All states › North Carolina › Brevard › Sapphire Ridge Health and Rehabilitation
115 N Country Club Road Brevard, NC 28712 · Transylvania County
All 3 nursing homes in Brevard, NC (3 take Medicaid)
CMS certification number 345208 · See this home on Medicare Care Compare
Is Sapphire Ridge Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sapphire Ridge Health and Rehabilitation as of October 2026.
CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.52 hours per resident per day at Sapphire Ridge Health and Rehabilitation, about the same as the North Carolina median of 3.57 (US median: 3.72). About 0.43 of those hours are from registered nurses. On weekends it falls to 3.19 hours, 9% below its all-week average. 47.8% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Sapphire Ridge Health and Rehabilitation: Medicare and Medicaid
Sapphire Ridge Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 7, 2026 and found 3 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 29 citations at Sapphire Ridge Health and Rehabilitation across 3 inspection dates, 17 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 27 were "potential for more than minimal harm" (D–F) and 2 were minimal (A–C). The most common areas cited were resident rights (9) and nutrition and dietary (6). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level E, May 7, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 4 citations · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DPASARR screening for Mental disorders or Intellectual Disabilities
DProvide care and assistance to perform activities of daily living for any resident who is unable.
CEnsure residents have reasonable access to and privacy in their use of communication methods.
March 7, 2025 · 12 citations · includes complaint inspection
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
EEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
DRespond appropriately to all alleged violations.
DEnsure each resident receives an accurate assessment.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
November 17, 2023 · 13 citations · includes complaint inspection
ENot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
EPermit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
DProvide safe and appropriate respiratory care for a resident when needed.
BNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Questions to ask on a tour of Sapphire Ridge Health and Rehabilitation
- CMS cited the home under its abuse and neglect rules on March 7, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $22,568 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 17, 2023 | Fine | $22,568 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
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Location
Hospitals near Sapphire Ridge Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.6 mi
Transylvania Regional Hospital, INC BrevardEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 1h 38m for patients treated and sent home
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16.7 mi
Margaret R Pardee Mem Hospital HendersonvilleEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 38m for patients treated and sent home
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18.0 mi
Adventhealth Hendersonville FletcherEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 44m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Sapphire Ridge Health and Rehabilitation › All nursing homes in Brevard ›
Compare Sapphire Ridge Health and Rehabilitation with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Transylvania Regional Hospital · Brevard · 5 stars · 2.7 mi
- The Oaks-Brevard · Brevard · 3 stars · 3.0 mi
Other Ascent Healthcare Management nursing homes in North Carolina
- Swannanoa Valley Health and Rehabilitation · Swannanoa · 3 stars
- Bear Mountain Health and Rehabilitation · Asheville · 3 stars
- Hilltop Health and Rehabilitation · Rutherfordton · 3 stars
- Elevate Health and Rehabilitation · Asheville · 1 stars
- Orchard Valley Health and Rehabilitation · Hendersonville · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 6 Ascent Healthcare Management nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.