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.
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Flesher’s Fairview Rest Home accepts Medicaid, Medicare, and private pay.

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 24 deficiencies 19 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. 5 Better Metrics better than North Carolina average:
• Total deficiencies (48% below)
• Deficiencies per year (47% below)
• Deficiencies per inspection (41% below)
• Inspections with deficiencies (21% below)
• Inspection deficiency rate (12% below)
Latest Inspection June 16, 2025 Follow Up

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 This facility has 48% fewer total deficiencies than a typical North Carolina assisted living residence (24 vs. NC avg 46).↓ 48% better
Deficiencies per year Info Average deficiencies per year since 2014. 23.8 This facility has 47% fewer deficiencies per year than a typical North Carolina assisted living residence (2 vs. NC avg 3.8).↓ 47% better
Deficiencies per inspection Info Average deficiencies per inspection. 1.32.2 This facility has 41% fewer deficiencies per inspection than a typical North Carolina assisted living residence (1.3 vs. NC avg 2.2).↓ 41% 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 routine and focused inspections. Excludes complaint investigations. 1921 This facility has had 10% fewer total inspections than the North Carolina average (19 vs. NC avg 21). More inspections can mean more regulatory scrutiny rather than worse care.↓ 10% fewer
Inspections with deficiencies Info Inspections that resulted in at least one regulatory deficiency. 1519 This facility has 21% fewer inspections with deficiencies than a typical North Carolina assisted living residence (15 vs. NC avg 19).↓ 21% better
Inspection deficiency rate Info 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 assisted living residence (79% vs. NC avg 90%).↓ 11% better

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • June 16, 2025 follow-up survey confirmed all previously cited deficiencies were corrected with no further action required.
  • April 30, 2025 inspection cited four deficiencies including unclean ceilings, improperly stored oxygen bottles, incomplete fire safety logs, and unsecured electrical fixtures posing safety hazards.
  • July 20, 2023 complaint investigation substantiated failures to protect resident rights and notify responsible parties after falls without injury.

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A


Last Health inspection on Sep 2025

Total health citations
38 Rank #89 / 101Health citations — State benchmarkedThis home is ranked 89th out of 101 homes 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 101 NC facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
12.67 Rank #101 / 101Citations per inspection — State benchmarkedThis home is ranked 101st out of 101 homes in North Carolina for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 101 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
6
In line with State average

State average: N/A

0 critical citations State average: N/A

6 serious citations State average: N/A

29 moderate citations State average: N/A

3 minor citations State average: N/A
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

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
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 30
Average shift 6.9 hours
0% compared with State average

State average: 0 hours

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%
3 Nurse Aide in Training
% of Days 93%
1 Dietitian
% of Days 64%
2 Other Dietary Services Staff
% of Days 72%
1 Nurse Practitioner
% of Days 66%
1 Mental Health Service Worker
% of Days 63%
1 Administrator
% of Days 61%
4 Speech Language Pathologist
% of Days 58%
3 Qualified Social Worker
% of Days 65%
5 Physical Therapy Aide
% of Days 50%
2 Respiratory Therapy Technician
% of Days 41%
1 Occupational Therapy Aide
% of Days 14%
4 Physical Therapy Assistant
% of Days 10%
1 Medical Director
% of Days 14%
1 Occupational Therapy Assistant
% of Days 4%

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 #86 / 105Federal fines — State benchmarkedThis home is ranked 86th out of 105 homes 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 105 facilities in the pool. Lower total dollars mean a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
87% lower than State average

State average: $76K

Number of fines 1
57% fewer fines than State average

State 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 State average

State average: 0.4

Fines amount comparison
Fines amount comparison
This facility $10K
State 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 State average

State 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 State average

State average: 20.6

Long-stay resident measures
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 State average

State average: 17.5%

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

State 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 State average

State 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 State average

State 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 State average

State average: 6.3%

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

State average: 2.6%

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

State average: 7.4%

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

State average: 4.4%

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

State average: 13.4%

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

State average: 91.6%

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

State 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 State average

State average: 79.9%

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

State average: 1.5%

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.

Finances and operations

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

For-profit
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 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 #102 / 104Revenue — State benchmarkedThis home is ranked 102nd out of 104 homes in North Carolina for Revenue. Shows this facility's annual revenue compared to the North Carolina average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #95 / 104Payroll — State benchmarkedThis home is ranked 95th out of 104 homes in North Carolina for Payroll. 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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 #4 / 104Payroll % — State benchmarkedThis home is ranked 4th out of 104 homes in North Carolina for Payroll %. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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

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%

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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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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 36%.

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 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.

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

Flesher’s Fairview Rest Home has 64 beds.

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