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Graham Healthcare and Rehabilitation Center

All states › North Carolina › Robbinsville › Graham Healthcare and Rehabilitation Center

811 Snowbird Road Robbinsville, NC 28771 · Graham County

(828) 479-8421

Cited for abuse Accepts Medicare Accepts Medicaid 80 certified beds For profit

CMS certification number 345355 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on 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 Graham Healthcare and Rehabilitation 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 Graham Healthcare and Rehabilitation 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 $13,870 in fines, in that time. For short-term rehab patients CMS rates quality 3 out of 5; for long-term residents, 3 out of 5. CMS currently shows its abuse icon for this home (see above).

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 4.03 hours per resident per day at Graham Healthcare and Rehabilitation Center, above the North Carolina median of 3.57 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 3.38 hours, 16% below its all-week average. Ask how weekends are staffed. 65.6% 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. 2 administrators left in the past year.

Nursing care per resident per day 4.03 hours
Above the North Carolina median of 3.57 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.81 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.38 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 65.6% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 2 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds80
Residents per day 56 About 70% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1991
Part of a chainPrinciple Long Term Care
Legal business nameGRANITE FALLS LTC, LLC

Paying for care at Graham Healthcare and Rehabilitation Center: Medicare and Medicaid

Graham Healthcare and Rehabilitation 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 March 5, 2026 and found 4 deficiencies, plus 2 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 Graham Healthcare and Rehabilitation Center across 5 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 28, 2026. The most common areas cited were resident assessment and care planning (4) and freedom from abuse, neglect, and exploitation (3). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, May 28, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

May 28, 2026 · 2 citations · includes complaint inspection

GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (May 7, 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 · Past Non-Compliance (May 7, 2026)

March 5, 2026 · 4 citations

EEnsure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0757 · Deficient, Provider has date of correction (Apr 1, 2026)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 1, 2026)

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 (Apr 1, 2026)

DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0756 · Deficient, Provider has date of correction (Apr 1, 2026)

December 19, 2024 · 4 citations

ECoordinate 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 25, 2025)

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 25, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jan 25, 2025)

DEducate 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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0887 · Deficient, Provider has date of correction (Jan 25, 2025)

July 18, 2024 · 1 citation · includes complaint inspection

DProtect each resident from the wrongful use of the resident's belongings or money.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 · Complaint inspection · Past Non-Compliance (May 6, 2024)

July 20, 2023 · 5 citations

DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Aug 11, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 11, 2023)

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 (Aug 11, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Aug 11, 2023)

DSet 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 (Aug 11, 2023)

Questions to ask on a tour of Graham Healthcare and Rehabilitation Center

  1. Inspectors cited the home at the actual-harm level on May 28, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 28, 2026. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. Nursing staff turnover was 65.6% a year. How many of the staff come from agencies?
  5. Several administrators left in the past year. What has changed for residents since then?
  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 $13,870 in fines.

DateTypeAmount or length
May 28, 2026 Fine $13,870

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 3/5
August 2026 2/5 2/5 3/5 3/5
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Location

Hospitals near Graham Healthcare and Rehabilitation 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

Valley View Care and Rehabilitation Andrews · 8.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 76 beds · Medicaid
Clay County Health and Rehabilitation Hayesville · 18.6 mi away ★★☆☆☆ Inspection 2/5 · Staffing 2/5 90 beds · Medicaid
Mountain View Manor Nursing Center Bryson City · 21.0 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 120 beds · Medicaid
Macon Valley Nursing and Rehabilitation Center Franklin · 23.8 mi away ★★★☆☆ Inspection 3/5 · Staffing 3/5 200 beds · Medicaid
Murphy Rehabilitation & Nursing Murphy · 24.3 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 134 beds · Medicaid

More nursing homes near Graham Healthcare and Rehabilitation Center ›   All nursing homes in Robbinsville ›

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Other Principle Long Term Care nursing homes in North Carolina

Affiliation comes from CMS's affiliated-entity data, October 2026. All 37 Principle Long Term Care 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/robbinsville/graham-healthcare-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.