Inspection Reports for Flesher’s Fairview Rest Home
3016 Cane Creek Road Fairview, NC 28730, Fairview, NC, 28730
Back to Facility ProfileDeficiencies (last 7 years)
Deficiencies (over 7 years)
3.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% better than North Carolina average
North Carolina average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Follow-Up
Deficiencies: 0
Date: Jun 16, 2025
Visit Reason
Follow Up Construction Survey by Documentation to verify correction of previously cited deficiencies.
Findings
All previously cited deficiencies have been corrected based on documentation received, and no further action is required at this time.
Inspection Report
Capacity: 64
Deficiencies: 4
Date: Apr 30, 2025
Visit Reason
The inspection was a Construction Section Biennial Survey conducted to assess compliance with the 1967 NC State Building Code, the 1971 Minimum and Desired Standards and Regulations for Homes for the Aged and Infirm, and the applicable portions of the 2005 Rules for Adult Care Homes of Seven or More Beds.
Findings
Multiple deficiencies were cited including unclean and unrepaired ceilings, improperly stored oxygen bottles presenting hazards, incomplete fire safety rehearsal logs, and unsecured electrical fixtures posing safety risks.
Deficiencies (4)
Ceilings were not kept clean and in good repair, including heavy dust accumulation on exhaust fan grille, large crack in laundry room sheetrock with unfinished patch and yellow water stains, and a broken ceiling tile in corridor outside the Chapel.
Facility was not maintained free from hazards due to improperly stored oxygen bottles without restraint to prevent falling or being knocked over.
Fire rehearsal logs did not include a short description of what the rehearsal involved as required.
Electrical equipment was not maintained in a safe and operating condition; unsecured electrical fixtures could cause injury if detached and fell on occupants, specifically a front light fixture in Room 23 was not secure to the ceiling.
Report Facts
Licensed capacity: 64
Inspection Report
Annual Inspection
Deficiencies: 2
Date: Jul 20, 2023
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey and a complaint investigation from 07/20/23 through 07/21/23.
Complaint Details
Complaint investigation included regarding removal of Resident #4's television remote control causing distress and lack of sound on the television.
Findings
The facility failed to ensure the rights of Resident #4 related to the removal of her television remote control from her room, causing distress and lack of sound on the television. Additionally, the facility failed to notify the responsible party of Resident #3 within 48 hours of multiple falls without injury.
Deficiencies (2)
Failed to ensure Resident #4's rights related to removal of television remote control from her room.
Failed to notify responsible party of Resident #3 within 48 hours of falls without injury.
Report Facts
Dates of falls without injury: 5
Timeframe of survey: 2
Inspection Report
Annual Inspection
Deficiencies: 2
Date: May 3, 2022
Visit Reason
The Adult Care Licensure Section and the Buncombe County Department of Social Services conducted an annual and follow-up survey on 05/03/22 and 05/04/22.
Findings
The facility failed to ensure proper medication administration practices, including immediate recording and observation of residents taking medications. Additionally, the facility did not maintain infection prevention and control policies consistent with CDC and NCDHHS guidelines during the COVID-19 pandemic, including failure to screen visitors and enforce face mask use among staff.
Deficiencies (2)
Medication aide did not record administration of morning medications immediately after administration and did not observe a resident taking medications.
Facility failed to maintain infection prevention and control policies consistent with CDC and NCDHHS guidelines, including lack of visitor screening and inconsistent use of face masks by staff.
Report Facts
Sampled residents: 3
Medications administered: 4
Date of last visitor screening: Apr 8, 2022
Inspection Report
Capacity: 64
Deficiencies: 6
Date: Mar 29, 2019
Visit Reason
The report documents a Construction Section Biennial Survey conducted on March 29, 2019, to assess compliance with building codes and standards applicable to the facility.
Findings
Multiple deficiencies were cited including lack of hand grips in bathrooms, poor housekeeping with dust accumulation and unpleasant odors, unsecured oxygen cylinders posing hazards, fire safety issues such as unsealed penetrations and poorly maintained smoke doors, and the presence of prohibited portable electric heaters.
Deficiencies (6)
Facility failed to provide all commodes, tubs, and showers accessible to residents with hand grips; loose grab bar in bathroom near Bedroom 2.
Building mechanical systems not kept clean and in good repair; excessive dust/lint in mop room ventilation system.
Facility failed to prevent chronic unpleasant odors; strong pet odor in Activity Office.
Oxygen cylinders not physically secured in racks or chained, posing hazard if they fall and break valves.
Building fire safety not maintained; gaps around cable bundles, unapproved vinyl caulk used for firestopping, holes not firestopped, and smoke tight corridor doors not maintained.
Use of portable electric heaters prohibited; portable electric heater found in Basement Maintenance Office.
Report Facts
Total licensed capacity: 64
Number of oxygen cylinders unsecured: 6
Gap size in corridor door: 0.125
Inspection Report
Annual Inspection
Deficiencies: 1
Date: Jan 9, 2019
Visit Reason
The Adult Care Licensure Section conducted an annual and follow-up survey on 01/09/19 to 01/10/19 to assess compliance with health care regulations.
Findings
The facility failed to ensure physician orders were implemented for 1 of 3 sampled residents (Resident #2) regarding the use of Continuous Positive Airway Pressure (CPAP) with 4L of oxygen at bedtime. Despite documented orders and staff training, the resident was not receiving oxygen with the CPAP machine as ordered.
Deficiencies (1)
Failure to ensure physician orders were implemented for CPAP with 4L oxygen at bedtime for Resident #2.
Report Facts
Residents sampled: 3
Oxygen flow rate: 4
Dates of survey: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Resident Care Coordinator (RCC) | Interviewed regarding Resident #2's care and CPAP use | |
| Licensed Health Professional Support (LHPS) nurse | Trained staff on CPAP machine use with oxygen; interviewed about training and staff competency | |
| Second shift Medication Aide | Interviewed about administration of CPAP and oxygen to Resident #2 | |
| Administrator | Interviewed regarding staff training and facility experience with CPAP machines |
Inspection Report
Capacity: 64
Deficiencies: 4
Date: Feb 28, 2017
Visit Reason
The visit was a Construction Section Biennial Survey to ensure the facility meets applicable building codes and adult care home regulations.
Findings
The survey found deficiencies including dry waste traps allowing odors and bacteria entry, lack of onsite key to maintenance room initially, and compromised one-hour fire rated walls and ceilings with unsealed penetrations in the Administrator's office and private dining room.
Deficiencies (4)
Waste trap for the hopper had been allowed to become dry, allowing noxious odors and possibly harmful bacteria to enter the facility.
No key onsite to allow entry into the lower floor maintenance room to survey for hazards; key was later retrieved off-site and room surveyed.
Required one-hour fire rated walls and/or ceilings were compromised with unsealed penetrations in the ceiling of the Administrator's office.
Required one-hour fire rated walls and/or ceilings were compromised with unsealed penetrations in the ceiling of the private dining room.
Report Facts
Total licensed capacity: 64
Inspection Report
Annual Inspection
Census: 23
Deficiencies: 1
Date: Dec 21, 2016
Visit Reason
The Adult Care Licensure Section conducted an annual survey on December 20, 2016 and December 21, 2016 to assess compliance with regulations for the facility.
Findings
The facility failed to ensure that an administrator or administrator-in-charge was present in or within 500 feet of the facility with two-way telecommunication during the third shift. Staffing was insufficient on third shift, with only one staff member present instead of the required two, and the facility relied on a nearby skilled nursing facility to meet the administrator presence requirement.
Deficiencies (1)
Failed to ensure an administrator or administrator-in-charge was in the facility or within 500 feet with two-way telecommunication at all times during third shift.
Report Facts
Residents present during inspection: 23
Staff on third shift: 1
Date of staff resignation: Oct 14, 2016
Inspection Report
Capacity: 64
Deficiencies: 4
Date: Dec 16, 2014
Visit Reason
Biennial Construction Survey conducted to assess compliance with building codes and standards applicable to adult care homes.
Findings
The facility was found to have multiple deficiencies including compromised one-hour fire rated walls and ceilings, corridor doors not resistant to fire and smoke, lack of exhaust ventilation in the housekeeping/mop closet, and absence of hand grips at tubs accessible on two sides, all of which present safety and health risks.
Deficiencies (4)
Unsealed wire penetrations in corridor ceilings, holes in ceilings in various rooms, and openings between mop room and bathroom compromising fire rated walls and ceilings.
Corridor doors not resistant to fire and smoke, including a vent cut through the mop room door and a door to the main office that does not fit properly.
No exhaust ventilation system provided in the housekeeping/mop closet, risking unhealthy build-up of moisture and fumes.
No hand grips provided at the tub accessible on two sides on the East and West Halls, increasing risk of resident falls.
Report Facts
Total licensed beds: 64
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