All states › North Carolina › Fletcher › Fletcher Rehabilitation and Healthcare Center
86 Old Airport Road Fletcher, NC 28732 · Henderson County
CMS certification number 345522 · See this home on Medicare Care Compare
Is Fletcher Rehabilitation and Healthcare 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 Fletcher Rehabilitation and Healthcare Center 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 2.77 hours per resident per day at Fletcher Rehabilitation and Healthcare Center, below the North Carolina median of 3.57 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.22 hours, 20% below its all-week average. Ask how weekends are staffed. 83.8% 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.
About this nursing home
Paying for care at Fletcher Rehabilitation and Healthcare Center: Medicare and Medicaid
Fletcher Rehabilitation and Healthcare 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 September 3, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 34 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 34 citations at Fletcher Rehabilitation and Healthcare Center across 6 inspection dates, 21 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on December 12, 2025. The most common areas cited were quality of life and care (8) and resident assessment and care planning (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, December 12, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
September 3, 2026 · 2 citations
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DPASARR screening for Mental disorders or Intellectual Disabilities
March 25, 2026 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 12, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
June 2, 2025 · 19 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EEnsure each resident receives an accurate assessment.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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 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.
EProvide and implement an infection prevention and control program.
DReasonably accommodate the needs and preferences of each resident.
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.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure that residents are free from significant medication errors.
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.
DEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
CPost nurse staffing information every day.
March 27, 2025 · 4 citations · includes complaint inspection
EProvide safe and appropriate respiratory care for a resident when needed.
DKeep residents' personal and medical records private and confidential.
DProvide enough food/fluids to maintain a resident's health.
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.
February 2, 2024 · 7 citations · includes complaint inspection
EProtect each resident from the wrongful use of the resident's belongings or money.
EEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
BGive the resident's representative the ability to exercise the resident's rights.
BEnsure each resident receives an accurate assessment.
Questions to ask on a tour of Fletcher Rehabilitation and Healthcare Center
- Inspectors cited the home at the actual-harm level on December 12, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 2, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 83.8% a year. How many of the staff come from agencies?
- 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
2 penalties in the last three years, including $62,868 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 12, 2025 | Fine | $8,788 |
| Mar 27, 2025 | Fine | $54,080 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 3/5 |
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Location
Hospitals near Fletcher Rehabilitation and Healthcare Center
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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3.2 mi
Adventhealth Hendersonville FletcherEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 44m for patients treated and sent home
- 8.5 mi
-
8.5 mi
Margaret R Pardee Mem Hospital HendersonvilleEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 38m 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
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Compare Fletcher Rehabilitation and Healthcare Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- The Lodge at Mills River · Mills River · 5 stars · 4.3 mi
- Givens Health Center · Asheville · 5 stars · 4.4 mi
- Carolina Village · Hendersonville · 5 stars · 7.8 mi
- Aston Park Health Care Center · Asheville · 5 stars · 9.9 mi
Other Yad Healthcare nursing homes in North Carolina
- Kenansville Rehabilitation and Healthcare Center · Kenansville · 2 stars
- Ramseur Rehabilitation and Healthcare Center · Ramseur · 2 stars
- Mountain Ridge Rehabilitation and Healthcare Center · Black Mountain · 2 stars
- Asheboro Rehabilitation and Healthcare Center · Asheboro · 2 stars
- Brunswick Rehabilitation and Healthcare Center · Bolivia · 1 stars
- Warsaw Rehabilitation and Healthcare Center · Warsaw · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 14 Yad Healthcare 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.