Pisgah Manor Health Care Center in Candler, NC has a 1-star overall rating, with 1-star health inspections and 2-star staffing and quality measures. It also has a recent federal penalty, $59,391 in fines over the last 24 months, and reported nurse staffing of 2.90 hours per resident per day versus the 4.1 federal benchmark.
Last inspection: April 1, 2025Penalties, last 24 months: $59,391recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8994.
Staffing detail
Registered nurses
0.62
Licensed practical nurses
0.55
Nurse aides
1.73
Weekend nursing
2.68
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 50%
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
20.4%20%No change
Residents with a fall causing major injury
12.5%4.8%Improving
Residents with pressure ulcers (bedsores)
7.2%5.5%Improving
Residents with a urinary tract infection
10.1%5%Improving
Residents who lost too much weight
4.6%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%17.6%Worsening
Residents whose ability to walk got worse
10%26.4%Worsening
Long-stay residents on antianxiety or sleep medication
24.2%16.2%Improving
Short-stay residents newly given an antipsychotic
2%1%Improving
Residents with a long-term catheter
2.1%0%Improving
Residents with new or worsening incontinence
31.9%28.9%Improving
Residents with depressive symptoms
6.5%1.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.9%—
Long-stay residents given the pneumonia vaccine
98.8%98.8%No change
Short-stay residents given the seasonal flu vaccine
—81.6%—
Short-stay residents given the pneumonia vaccine
81.5%91.4%Improving
What the inspectors found
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 April 2025 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: L
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited June 2022 — limited pattern, actual harm.
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F-Tag 550 — 42 CFR §483.10(a) — S/S: H
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited June 2022 — limited pattern, actual harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: H
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2023 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
PENALTY
A federal fine of $59,391 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 20 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $59,391 in total fines.
Federal fine
Apr 1, 2025
$59,391
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of LIBERTY SENIOR LIVING · 37 homes · 2.6 stars avg
Occupancy
102.7 residents on an average day (87% of 118 beds)
Resident voice
Resident council
Medicare history
Certified for 34 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.