F

Pisgah Manor Health Care Center

104 Holcombe Cove Road, Candler, NC 28715
Score: 17 / 100

With a score of 17/100, Pisgah Manor Health Care Center ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Pisgah Manor Health Care Center, with 2.79 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent CMS inspections identified 31 deficiencies at Pisgah Manor Health Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide and implement an infection prevention and control program..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.79 3.8 Below Average
Registered Nurses (RN) 0.64 0.7 Average
Licensed Practical Nurses (LPN) 0.48 0.7 Below Average
Certified Nursing Assistants (CNA) 1.67 2.4 Below Average
Weekend Total Nursing 2.52 3.8 Below Average
Weekend RN Hours 0.43 0.7 Below Average

🔍 Inspection & Deficiency History

31
Total Deficiencies
Mar 31, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 29 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0880 Severity L
    Provide and implement an infection prevention and control program.
    Mar 31, 2025 · Infection Control Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 31, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0761 Severity E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologi
    Dec 5, 2023 · Pharmacy Service Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Dec 5, 2023 · Nutrition and Dietary Deficiencies
  • Tag 0867 Severity E
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    Dec 5, 2023 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.5% 4.5% Worse
Falls with major injury 11.2% 3.0% Worse
On antipsychotic medication 18.9% 14.5% Worse
Urinary tract infections 4.3% 2.5% Worse
ADL decline (daily activities) 16.1% 14.0% Worse
Excessive weight loss 4.5% 7.5% Better
New/worsened incontinence 27.2% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $58,516

How This Grade Was Calculated

This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
118
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 31, 2025
Deficiencies (Cycle 1)
2