Nursing home
Pisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715 · Map
For profit - Corporation · Part of Liberty Senior Living (35 facilities) · 118 certified beds
Pisgah Manor Health Care Center is a Medicare-certified nursing home in Candler, North Carolina. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.79 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Apr 1, 2025 cited 2 deficiencies.
- 1 fine totaling $58,516In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pisgah Manor Health Care Center compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.79 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.64 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.67 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 50.0% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $58,516, 1 total penalty.
What inspectors found at Pisgah Manor Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 1, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Apr 1, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
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 Deficiencies · Dec 6, 2023 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Dec 6, 2023 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 6, 2023 · Full report (PDF) - Actual harm
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 Deficiencies · Jun 10, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 104 Holcombe Cove Road
Candler, NC 28715 - CMS certification #
- 345393
- Ownership
- For profit - Corporation
- Certified beds
- 118
- Avg residents/day
- 101.6
- Provider type
- Medicare and Medicaid
- First certified
- 1991-07-16
- Chain
- Liberty Senior Living (35 facilities)
- Setting
- Urban
Part of Liberty Senior Living
Liberty Senior Living operates 35 nursing facilities across the United States. View all Liberty Senior Living facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pisgah Manor Health Care Center using Google Maps.
Other public records
- Workplace safety 2 OSHA workplace safety inspections since 2017, 1 violation cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 27, 2024: programmed (planned) inspection, complete (safety). Case closed Mar 28, 2024. 1 violation cited (1 other). Penalties: $2,400 proposed, $2,400 now. OSHA record. OSHA recorded the employer as 156097 - Pisgah Valley Retirement Center, LLC.
Details
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(g)(8)). Penalty $2,400 proposed, $2,400 now. To be fixed by Mar 18, 2024.
- Aug 16, 2017: fatality or catastrophe inspection, no inspection (health). Case closed Aug 21, 2017. No violations cited. OSHA record. OSHA recorded the employer as 135494 - Carolina Adventist Retirement Systems, INC. Matched by street address; the name OSHA recorded differs from the community's.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Mission Hospital And Asheville Surgery Ce, Asheville. 7.0 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Aston Park Health Care Center, Asheville. 4.5 miles away, straight line.
- Nearest home health agency office
- Carepartners Home Health Services, Asheville. 6.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Rite Aid. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28715 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Biltmore Home Training, Asheville, 6.8 miles away, straight line
Davita Asheville Kidney Center, Asheville, 8.4 miles away, straight line (CMS rating 5 of 5 stars)
Davita Weaverville Dialysis, Weaverville, 9.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 28715.
Carepartners Hospice & Palliative Care Services, office in Asheville, 8.0 miles away, straight line (CMS family survey rating 4 of 5 stars)
Haywood Hospice And Palliative Care, office in Waynesville, 16.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Four Seasons The Care You Trust, office in Flat Rock, 23.6 miles away, straight line (CMS family survey rating 5 of 5 stars) - Nearest geriatric medicine practice
- Golnosh Sharafsaleh, MD, Asheville. 8.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Pisgah Manor Health Care Center a good nursing home?
CMS gives Pisgah Manor Health Care Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pisgah Manor Health Care Center staffed?
Pisgah Manor Health Care Center reports 2.79 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Pisgah Manor Health Care Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Pisgah Manor Health Care Center have?
Pisgah Manor Health Care Center is certified for 118 beds.