facebook tracking Pisgah Manor Health Care Center, Candler NC: CMS Ratings
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Pisgah Manor Health Care Center

All states › North Carolina › Candler › Pisgah Manor Health Care Center

104 Holcombe Cove Road Candler, NC 28715 · Buncombe County

(828) 667-9851

Accepts Medicare Accepts Medicaid 118 certified beds For profit Continuing care retirement community

CMS certification number 345393 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Pisgah Manor Health Care Center 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 Pisgah Manor Health Care Center as of October 2026.

CMS rates it 2 out of 5 stars overall, below the North Carolina average of 3.0. Inspectors issued 16 citations in the last three years. CMS imposed 1 penalty, including $59,391 in fines, in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 3 out of 5.

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.

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Staffing

Nursing staff spend about 2.86 hours per resident per day at Pisgah Manor Health Care Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.89 of those hours are from registered nurses. On weekends it falls to 2.64 hours, 8% below its all-week average. 63.4% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 2.86 hours
Below the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.89 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.64 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 63.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 63.6% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds118
Residents per day 105 About 89% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJuly 1991
Part of a chainLiberty Senior Living
Legal business nameLIBERTY HEALTHCARE GROUP LLC

Paying for care at Pisgah Manor Health Care Center: Medicare and Medicaid

Pisgah Manor Health Care Center 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 20, 2026 and found 0 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 16 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 16 citations at Pisgah Manor Health Care Center across 4 inspection dates, 9 of them from complaint investigations. 3 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on August 20, 2026 (complaint inspection). The most common areas cited were resident assessment and care planning (3) and infection control (2). The most serious was cited under the CMS rule to "provide and implement an infection prevention and control program" (tag F0880, level L, April 1, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.

August 20, 2026 · 4 citations · includes complaint inspection

JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Immediate jeopardy · Resident Rights Deficiencies · Tag F0580 · Complaint inspection · Past Non-Compliance (Jul 4, 2026)

JEnsure that residents are free from significant medication errors.

Immediate jeopardy · Pharmacy Service Deficiencies · Tag F0760 · Complaint inspection · Past Non-Compliance (Jul 4, 2026)

DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Complaint inspection · Deficient, Provider has date of correction (Aug 21, 2026)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Complaint inspection · Past Non-Compliance (Jul 4, 2026)

May 20, 2026 · 1 citation · includes complaint inspection

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Complaint inspection · Deficient, Provider has date of correction (May 23, 2026)

April 1, 2025 · 2 citations, includes immediate jeopardy

LProvide and implement an infection prevention and control program.

Immediate jeopardy · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 2, 2025)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Apr 2, 2025)

December 6, 2023 · 9 citations · includes complaint inspection

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jan 2, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 2, 2024)

ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Potential for more than minimal harm · Administration Deficiencies · Tag F0867 · Deficient, Provider has date of correction (Jan 2, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Jan 2, 2024)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Jan 2, 2024)

DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0644 · Deficient, Provider has date of correction (Jan 2, 2024)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Complaint inspection · Deficient, Provider has date of correction (Jan 2, 2024)

DProvide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0686 · Complaint inspection · Deficient, Provider has date of correction (Jan 2, 2024)

DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0725 · Complaint inspection · Deficient, Provider has date of correction (Jan 2, 2024)

Questions to ask on a tour of Pisgah Manor Health Care Center

  1. Inspectors cited the home at the immediate-jeopardy level on April 1, 2025 under the rule on infection control. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on August 20, 2026. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Nursing staff turnover was 63.4% a year. How many of the staff come from agencies?
  5. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. 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 $59,391 in fines.

DateTypeAmount or length
Apr 1, 2025 Fine $59,391

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 2/5 3/5
August 2026 2/5 2/5 2/5 3/5
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Location

Hospitals near Pisgah Manor Health Care Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Aston Park Health Care Center Asheville · 4.5 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 120 beds · Medicaid
River Bend Health and Rehabilitation Asheville · 5.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 2/5 100 beds · Medicaid
StoneCreek Health and Rehabilitation Asheville · 6.6 mi away ★★★☆☆ Inspection 2/5 · Staffing 2/5 120 beds · Medicaid
Elevate Health and Rehabilitation Asheville · 6.9 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 120 beds · Medicaid
Emerald Ridge Health and Rehabilitation Asheville · 7.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 100 beds · Medicaid

More nursing homes near Pisgah Manor Health Care Center ›   All nursing homes in Candler ›

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Other Liberty Senior Living nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Liberty Senior Living 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.

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https://www.nursinghomesineachstate.com/north-carolina/candler/pisgah-manor-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.