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Flesher’s Fairview Rest Home
Nursing Home, Assisted Living & Skilled Nursing · Fairview, NC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Flesher’s Fairview Rest Home

Nursing Home, Assisted Living & Skilled Nursing · Fairview, NC
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
3016 Cane Creek Road Fairview, Nc 28730, Fairview, NC 28730 View map
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Flesher’s Fairview Rest Home accepts Medicaid, Medicare, and private pay.
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Flesher’s Fairview Rest Home accepts Medicaid, Medicare, and private pay.

Overview of Flesher’s Fairview Rest Home

Fairview, North Carolina is located about 12 miles southeast of Asheville, and Flesher’s Fairview Rest Home has been open there since 1964. This 64-bed home for seniors is in a part of the county where people must use cars to get around, as most errands require driving instead of walking. Mission Hospital in Asheville is the nearest large hospital if the people living there ever need serious medical help.

At the home, people can get help with exercises to get stronger and see a doctor who works there, along with special nursing and healing programs. The total time nurses spend with each person is a little less than four hours every day, which is divided among different types of trained nursing staff. A health program is the main part of the daily schedule, and the building provides rides, cleaning, and laundry for the people who live there.

Flesher’s takes government health insurance and private money, which gives families many choices for how they want to pay for their time at the home. Right now, only 23 of the 64 beds are being used, which means the building is 36 percent full. When state workers check the building, they often look at fire safety, how clean the environment is, how well people’s rights are protected, and how to stop people from falling or getting hurt.

Because of the nursing time, the exercise programs, and the nearby hospital, this place is designed for medical help and getting better rather than living on your own. Being in the same small community for sixty years means the home has many memories, which come from helping many members of the same families over a very long time.

Facility Direct Line (828) 628-2800

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 28.5% Below NC avg. ▼ 28.5% Below NC avg.NC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▼ 64.6% Below NC avg. ▼ 64.6% Below NC avg.NC average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 88.0% Above NC avg. ▲ 88.0% Above NC avg.NC average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 5.5% Below NC avg. ▼ 5.5% Below NC avg.NC average: 3.2Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs North Carolina averages

Rank #30 / 83Nurse hours — State benchmarkedThis nursing home is ranked 30th out of 83 nursing homes we track in North Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 83 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This nursing home is ranked 30th out of 83 nursing homes we track in North Carolina for nurse hours. 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.

4h 38m

16% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 7m
+74% State avg: 38m per day · National avg: 42m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
1h 3m
+15% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
2h 28m
Avg State avg: 2h 26m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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.
3h 56m
+11% State avg: 3h 33m per day · National avg: 3h 31m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
−60% State avg: 5m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
35m
+43% State avg: 24m per day · National avg: 29m per day

1 of 6 metrics below state avg

Standout metric: Registered Nurse (RN) is +74% above North Carolina average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 64 Rank #56 / 80Bed count — State benchmarkedThis nursing home is ranked 56th out of 80 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #76 / 112Walk Score — State benchmarkedThis nursing home is ranked 76th out of 112 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
19 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #70 / 72Occupancy rate — State benchmarkedThis nursing home is ranked 70th out of 72 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 72. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
35.9% This home usually has availability
Lower than the North Carolina average: 81.3%
Occupied beds
23 / 64
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
340 days

About this community

License Details

StatusActive
CountyBuncombe
License NumberHAL-011-005

Safety & Compliance

Safety FeaturesElectronic security system for memory-impaired residents.

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
Doctor on Staff

Additional Policies & Features

Pets not allowed
Admission CriteriaBased on need for the type of care provided.

Amenities & Lifestyle

Transportation
Housekeeping
Laundry
Activities
Wellness Programnutritional services planned by a registered dietitian, specialized dining needs, assisted dining needs
Specific ProgramsMedical Care, Nursing & Rehabilitative Care
Touring Hours8 a.m.-4 p.m.

Performance summary

Key indicators of commitment to quality care and safety.

Ratings

Overall Rating
3 / 5

Based on the North Carolina Department of Health and Human Services, Division of Health Service Regulation surveys measuring health inspections, staffing, and quality measures.

Ranked 40th (tied) of 138 homes in North Carolina See full North Carolina ranking
Division Of Health Service Rating
3/4

North Carolina average: 3 stars See full North Carolina ranking

Scores

DHSR Score
101.00 / 200

Quality score (0-200). Higher scores indicate better performance in inspections and compliance.

North Carolina average: 98 See full North Carolina ranking

Contact Flesher’s Fairview Rest Home

This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.

Inspection History

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.

Since 2014 · 12 years of data These figures come from state-published data and the state inspection reports we hold on file. The period covered can vary depending on document availability.
Includes all inspection records for this property, which could include management/ownership changes. 24 deficiencies 9 inspections 0 penalties 15 inspections with deficiencies

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2014 vs. North Carolina state average
Overall vs. NC average 0 Worse No metrics in this bucket. 4 Better Metrics better than North Carolina average:
• Total deficiencies (48% below)
• Deficiencies per inspection (46% below)
• Inspections with deficiencies (58% below)
• Inspection deficiency rate (3% below)

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityNC Averagevs. NC Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 2446.0 This facility has 48% fewer total deficiencies than a typical North Carolina nursing home (24 vs. NC avg 46).↓ 48% better
Deficiencies per inspection Info Average deficiencies per inspection. 2.75.0 This facility has 46% fewer deficiencies per inspection than a typical North Carolina nursing home (2.7 vs. NC avg 5).↓ 46% better

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNC Averagevs. NC Avg
Total inspections Info Combined count of all inspections conducted at this facility. 921.0 This facility has had 57% fewer total inspections than the North Carolina average (9 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 57% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 819.0 This facility has 58% fewer inspections with deficiencies than a typical North Carolina nursing home (8 vs. NC avg 19).↓ 58% better
Inspection deficiency rate Info Percentage of inspections that resulted in at least one deficiency. 89%92% This facility has 3 percentage points lower inspection deficiency rate than a typical North Carolina nursing home (89% vs. NC avg 92%).↓ 3% better
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

State average 3.9

Last Health inspection on Sep 2025

Total health citations
38 Rank #76 / 83Health citations — State benchmarkedThis nursing home is ranked 76th out of 83 nursing homes we track in North Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the North Carolina State average, with a ranking across all 83 NC facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 19.3

Citations per inspection
12.67 Rank #83 / 83Citations per inspection — State benchmarkedThis nursing home is ranked 83rd out of 83 nursing homes we track in North Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 83 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average 4.68

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

31 of 38 citations resulted from standard inspections; and 7 of 38 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than State average

State average: 1.1

Serious health citations
6
567% worse than State average

State average: 0.9

0 critical citations State average: 1.1
6 serious citations State average: 0.9
29 moderate citations State average: 15.9
3 minor citations State average: 1.5
Citations history (last 3 years)
Abuse/Neglect moderate citation Sep 22, 2025
Corrected
Abuse/Neglect moderate citation Sep 22, 2025
Corrected
Administration moderate citation Sep 22, 2025
Corrected
Environmental moderate citation Sep 22, 2025
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 99
Employees 78
Contractors 21
Staff to resident ratio 1.87 : 1
5% more staff per resident than North Carolina average
North Carolina average ratio: 1.78 : 1 North Carolina average ratio: 1.78 : 1See full North Carolina ranking
Avg staff/day 30
Average shift 6.9 hours
14% worse than North Carolina average
North Carolina average: 8 hours North Carolina average shift: 8 hoursSee full North Carolina ranking
Total staff hours (quarter) 19,159

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 11 RN Staff are full-time employees. No contractors work on this role. 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 16 LPN Staff are full-time employees. No contractors work on this role. 16
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 34 CNA Staff are full-time employees. No contractors work on this role. 34
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

6.9%

1,331 contractor hours this quarter

Physical Therapy Aide: 5 Physical Therapy Assistant: 4 Speech Language Pathologist: 4 Qualified Social Worker: 3 Respiratory Therapy Technician: 2 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant340347,77092100%6.9
Licensed Practical Nurse160163,83192100%7.8
Clinical Nurse Specialist8081,7218491%7.3
Registered Nurse110111,43492100%6
Nurse Aide in Training3036188693%4.6
Dietitian1015185964%8.8
Other Dietary Services Staff2025046672%7.5
Nurse Practitioner1014976166%8.1
Mental Health Service Worker1014835863%8.3
Administrator1014535661%8.1
Speech Language Pathologist0444105358%7.6
Qualified Social Worker0334006065%6.5
Physical Therapy Aide0552084650%4.4
Respiratory Therapy Technician0221493841%3.9
Occupational Therapy Aide011801314%6.2
Physical Therapy Assistant04439910%4.3
Medical Director011261314%2
Occupational Therapy Assistant0112044%5
34 Certified Nursing Assistant
% of Days 100%
16 Licensed Practical Nurse
% of Days 100%
8 Clinical Nurse Specialist
% of Days 91%
11 Registered Nurse
% of Days 100%
View All Staffing Data

Penalties and fines

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)

Total fines amount $10K Rank #76 / 89Federal fines — State benchmarkedThis nursing home is ranked 76th out of 89 nursing homes we track in North Carolina for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the North Carolina average among facilities with fines, and where it ranks among 89 facilities in the pool. Lower total dollars mean a better rank.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
87% lower than North Carolina average

North Carolina average: $76K

Number of fines 1
57% fewer fines than North Carolina average

North Carolina average: 2.3

Payment Denials Info 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 average

North Carolina average: 0.4

Fines amount comparison
Fines amount comparison
This facility $10K
North Carolina average $76K
Penalty History

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.

Payment Denial Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. Sep 22, 2025
36 days
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 6, 2024
$10K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 average

North Carolina average: 11.5

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 29.7
44% worse than North Carolina average

North Carolina average: 20.6

Long-stay resident measures
Average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 34.3%
95% worse than North Carolina average

North Carolina average: 17.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 35.7%
53% worse than North Carolina average

North Carolina average: 23.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 19.2%
10% better than North Carolina average

North Carolina average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 11.5%
217% worse than North Carolina average

North Carolina average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.1%
83% better than North Carolina average

North Carolina average: 6.3%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.3%
14% better than North Carolina average

North Carolina average: 2.6%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.8%
8% better than North Carolina average

North Carolina average: 7.4%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.1%
15% worse than North Carolina average

North Carolina average: 4.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.0%
42% worse than North Carolina average

North Carolina average: 13.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
6% better than North Carolina average

North Carolina average: 91.6%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than North Carolina average

North Carolina average: 94.1%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.7%
12% worse than North Carolina average

North Carolina average: 79.9%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 15.0%
907% worse than North Carolina average

North Carolina average: 1.5%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

29% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

47% of new residents, often for short stays.

Typical stay 8 - 9 months

Medicaid

24% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 53
Medicare
6
11.3% of residents
Medicaid
40
75.5% of residents
Private pay or other
7
13.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 09/2023.

For-profit
Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$231.8K
For-profit Operated by a business corporation.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.8M Rank #80 / 84Net patient revenue — State benchmarkedThis nursing home is ranked 80th out of 84 nursing homes we track in North Carolina. Shows this facility's net patient revenue compared to the North Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$231.8K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$23.8K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #73 / 84Payroll costs — State benchmarkedThis nursing home is ranked 73rd out of 84 nursing homes we track in North Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$3.9M 57.1% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #20 / 84Payroll % of net patient revenue — State benchmarkedThis nursing home is ranked 20th out of 84 nursing homes we track in North Carolina. Shows payroll as a percentage of net patient revenue versus the North Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.1M
How we calculate these figures

This home is owned by Susan Cole

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 345413

Show certification details

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (47% of admissions), and a typical private pay stay runs around 8 - 9 months.

Admissions
49 total

Coverage residents most often arrive under.

Medicare 29%
Private pay 47%
Medicaid 24%
Discharges
61 total

Coverage residents most often leave under.

Medicare 10%
Private pay 35%
Medicaid 54%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Flesher’s Fairview Rest Home

Address 0.0 miles from city center Info Estimated distance in miles from Fairview's city center to Flesher’s Fairview Rest Home's address, calculated via Google Maps.

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The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.6% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Carolina Village ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
Hendersonville
60
Facility 60
NC AVG 92
Rank #60 / 80
79.8%
Facility 79.8%
NC AVG 81.3%
Rank #47 / 72
-2%
7.68
Facility 7.68
NC AVG 3.98
Rank #7 / 83
 ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ +43%+93%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
3
Facility 3
NC AVG 20.9
Rank #9 / 83
1.5
Facility 1.5
NC AVG 5.0
Rank #7 / 83
-46-
82
Facility 82
NC AVG 33
Rank #2 / 112
-
$32.3MFiscal year ending 03/2024
Facility $32.3MFiscal year ending 03/2024
NC AVG $15.7M
Rank #6 / 84
$16.4MFiscal year ending 03/2024
Facility $16.4MFiscal year ending 03/2024
NC AVG $8.2M
Rank #8 / 84
50.9%Fiscal year ending 03/2024
Facility 50.9%Fiscal year ending 03/2024
NC AVG 58.6%
Rank #34 / 84
345123
The Shaire Center ★ ★ ★ ★ ★
NH
AL
MC
PC
SNF
Lenoir
82
Facility 82
NC AVG 92
Rank #46 / 80
--
5.10
Facility 5.10
NC AVG 3.98
Rank #25 / 83
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ☆ -31%+28%
$0
Facility $0
NC AVG $74.6k
Rank #1 / 89
11
Facility 11
NC AVG 20.9
Rank #37 / 83
2.8
Facility 2.8
NC AVG 5.0
Rank #26 / 83
-50-
76
Facility 76
NC AVG 33
Rank #4 / 112
Katherine Haire
$6.5MFiscal year ending 12/2023
Facility $6.5MFiscal year ending 12/2023
NC AVG $15.7M
Rank #81 / 84
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
NC AVG $8.2M
Rank #69 / 84
68%Fiscal year ending 12/2023
Facility 68%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #12 / 84
345483
Walnut Ridge ★ ★ ☆ ☆ ☆
NH
AL
MC
Walnut Cove
63
Facility 63
NC AVG 92
Rank #58 / 80
100.0%
Facility 100.0%
NC AVG 81.3%
Rank #1 / 72
+23%
3.50
Facility 3.50
NC AVG 3.98
Rank #69 / 83
 ★ ★ ☆ ☆ ☆ ★ ★ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ -50%-12%
$40.1k
Facility $40.1k
NC AVG $74.6k
Rank #69 / 89
23
Facility 23
NC AVG 20.9
Rank #66 / 83
4.6
Facility 4.6
NC AVG 5.0
Rank #52 / 83
363A+
50
Facility 50
NC AVG 33
Rank #25 / 112
Nita Davis
$10.4MFiscal year ending 12/2023
Facility $10.4MFiscal year ending 12/2023
NC AVG $15.7M
Rank #66 / 84
$3.9MFiscal year ending 12/2023
Facility $3.9MFiscal year ending 12/2023
NC AVG $8.2M
Rank #74 / 84
37%Fiscal year ending 12/2023
Facility 37%Fiscal year ending 12/2023
NC AVG 58.6%
Rank #72 / 84
345089
Flesher’s Fairview Rest Home ★ ★ ☆ ☆ ☆
NH
AL
SNF
Fairview
64
Facility 64
NC AVG 92
Rank #56 / 80
35.9%
Facility 35.9%
NC AVG 81.3%
Rank #70 / 72
-56%
4.63
Facility 4.63
NC AVG 3.98
Rank #30 / 83
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +21%+16%
$61.3k
Facility $61.3k
NC AVG $74.6k
Rank #76 / 89
38
Facility 38
NC AVG 20.9
Rank #76 / 83
12.7
Facility 12.7
NC AVG 5.0
Rank #83 / 83
623-
19
Facility 19
NC AVG 33
Rank #76 / 112
Susan Cole
$6.8MFiscal year ending 09/2023
Facility $6.8MFiscal year ending 09/2023
NC AVG $15.7M
Rank #80 / 84
$3.9MFiscal year ending 09/2023
Facility $3.9MFiscal year ending 09/2023
NC AVG $8.2M
Rank #73 / 84
57.1%Fiscal year ending 09/2023
Facility 57.1%Fiscal year ending 09/2023
NC AVG 58.6%
Rank #20 / 84
345413
Twin Lakes Memory Care -
NH
ADC
AL
MC
SNF
Burlington
32
Facility 32
NC AVG 92
Rank #70 / 80
--------------
72
Facility 72
NC AVG 33
Rank #7 / 112
$2.7M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$2.1M*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.78%*Fiscal year ending 2021These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.345545

Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities

Nursing Home Explorer

Frequently Asked Questions about Flesher’s Fairview Rest Home

Is Flesher’s Fairview Rest Home in a walkable area?

Flesher’s Fairview Rest Home has a walk score of 19. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Flesher’s Fairview Rest Home?

According to NC state health department records, Flesher’s Fairview Rest Home's license number is HAL-011-005.

What is the occupancy rate at Flesher’s Fairview Rest Home?

Flesher’s Fairview Rest Home's occupancy is 35.9%.

Are pets allowed at Flesher’s Fairview Rest Home?

No, Flesher’s Fairview Rest Home has a no-pet policy.

Does Flesher’s Fairview Rest Home operate as a for-profit or non-profit?

Flesher’s Fairview Rest Home is registered as a for-profit in NC.

What is the overall rating for Flesher’s Fairview Rest Home?

Flesher’s Fairview Rest Home received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does Flesher’s Fairview Rest Home have?

Flesher’s Fairview Rest Home has 64 beds.

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