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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Flesher’s Fairview Rest Home is a 64-bed assisted living community at 3016 Cane Creek Road, Fairview, Buncombe County, North Carolina,, rated 3 out of 5 overall by the North Carolina Department of Health and Human Services, Division of Health Service Regulation, and ranked 40th (tied) among 138 homes in the state. In operation since 1964, the facility offers assisted living, medical care, and nursing and rehabilitative care, accepting both Medicaid and Medicare.
Across nine inspections from December 2014 through June 2025, the facility accumulated 3.4 deficiencies per year, 35 percent better than the North Carolina average of 5.2. That record has improved noticeably in the most recent cycle.
The follow-up construction survey concluded June 16, 2025, found zero deficiencies and confirmed all previously cited issues corrected. Before that, a Construction Section Biennial Survey on April 30, 2025, cited 4 deficiencies: ceiling maintenance failures in the laundry room and exhaust fan grille, improperly stored oxygen bottles, incomplete fire rehearsal logs, and an unsecured light fixture in Room 23. The July 2023 annual inspection, which included a complaint investigation, produced 2 deficiencies, one of them a substantiated complaint in which Resident 4’s television remote was removed from her room, causing distress. The same inspection found failure to notify Resident 3’s family within 48 hours of multiple falls.
The May 2022 annual inspection cited improper medication recording and COVID-19 infection control lapses including absent visitor screening and inconsistent staff mask use. Earlier construction surveys in 2019 and 2017 flagged recurring issues with unsecured oxygen cylinders, fire-wall penetrations, missing grab bars, and odor control; a 2019 annual inspection added a physician-order compliance failure involving a CPAP and oxygen prescription. A 2016 annual inspection cited third-shift staffing insufficiency and failure to maintain administrator presence within regulatory distance. No fines or enforcement actions appear in the available record.
Current occupancy is 23 of 64 beds, or 36 percent, well below the North Carolina average of 76.4 percent. The facility sits in Fairview, an unincorporated community roughly 12 miles southeast of Asheville, with Mission Hospital serving as the primary nearby acute-care resource.
The clean June 2025 follow-up is encouraging; families should still ask about the April 2025 oxygen storage and fire safety corrections and fall notification protocols.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 60th out of 90 homes in North Carolina. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 46m per day |
The facility offers a selection of spacious suites, private and semi-private units with generous closet and storage space, and residents may bring their own furnishings.
Lower than the North Carolina average: 76.4%In North Carolina, the Department of Health and Human Services, Division of Health Service Regulation conducts unannounced surveys to ensure nursing and adult care homes meet safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the North Carolina state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 24 | 46 | This facility has 48% fewer total deficiencies than a typical North Carolina nursing home (24 vs. NC avg 46).↓ 48% better |
|
Deficiencies per year
Average deficiencies per year since 2014.
| 2 | 3.8 | This facility has 47% fewer deficiencies per year than a typical North Carolina nursing home (2 vs. NC avg 3.8).↓ 47% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.3 | 2.2 | This facility has 41% fewer deficiencies per inspection than a typical North Carolina nursing home (1.3 vs. NC avg 2.2).↓ 41% better |
Inspections
| This Facility | NC Average | vs. NC Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 21 | This facility has 10% fewer total inspections than a typical North Carolina nursing home (19 vs. NC avg 21).↓ 10% better |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
| 15 | 19 | This facility has 21% fewer inspections with deficiencies than a typical North Carolina nursing home (15 vs. NC avg 19).↓ 21% better |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
| 79% | 90% | This facility has 11 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (79% vs. NC avg 90%).↓ 11% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on June 16, 2025, found no deficiencies and confirmed correction of previously cited issues. Earlier inspections noted recurring deficiencies related to building maintenance and safety hazards, such as unsecured oxygen bottles, fire safety concerns, and unclean ceilings. Prior reports also cited issues with resident rights, medication administration, infection control, and staffing presence during certain shifts. Complaint investigations included one substantiated case involving removal of a resident’s television remote control, causing distress. The facility appears to have addressed prior deficiencies over time, with the latest follow-up showing improvements in compliance and no new citations.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsNorth Carolina average 4
Last Health inspection on Sep 2025
North Carolina average 20.9
North Carolina average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
24 of 38 citations resulted from standard inspections; and 14 of 38 came from combined inspections (standard and complaint).
100% better than North Carolina averageNorth Carolina average: 1.3
567% worse than North Carolina averageNorth Carolina average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with North Carolina average
14% worse than North Carolina average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,331 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 34 | 0 | 34 | 7,770 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 16 | 0 | 16 | 3,831 | 92 | 100% | 7.8 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 1,721 | 84 | 91% | 7.3 |
| Registered Nurse | 11 | 0 | 11 | 1,434 | 92 | 100% | 6 |
| Nurse Aide in Training | 3 | 0 | 3 | 618 | 86 | 93% | 4.6 |
| Dietitian | 1 | 0 | 1 | 518 | 59 | 64% | 8.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 504 | 66 | 72% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 497 | 61 | 66% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 483 | 58 | 63% | 8.3 |
| Administrator | 1 | 0 | 1 | 453 | 56 | 61% | 8.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 410 | 53 | 58% | 7.6 |
| Qualified Social Worker | 0 | 3 | 3 | 400 | 60 | 65% | 6.5 |
| Physical Therapy Aide | 0 | 5 | 5 | 208 | 46 | 50% | 4.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 149 | 38 | 41% | 3.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 80 | 13 | 14% | 6.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 39 | 9 | 10% | 4.3 |
| Medical Director | 0 | 1 | 1 | 26 | 13 | 14% | 2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 4 | 4% | 5 |
Includes penalties issued in 2024-2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
87% lower than North Carolina averageNorth Carolina average: $76K
57% fewer fines than North Carolina averageNorth Carolina average: 2.3
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
159% more payment denials than North Carolina averageNorth Carolina average: 0.4
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Sep 22, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 6, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
17.9
56% worse than North Carolina averageNorth Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.7
44% worse than North Carolina averageNorth Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
34.3%
95% worse than North Carolina averageNorth Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
35.7%
53% worse than North Carolina averageNorth Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.2%
10% better than North Carolina averageNorth Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
11.5%
217% worse than North Carolina averageNorth Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.1%
83% better than North Carolina averageNorth Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
2.3%
14% better than North Carolina averageNorth Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
6.8%
8% better than North Carolina averageNorth Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
5.1%
15% worse than North Carolina averageNorth Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
19.0%
42% worse than North Carolina averageNorth Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
6% better than North Carolina averageNorth Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than North Carolina averageNorth Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
70.7%
12% worse than North Carolina averageNorth Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
15.0%
907% worse than North Carolina averageNorth Carolina average: 1.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
29% of new residents, usually for short-term rehab.
47% of new residents, often for short stays.
24% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
53Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Flesher’s Fairview Rest Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #87 / 97Payroll — State benchmarkedThis home is ranked 87th out of 97 homes in North Carolina. Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Fairview's city center to Flesher’s Fairview Rest Home's address, calculated via Google Maps.
Add your location
Flesher’s Fairview Rest Home is located in Fairview, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| Carol Woods |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Chapel Hill (Carol Woods) | 119 | 76.7% | 0% | 5.94 | +239% | +49% | $0 | 7 | 3.5 | - | 23 | A+ | 13 | The Chapel Hill Residential Retirement Center, Inc. | $46.7M | $18.0M | 38.5% | 345199 | ||||
| Brookdale Carriage Club Providence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Charlotte (Olde Providence North) | 77 | 71.5% | -6% | 8.12 | +78% | +104% | $0 | 11 | 3.7 | - | 8 | A+ | 12 | Bkd Fm Holding Company LLC | $7.1M | $8.1M | 114.8% | 345482 | ||||
| Pineville Rehabilitation & Living Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Pineville (Lakeview Drive) | 106 | 68.3% | -11% | 3.96 | +39% | 0% | $116.0k | 45 | 9.0 | 3 | 84 | A+ | 25 | Ncnh Holdings LLC | $12.1M | $5.7M | 47% | 345415 | ||||
| Walnut Ridge |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Walnut Cove (Windmill Street) | 63 | 100.0% | +31% | 3.12 | -50% | -22% | $40.1k | 23 | 4.6 | 3 | 63 | A+ | 50 | Nita Davis | $12.9M | $3.9M | 29.9% | 345089 | ||||
| Flesher’s Fairview Rest Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fairview | 64 | 35.9% | -53% | 3.71 | +21% | -7% | $10.0k | 38 | 12.7 | 6 | 23 | - | 19 | Susan Cole | $5.9M | $4.1M | 70.1% | 345413 |
Flesher’s Fairview Rest Home has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to NC state health department records, Flesher’s Fairview Rest Home's license number is HAL-011-005.
Flesher’s Fairview Rest Home's occupancy is 36%.
Flesher’s Fairview Rest Home received a 3-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Flesher’s Fairview Rest Home has 64 beds.
Flesher’s Fairview Rest Home is located at 3016 Cane Creek Road Fairview, NC 28730.
(828) 628-2800 will put you in contact with the team at Flesher’s Fairview Rest Home.
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