Fletcher Rehabilitation and Healthcare Center: Staffing, Turnover, and Inspection Record
Fletcher Rehabilitation and Healthcare Center is a 90-bed for-profit nursing home in Fletcher, North Carolina, part of Yad Healthcare. In the CMS August 2026 release it reported 1.91 nurse aide hours per resident per day, 18% below the North Carolina average of 2.34, and 78.3% nursing staff turnover (North Carolina average 49.0%).
Fletcher Rehabilitation and Healthcare Center
86 Old Airport RoadFletcher, NC 28732
Henderson County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Fletcher Rehabilitation and Healthcare Center, nurse aides logged 1.91 hours per resident per day, 18% below the North Carolina average. With about 75 residents a day, that works out to roughly 143 aide hours a day, or about 18 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.91 | 2.34 | 2.32 |
| Licensed practical nurses | 0.71 | 0.89 | 0.86 |
| Registered nurses | 0.53 | 0.61 | 0.69 |
| All nursing staff | 3.15 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.62 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
78.3% of nursing staff at Fletcher Rehabilitation and Healthcare Center left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 66.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 2, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 21 health deficiencies (North Carolina average 4.8). CMS lists 2 fines totaling $62,868 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 12, 2025 | Fine | $8,788 |
| Mar 27, 2025 | Fine | $54,080 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Fletcher Rehabilitation and Healthcare Center holds 1 of 5 overall; the North Carolina average is 2.9.
About Fletcher Rehabilitation and Healthcare Center
- Ownership: For profit - Limited Liability company
- Chain: Yad Healthcare, 13 homes
- Legal name: Fletcher Operator LLC
- Medicare and Medicaid certified since: Jan 29, 2003
- Councils: resident council
- Area: urban
Nursing homes near Fletcher Rehabilitation and Healthcare Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Biltmore Haven Nursing and Rehabilitation Arden · SFF candidate | 2.0 | 100 | 1.95 | 2.93 | 71.4% | 1 | $189,174 |
| The Lodge at Mills River Mills River | 4.3 | 50 | 2.22 | 3.89 | 55.6% | 5 | None |
| Givens Health Center Asheville | 4.4 | 70 | 3.28 | 5.26 | 31.6% | 5 | None |
| Deerfield Episcopal Retirement Asheville | 5.0 | 62 | 3.05 | 5.44 | 28.7% | 5 | None |
| Orchard Valley Health and Rehabilitation Hendersonville | 5.3 | 134 | 2.09 | 3.11 | 73.5% | 1 | $16,452 |
| Fleshers Fairview Health Care Fairview | 6.5 | 106 | 2.10 | 3.96 | 46.2% | 2 | $61,321 |
| The Laurels of Hendersonville Hendersonville | 7.2 | 100 | 2.28 | 3.60 | 44.4% | 3 | $36,257 |
| Life Care Center of Hendersonville Hendersonville | 7.5 | 80 | 1.55 | 3.61 | 56.5% | 3 | $40,986 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.