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Nursing home report

Pisgah Manor at Pisgah Valley Retirement Community

Registered name: Pisgah Manor Health Care Center

Candler, NC · Medicare-certified · 118 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall

Pisgah Manor at Pisgah Valley Retirement Community has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 3-star quality measures. It reports 2.86 nurse hours per resident per day versus the federal benchmark of 4.1, and it has had $59,391 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.8645 hrs/resident/day

Quality measures

Last inspection: May 20, 2026Penalties, last 24 months: $59,391recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8645.

Staffing detail

Registered nurses
0.76
Licensed practical nurses
0.45
Nurse aides
1.65
Weekend nursing
2.68

Hours per resident per day.

Total staff turnover: 59%
Registered nurse turnover: 53%

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

14%17.7%Worsening

Residents with a fall causing major injury

11.6%4.9%Improving

Residents with pressure ulcers (bedsores)

2%4.5%Worsening

Residents with a urinary tract infection

1.2%2.5%Worsening

Residents who lost too much weight

4.2%1.5%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

15.3%15.9%Worsening

Residents whose ability to walk got worse

12.6%12.3%No change

Long-stay residents on antianxiety or sleep medication

23.3%20%Improving

Short-stay residents newly given an antipsychotic

1.8%3%Worsening

Residents with a long-term catheter

2.6%0.9%Improving

Residents with new or worsening incontinence

26.1%34.9%Worsening

Residents with depressive symptoms

7.4%6.5%Improving

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

98.9%

Long-stay residents given the pneumonia vaccine

97.7%95.1%Worsening

Short-stay residents given the seasonal flu vaccine

81.6%

Short-stay residents given the pneumonia vaccine

86.2%72.8%Worsening

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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2025 — limited pattern, potential for harm.

View the original federal record

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.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited December 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 867 — 42 CFR §483.75 — S/S: E

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited December 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. PENALTY

    A federal fine of $59,391 was recorded.

  5. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  7. 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

Recent ownership change · Feb 1, 2018

Now operated by Pisgah Manor Health Care Center, previously Pisgah Manor INC.

Ownership
For profit - Corporation
Chain
Part of LIBERTY SENIOR LIVING · 37 homes · 2.8 stars avg
Occupancy
105.2 residents on an average day (89% of 118 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.