PlainNursing
CMS Nursing Home Compare · August 2026

Graham Healthcare and Rehabilitation Center

811 Snowbird Road, Robbinsville, NC 28771

Graham Healthcare and Rehabilitation Center, a 80-bed for profit - corporation nursing facility in Robbinsville, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #268 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8284798421

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2 / 5
Below average · CMS overall · nat'l 3.0
#268 of 415
In-state rank among rated NC homes
3.67
About average · nurse hrs/day · nat'l 3.86
16
Inspection findings · 1 serious

The verdict

Graham Healthcare and Rehabilitation Center, a 80-bed for profit - corporation nursing facility in Robbinsville, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #268 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#268 of 415
In-state rank among rated NC homes
3.67
Nurse hrs/resident-day · national 3.86
16
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345355
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
80
Residents
57
In Hospital
No
County
Graham
Last Inspection
Mar 5, 2026
Abuse citation on record

Staffing Data

How the 3.67 total nursing hours per resident-day are staffed:

RN Hours
0.61 (nat'l avg: 0.69)
LPN Hours
0.80
CNA Hours
2.26
Total Nursing Hours
3.67 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
70.0%
RN Turnover
60.0%

What the CMS Record Reveals About Graham Healthcare and Rehabilitation Center

According to CMS Nursing Home Compare, Graham Healthcare and Rehabilitation Center ranks #268 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Graham Healthcare and Rehabilitation Center operates 80 certified beds in Robbinsville, NC with approximately 57 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 3★).

The inspection file contains 16 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.67 total nursing hours (national average 3.86) and 0.61 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Graham Healthcare and Rehabilitation Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 70.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (16 most recent)

D - Isolated - Minimal harm May 28, 2026 Tag: 0607

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 7, 2026

G - Isolated - Actual harm May 28, 2026 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 7, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0756

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Mar 5, 2026 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Apr 1, 2026

E - Pattern - Minimal harm Mar 5, 2026 Tag: 0757

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

Category: Pharmacy Service Deficiencies

Corrected: Apr 1, 2026

D - Isolated - Minimal harm Dec 19, 2024 Tag: 0887

Educate 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.

Category: Infection Control Deficiencies

Corrected: Jan 25, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jan 25, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jan 25, 2025

E - Pattern - Minimal harm Dec 19, 2024 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 25, 2025

D - Isolated - Minimal harm Jul 18, 2024 Tag: 0602

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 6, 2024

D - Isolated - Minimal harm Jul 20, 2023 Tag: 0867

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

Category: Administration Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jul 20, 2023 Tag: 0656

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jul 20, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jul 20, 2023 Tag: 0584

Honor 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.

Category: Resident Rights Deficiencies

Corrected: Aug 11, 2023

D - Isolated - Minimal harm Jul 20, 2023 Tag: 0582

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

Category: Resident Rights Deficiencies

Corrected: Aug 11, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.8% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.4% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.5% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.2% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 3.2% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 38.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 95.8% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 8.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 94.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 65.9% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Graham Healthcare and Rehabilitation Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Graham Healthcare and Rehabilitation Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 80 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Graham Healthcare and Rehabilitation Center?
Graham Healthcare and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
Where does Graham Healthcare and Rehabilitation Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Graham Healthcare and Rehabilitation Center ranks 268th among 415 rated nursing homes in NC (#268 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Graham Healthcare and Rehabilitation Center?
Graham Healthcare and Rehabilitation Center reports 3.67 total nursing hours per resident day (national average: 3.86). RN hours are 0.61 per resident day (national average: 0.69). Nursing staff turnover is 70.0%.
How many beds does Graham Healthcare and Rehabilitation Center have?
Graham Healthcare and Rehabilitation Center has 80 certified beds with approximately 57 residents. The facility is located at 811 Snowbird Road, Robbinsville, NC 28771.
Does Graham Healthcare and Rehabilitation Center have any deficiencies on record?
Yes, Graham Healthcare and Rehabilitation Center has 16 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Graham Healthcare and Rehabilitation Center received any fines or penalties?
No, Graham Healthcare and Rehabilitation Center has no fines or penalties on record.
Who owns Graham Healthcare and Rehabilitation Center?
Graham Healthcare and Rehabilitation Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Graham Healthcare and Rehabilitation Center last inspected?
The most recent health inspection for Graham Healthcare and Rehabilitation Center was on Mar 5, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Graham Healthcare and Rehabilitation Center?
Graham Healthcare and Rehabilitation Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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