Buncombe County, North Carolina · Nursing home
Fleshers Fairview Health Care
2 of 5 overall from CMS
3016 Cane Creek Road, Fairview, NC 28730
At a glance
- Overall rating 2 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.96 hours Above the state average of 3.85
- Nursing staff who left in a year 46.2% Below the state average of 49.0%
- Health citations, last 3 inspection cycles 38 6 at the harm level or above
- Fines in 3 years $61,321 2 fines
- Certified beds in use 44.3% of 106 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Fleshers Fairview Health Care is a 106-bed nursing home in Fairview, North Carolina (Buncombe County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 3.96 nurse staffing hours per resident per day, above the North Carolina average of 3.85. CMS lists 2 fines totaling $61,321 in the past three years.
- Certified beds
- 106
- Residents per day (average)
- 47.0
- Certified since
- 1992 (34 yrs)
For profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Fleshers Fairview Health Care
Chosen from this home's public data.
- CMS lists 2 fines totaling $61,321 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 23 health deficiencies in the latest inspection cycle (the standard inspection on Sep 22, 2025 plus complaint and infection-control inspections); the North Carolina average is 4.7. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 3.36 hours per resident on weekends against 3.96 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 2 of 5 North Carolina average 2.9
- Health inspections 1 of 5 North Carolina average 2.9
- Staffing 5 of 5 North Carolina average 2.7
- Quality measures 3 of 5 North Carolina average 3.3
The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.96 h North Carolina average 3.85
- Nurse aides 2.10 h North Carolina average 2.34
- Licensed practical nurses 0.90 h North Carolina average 0.89
- Registered nurses 0.95 h North Carolina average 0.62
- All staff, weekends 3.36 h North Carolina average 3.42
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover46.2%
- North Carolina average49.0%
- Registered nurse turnover31.3%
- North Carolina average45.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 29.2% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 2.3% | 7.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.1% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.1% | 5.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 10.3% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.9% | 92.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 20.7% | 18.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 57.9% | 21.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.9% | 5.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.7% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 12.9% | 14.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.40 | 1.78 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.71 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 59.6% | 80.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 78.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 22.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 38 health deficiencies in the three most recent inspection cycles. Of these, 6 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Sep 22, 2025: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Sep 22, 2025 | 23 | 3 |
| Sep 6, 2024 | 8 | 5 |
| May 18, 2023 | 7 | 0 |
North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (38)
-
GActual harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · Deficient, Provider has date of correction (Oct 22, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 21, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 28, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 27, 2025)
-
GActual harm, isolated
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 17, 2025)
Show 25 more
-
EPotential for more than minimal harm, pattern
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights · Deficient, Provider has date of correction (Oct 15, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights · Deficient, Provider has date of correction (Oct 20, 2025)
-
EPotential for more than minimal harm, pattern
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 16, 2025)
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Keep residents' personal and medical records private and confidential.
Resident Rights · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 23, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Oct 15, 2025)
-
DPotential for more than minimal harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 17, 2025)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 27, 2025)
-
DPotential for more than minimal harm, isolated
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Administration · Deficient, Provider has date of correction (Oct 21, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 25, 2025)
-
DPotential for more than minimal harm, isolated
Keep all essential equipment working safely.
Environmental · Deficient, Provider has date of correction (Oct 10, 2025)
-
CPotential for minimal harm, widespread
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Oct 6, 2025)
-
BPotential for minimal harm, pattern
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · Deficient, Provider has date of correction (Oct 21, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Sep 30, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services · Deficient, Provider has date of correction (Sep 30, 2024)
-
EPotential for more than minimal harm, pattern
Ensure 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.
Pharmacy Service · Deficient, Provider has date of correction (Sep 30, 2024)
-
DPotential for more than minimal harm, isolated
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights · Deficient, Provider has date of correction (Sep 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · Deficient, Provider has date of correction (Sep 30, 2024)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 30, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Sep 30, 2024)
Showing the 30 most recent of 38.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Sep 22, 2025 | Fine | $51,288 |
| Sep 22, 2025 | Payment Denial | 5 days |
| Sep 6, 2024 | Fine | $10,033 |
North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Carolina
- Size197 of 419 by certified beds
- North Carolina average residents per day86.9
- ChainNone listed
- Resident or family councilResident
- Homes in Buncombe County19
Common questions
What is the CMS star rating for Fleshers Fairview Health Care?
Fleshers Fairview Health Care has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 5 and quality measures is 3.
How many beds does Fleshers Fairview Health Care have?
Fleshers Fairview Health Care has 106 certified beds. It averages 47.0 residents per day, about 44.3% of its certified beds.
How much nursing care do residents get at Fleshers Fairview Health Care?
The home reports 3.96 hours of nurse staffing per resident per day, including 0.95 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.
Has Fleshers Fairview Health Care been fined?
Yes. CMS lists 2 fines totaling $61,321 in the past three years. It also lists 1 payment denial.
Does Fleshers Fairview Health Care accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Givens Health Center 70beds 78.1%in use 5.26nurse hours a day
- 3 of 5 Swannanoa Valley Health and Rehabilitation 106beds 96.7%in use 3.22nurse hours a day
- 1 of 5 Biltmore Haven Nursing and Rehabilitation 100beds 75.7%in use 2.93nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Buncombe County
Who to call in North Carolina
These offices serve residents of every nursing home in North Carolina.
- Long-term care ombudsman North Carolina Long-Term Care Ombudsman Program 919-855-3400 (Office of the State Long-Term Care Ombudsman, Raleigh. Regional ombudsmen (16 offices in Area Agencies on Aging) are listed by county in a document linked from the program page.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 1-800-624-3004 (Within N.C.; or 919-855-4500. Hours: 9 a.m.-12 p.m. and 1-4 p.m. weekdays, except holidays. Also by fax (919-715-7724), mail (Complaint Intake Unit, 2711 Mail Service Center, Raleigh, NC 27699-2711) or email; a printable complaint form is on the page.) The state agency that inspects nursing homes.
North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345413. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.