The nursing home failed to protect residents from abuse and neglect by others. Cited May 2026 — isolated incident, actual harm.
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F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Graham Healthcare and Rehabilitation Center
Robbinsville, NC · Medicare-certified · 80 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
2 of 5 overall
Graham Healthcare and Rehabilitation Center in Robbinsville, NC has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. It has no fines in the last 24 months, but it does have a recent abuse citation, and reported nurse staffing is 3.67 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
3.6717 hrs/resident/day
Quality measures
Last inspection: May 28, 2026Penalties, last 24 months: $0recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6717.
Staffing detail
- Registered nurses
- 0.61
- Licensed practical nurses
- 0.80
- Nurse aides
- 2.26
- Weekend nursing
- 3.33
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 60%
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
5.4%11.1%Worsening
Residents with a fall causing major injury
0%7.8%Worsening
Residents with pressure ulcers (bedsores)
3.2%6.1%Worsening
Residents with a urinary tract infection
0%2%Worsening
Residents who lost too much weight
0%12%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15%18.8%Worsening
Residents whose ability to walk got worse
21.2%10.6%Improving
Long-stay residents on antianxiety or sleep medication
40.9%30%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.9%5.5%Improving
Residents with depressive symptoms
0%2.1%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
—95.8%—
Long-stay residents given the pneumonia vaccine
100%98%Worsening
Short-stay residents given the seasonal flu vaccine
—65.9%—
Short-stay residents given the pneumonia vaccine
97.7%90%Worsening
What the inspectors found
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited March 2026 — limited pattern, potential for harm.
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F-Tag 757 — 42 CFR §483.45(d) — S/S: E
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 644 — 42 CFR §483.20 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2024 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — 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 2 health deficiencies.
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- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 4 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PRINCIPLE LONG TERM CARE · 44 homes · 3 stars avg
- Occupancy
- 56.9 residents on an average day (71% of 80 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.