All states › North Carolina › Fairview › Fleshers Fairview Health Care
3016 Cane Creek Road Fairview, NC 28730 · Buncombe County
CMS certification number 345413 · See this home on Medicare Care Compare
Is Fleshers Fairview Health Care 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 Fleshers Fairview Health Care as of October 2026.
CMS rates it 1 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 3.71 hours per resident per day at Fleshers Fairview Health Care, above the North Carolina median of 3.57 (US median: 3.72). About 0.86 of those hours are from registered nurses. On weekends it falls to 3.01 hours, 19% below its all-week average. Ask how weekends are staffed. 43.1% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Fleshers Fairview Health Care: Medicare and Medicaid
Fleshers Fairview Health Care 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 September 22, 2025 and found 18 deficiencies, plus 5 from complaint inspections in the same period. In total, inspectors issued 38 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 38 citations at Fleshers Fairview Health Care across 3 inspection dates, 7 of them from complaint investigations. 6 were at the actual-harm level (G–I), most recently on September 22, 2025. The most common areas cited were quality of life and care (8) and resident rights (8). The most serious was cited under the CMS rule to "immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident" (tag F0580, level G, September 22, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
September 22, 2025 · 23 citations · includes complaint inspection
GImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
GProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EHonor 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.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide enough food/fluids to maintain a resident's health.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
DEnsure 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.
DProvide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
DProvide and implement an infection prevention and control program.
DKeep all essential equipment working safely.
CPost nurse staffing information every day.
BHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
September 6, 2024 · 8 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
DProvide and implement an infection prevention and control program.
BKeep residents' personal and medical records private and confidential.
May 18, 2023 · 7 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Questions to ask on a tour of Fleshers Fairview Health Care
- Inspectors cited the home at the actual-harm level on September 22, 2025 under the rule on resident rights. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 22, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 19% below the all-week average. Who is on duty on Saturday nights?
- The home averages about 48% of its beds filled. Are any units closed?
- 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
3 penalties in the last three years, including $61,321 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 22, 2025 | Fine | $51,288 |
| Sep 22, 2025 | Payment Denial | 5 days of payments denied |
| Sep 6, 2024 | Fine | $10,033 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 4/5 | 3/5 |
| August 2026 | 2/5 | 1/5 | 5/5 | 3/5 |
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Location
Hospitals near Fleshers Fairview Health Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 6.8 mi
- 7.5 mi
- 8.2 mi
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 Fleshers Fairview Health Care › All nursing homes in Fairview ›
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Higher-rated nursing homes within 10 miles
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- Black Mountain Neuro-Medical Treatment Center · Black Mountain · 5 stars · 9.1 mi
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.