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Pisgah Manor Health Care Center Inspection Report, Violations & Safety Grade (Candler, North Carolina)

104 Holcombe Cove Road, Candler, North Carolina 28715

Phone: 8286679851

CMS Overall:2/5

Overview & Bed Count

Certified Beds
118
Avg Residents/Day
105.1
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Buncombe
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.890.62+0.27
Total Nurse Hours per Resident per Day2.863.87-1.02
CMS Staffing Rating2/52.7/5-
Nursing Staff Turnover63.4%48.7%-

Health Citation History

16 health citations on record

DateCategoryDescriptionSeverity
2026-08-20Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J – Immediate Jeopardy
2026-08-20Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2026-08-20Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.D – Moderate Harm Potential
2026-08-20Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2026-05-20Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-04-01Infection Control DeficienciesProvide and implement an infection prevention and control program.L – Immediate Jeopardy
2025-04-01Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-12-06Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E – Moderate Harm Potential
2023-12-06Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2023-12-06Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2023-12-06Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-12-06Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-12-06Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2023-12-06Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-12-06Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2023-12-06Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D – Moderate Harm Potential

Fire Safety Citation History

7 fire safety citations on record

DateCategoryDescriptionSeverity
2026-05-20Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-05-20Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the use and maintenance of medical gas equipment.D – Moderate Harm Potential
2025-04-01Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.F – Moderate Harm Potential
2025-04-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2025-04-01Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2023-12-06Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2023-12-06Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential

Total Penalties & Fines

$59,391
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2025-04-01Fine$59,391-

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