PlainNursing
CMS Nursing Home Compare · August 2026

Pisgah Manor Health Care Center

104 Holcombe Cove Road, Candler, NC 28715

Pisgah Manor Health Care Center, a 118-bed for profit - corporation nursing facility in Candler, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #312 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: 8286679851

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2 / 5
Below average · CMS overall · nat'l 3.0
#312 of 415
In-state rank among rated NC homes
2.86
Well below average · nurse hrs/day · nat'l 3.86
12
Inspection findings · 1 serious

The verdict

Pisgah Manor Health Care Center, a 118-bed for profit - corporation nursing facility in Candler, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #312 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
#312 of 415
In-state rank among rated NC homes
2.86
Nurse hrs/resident-day · national 3.86
12
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

2/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345393
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
118
Residents
105
In Hospital
No
County
Buncombe
Last Inspection
May 20, 2026

Staffing Data

How the 2.86 total nursing hours per resident-day are staffed:

RN Hours
0.76 (nat'l avg: 0.69)
LPN Hours
0.45
CNA Hours
1.65
Total Nursing Hours
2.86 (nat'l avg: 3.86)
PT Hours
0.06
Nursing Turnover
59.1%
RN Turnover
52.6%

What the CMS Record Reveals About Pisgah Manor Health Care Center

According to CMS Nursing Home Compare, Pisgah Manor Health Care Center ranks #312 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Pisgah Manor Health Care Center operates 118 certified beds in Candler, NC with approximately 105 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 3★).

The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $59K against this provider. Per resident day, this facility reports 2.86 total nursing hours (national average 3.86) and 0.76 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Pisgah Manor Health Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 59.1% (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 (12 most recent)

D - Isolated - Minimal harm May 20, 2026 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 23, 2026

E - Pattern - Minimal harm Apr 1, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 2, 2025

L - Widespread - Jeopardy Apr 1, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 2, 2025

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0686

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 6, 2023 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 2, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 2, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Jan 2, 2024

E - Pattern - Minimal harm Dec 6, 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: Jan 2, 2024

E - Pattern - Minimal harm Dec 6, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 2, 2024

E - Pattern - Minimal harm Dec 6, 2023 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 2, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 17.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.1% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 8.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 4.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 17.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.5% 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 97.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 20.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.9% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 27.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 81.6% No

Penalty History 1 penalties totaling $59K

Date Type Amount
Apr 1, 2025 Fine $59K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Pisgah Manor Health Care Center, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Pisgah Manor Health Care 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 118 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 Pisgah Manor Health Care Center?
Pisgah Manor Health Care Center has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (3★).
Where does Pisgah Manor Health Care Center rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Pisgah Manor Health Care Center ranks 312th among 415 rated nursing homes in NC (#312 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 Pisgah Manor Health Care Center?
Pisgah Manor Health Care Center reports 2.86 total nursing hours per resident day (national average: 3.86). RN hours are 0.76 per resident day (national average: 0.69). Nursing staff turnover is 59.1%.
How many beds does Pisgah Manor Health Care Center have?
Pisgah Manor Health Care Center has 118 certified beds with approximately 105 residents. The facility is located at 104 Holcombe Cove Road, Candler, NC 28715.
Does Pisgah Manor Health Care Center have any deficiencies on record?
Yes, Pisgah Manor Health Care Center has 12 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Pisgah Manor Health Care Center received any fines or penalties?
Yes, Pisgah Manor Health Care Center has received 1 penalties totaling $59K.
Who owns Pisgah Manor Health Care Center?
Pisgah Manor Health Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Pisgah Manor Health Care Center last inspected?
The most recent health inspection for Pisgah Manor Health Care Center was on May 20, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Pisgah Manor Health Care Center?
Pisgah Manor Health Care 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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