure | This facility | NC average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.14820 | 3.83430 |
| Total nursing staff turnover (%) | 78.3 | 49.0 |
| Average number of residents per day | 75.1 | 86.9 |
Who owns Fletcher Rehabilitation and Healthcare Center, and what chain is it in?
Fletcher Rehabilitation and Healthcare Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name FLETCHER OPERATOR LLC and belongs to the YAD HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FLETCHER HOLDINGS I LLC | since 06/01/2024 |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST | WEST NC HOLDINGS LLC, ALTER, TZVI | since 06/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | LANE, TIMOTHY | since 06/01/2024 |
Were you or a family member harmed at Fletcher Rehabilitation and Healthcare Center?