The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Fletcher Rehabilitation and Healthcare Center
Fletcher, NC · Medicare-certified · 90 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
Fletcher Rehabilitation and Healthcare Center in Fletcher, NC has a 1-out-of-5 overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measure rating. It also has a recent abuse citation, $62,868 in fines over the last 24 months, and reported nurse staffing of 3.15 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.1482 hrs/resident/day
Quality measures
Last inspection: March 25, 2026Penalties, last 24 months: $62,868recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1482.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 0.71
- Nurse aides
- 1.91
- Weekend nursing
- 2.62
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 67%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.3%23.5%Worsening
Residents with a fall causing major injury
3%12.3%Worsening
Residents with pressure ulcers (bedsores)
9.6%7.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
11.5%16.4%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%26.9%Worsening
Residents whose ability to walk got worse
25.4%29.2%Worsening
Long-stay residents on antianxiety or sleep medication
29.8%21.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
1.5%3.3%Worsening
Residents with new or worsening incontinence
24.3%37%Worsening
Residents with depressive symptoms
15.4%16.3%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.9%—
Long-stay residents given the pneumonia vaccine
87.9%24.6%Worsening
Short-stay residents given the seasonal flu vaccine
—57.5%—
Short-stay residents given the pneumonia vaccine
33.3%21.1%Worsening
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,788 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $54,080 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $62,868 in total fines.
- $8,788
Federal fine
Dec 12, 2025
- $54,080
Federal fine
Mar 27, 2025
Operator & ownership
Recent ownership change · Jun 1, 2024
Now operated by Fletcher Rehabilitation and Healthcare Center, previously Universal Health Care/fletcher.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of YAD HEALTHCARE · 13 homes · 1.7 stars avg
- Occupancy
- 75.1 residents on an average day (83% of 90 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.