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Nursing HomeMedicaid Investigative

Fletcher Rehabilitation and Healthcare Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

86 Old Airport Road, Fletcher, NC 2873290 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 83 Google reviews

5
4
3
2
1
Fletcher Rehabilitation and Healthcare Center Nursing Home in Fletcher, NC — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (24 vs median 4.0)
  • High staff turnover (75%)
  • High RN turnover (78%)

Bottom 25% in NC · Below recommended RN staffing · Very high staff turnover · Worst in YAD HEALTHCARE chain · $67,600 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility offers a clean environment and strong rehab services, which many families appreciate. However, the recurring reports of understaffing and communication gaps are significant red flags. We strongly recommend that you visit during off-hours or weekends to observe staffing levels firsthand and ask for a clear plan on how they handle medication management and family updates.

Google Reviews

Google Reviews

83 reviews on Google
Fletcher Rehabilitation and Healthcare Center receives polarized feedback, with many reviewers praising the facility as clean, friendly, and effective for rehab, while others report severe concerns regarding neglect, understaffing, and poor communication. Families often highlight the compassionate nursing staff and engaging activities, but critical reports of delayed response times, medication errors, and unprofessional management persist. Potential families should be aware of the stark contrast between the positive experiences of some and the serious allegations of neglect from others.

Quality Themes

Tap a score for details
Food7.0Staff6.0Clean8.0Activities9.0Meds3.0Memory5.0Comms3.0ValueN/A

Strengths

  • Effective, results-oriented rehab therapy
  • Clean and well-maintained facility
  • Engaging daily activities for residents
  • Compassionate and attentive nursing staff

Concerns

  • Chronic understaffing leading to delayed response times (mentioned by 7 reviewers)
  • Poor communication with family members regarding medical status (mentioned by 4 reviewers)
  • Medication management errors or delays (mentioned by 3 reviewers)
  • Unprofessional or rude management/staff behavior (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(1)'21(13)'23(6)'25(12)'26(15)

Distribution · 87 analyzed

5
68
4
1
3
0
2
1
1
17
21 reviews posted between Jul 30, 2024Aug 1, 2024 · 21 were 5-star

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how well-maintained and clean the facility is; what specific cleaning protocols do you follow to keep the rooms and common areas so tidy?
  • 2We noticed how much the team values feedback through their responses to online reviews; how does the management team use family input to improve day-to-day care?
  • 3What kind of daily activities or social events are planned to keep the residents engaged and active during the week?
  • 4With the focus on rehabilitation, how does the therapy team coordinate with the nursing staff to ensure a smooth recovery plan for residents?
  • 5How does the nursing team ensure that medication is administered accurately and on time, especially during shift changes?
  • 6What is the best way for us to stay in regular contact with the nursing staff to get updates on our loved one's medical status?

Personalized based on this facility's data


Key Review Excerpts

My Dad has been well taken care of. He has nurses, aides, he has been fed, offered activities, they have quite a few amenities for everyone.

Long-term resident's family · 2025★★★★★

The staff is great. They are caring, compassionate, and treat you like family. Activities keep you occupied and they are fun.

Rehab patient · 2025★★★★★

My father is here. They ran out of his scheduled pain meds and weren't going to give him any until my disabled mother brought some from home... what the hell?!

Long-term resident's family · 2023☆☆☆☆
Source: 83 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.62hrs
82%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
77%
Lower is better (< 30% = good)
RN Turnover
76%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility74.5%
Worse than Avg
Here
74.5%
US
93.4%
NC
91.7%
Henderson
97.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility26.8%
Worse than Avg
Here
26.8%
US
15.3%
NC
20.2%
Henderson
18.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.4%
Worse than Avg
Here
28.4%
US
19.5%
NC
21.5%
Henderson
27.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.6%
Better than Avg
Here
9.6%
US
14.4%
NC
16.4%
Henderson
15.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.4%
Mixed vs Avgs
Here
10.4%
US
12.1%
NC
5.4%
Henderson
5.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility22.9%
Worse than Avg
Here
22.9%
US
19.4%
NC
21.0%
Henderson
21.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility30.4%
Worse than Avg
Here
30.4%
US
81.8%
NC
80.1%
Henderson
88.5%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility57.5%
Worse than Avg
Here
57.5%
US
79.7%
NC
78.1%
Henderson
88.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
US
1.6%
NC
1.5%
Henderson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

21deficiencies
2penalties
Well above state avg (5.6)
21 complaint-triggered
$67,600 in fines

This facility has significant concerns with 20 complaint-triggered deficiencies where families filed reports about care problems. The most recurring issues involve medication management, nursing staffing adequacy, and safety hazards. Problems with pressure ulcer care, respiratory care, and resident assessments appear repeatedly across multiple surveys from 2022-2025, indicating persistent quality issues that families should carefully evaluate before considering placement.

Mar 25, 2026Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Dec 12, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jun 2, 2025Complaint
8
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

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

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure 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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Jun 2, 2025Routine
11
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0641Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0726Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor 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.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0636Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 27, 2025Complaint
4
0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure 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.

Feb 2, 2024Routine
3
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Federal Penalties

Fine

Dec 12, 2025

$8,788

Fine

Mar 27, 2025

$54,080

Ownership & Operations

Who Operates This Facility

Owner / Operator

Fletcher Rehabilitation and Healthcare Center

Organization Type

for profit

Chain Affiliation

Chain Name

Yad Healthcare

Chain Size

13 facilities nationwide

Chain avg rating: 1.8/5 · Rank 6 of 12 (Worst)

Ownership & Management

Owners

Fletcher Holdings I LLC

Owner · Organization

100%

West Nc Holdings LLC

Owner (parent company) · Organization

Alter, Tzvi

Owner (parent company)

Key personnel

Lane, TimothyManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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