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
1 of 5 overall
Fletcher Rehabilitation and Healthcare Center has a 1-star overall rating, with 1-star health inspections and 2-star staffing, plus 3-star quality measures. It reports nurse staffing below the federal benchmark (3.28 vs. 4.1 hours per resident per day), $62,868 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.279 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 3.279.
Staffing detail
- Registered nurses
- 0.62
- Licensed practical nurses
- 0.66
- Nurse aides
- 2.00
- Weekend nursing
- 2.76
Hours per resident per day.
Total staff turnover: 77%
Registered nurse turnover: 76%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
16.7%Worsening
Residents with a fall causing major injury
5.4%Worsening
Residents with pressure ulcers (bedsores)
7.6%Improving
Residents with a urinary tract infection
1.2%Worsening
Residents who lost too much weight
8.6%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.6%Worsening
Residents whose ability to walk got worse
26.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
28.4%Improving
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
0.4%Steady
Residents with new or worsening incontinence
22.9%Worsening
Residents with depressive symptoms
10.4%Worsening
Long-stay residents given the seasonal flu vaccine
95.9%Steady
Long-stay residents given the pneumonia vaccine
74.5%Worsening
Short-stay residents given the seasonal flu vaccine
57.5%Steady
Short-stay residents given the pneumonia vaccine
30.4%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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of YAD HEALTHCARE · 13 homes · 1.8 stars avg
- Occupancy
- 71.3 residents on an average day (79% 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.