North Carolina ›Hendersonville
Life Care Center of Hendersonville
400 Thompson Street, Hendersonville, NC 28792 · Henderson County · 80 certified beds · avg 67 residents/day · certified since Jul 19, 1994
Part of chain: LIFE CARE CENTERS OF AMERICA (194 facilities, chain avg rating 3.4★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$40,986
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 19, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 22, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (32)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Aug 27, 2025 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Aug 27, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. |
| Aug 27, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 27, 2025 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Nov 22, 2024 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Aug 22, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint |
| Aug 22, 2024 | D · Potential for harm, one-off | The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition. · from a complaint |
| Aug 22, 2024 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. · from a complaint |
| Jul 19, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 19, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jul 19, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jul 19, 2024 | D · Potential for harm, one-off | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Feb 10, 2023 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Feb 10, 2023 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Feb 10, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Feb 10, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 10, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Feb 10, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Feb 10, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Feb 10, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Feb 10, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Feb 10, 2023 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Feb 10, 2023 | B · Minimal risk, repeated | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | F |
| 2024 | 16 | 1 | G ▲ |
| 2025 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $40,986, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 19, 2024 | Fine | $10,527 |
| Jul 19, 2024 | Fine | $30,459 |
| Jul 19, 2024 | Payment Denial | 110 days from Aug 16, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 4.01 | 3.95 | top 49% in North Carolina; bottom 46% in the U.S. |
| Registered Nurse hours | 0.78 | 0.64 | 0.69 | top 21% in North Carolina; top 29% in the U.S. |
| Weekend total nurse staffing | 3.00 | 3.56 | 3.50 | bottom 27% in North Carolina; bottom 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.41 | 0.48 | top 40% in North Carolina; bottom 47% in the U.S. |
| Total nursing staff turnover (%) | 56.5 | 49.0 | 45.8 | bottom 32% in North Carolina; bottom 22% in the U.S. |
| RN turnover (%) | 71.4 | 45.7 | 42.9 | bottom 14% in North Carolina; bottom 11% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.61, RN 0.76, weekend 2.93. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Developers Investment Company INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/1986 |
| Preston, Forrest | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/1986 |
| Burnett, Olivia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/30/2023 |
| Burnett, Olivia | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/30/2023 |
| Burnett, Olivia | Individual | ADP of the SNF | NOT APPLICABLE | 03/12/2025 |
| Cross, Cindy | Individual | Corporate Officer | NOT APPLICABLE | 01/01/1995 |
| Developers Investment Company INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2006 |
| Fletcher, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2006 |
| Hendersonville Medical Investors, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1995 |
| Hendersonville Medical Investors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/28/2011 |
| Henry, Terry | Individual | Corporate Officer | NOT APPLICABLE | 08/16/1999 |
| Hunt, Windy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/31/2025 |
| Hunt, Windy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/31/2025 |
| Lay, Lisa | Individual | Corporate Officer | NOT APPLICABLE | 02/09/2018 |
| Life Care Centers of America, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1995 |
| Life Care Centers of America, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 03/12/2025 |
| Preston, Aubrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Preston, Forrest | Individual | ADP of the SNF | NOT APPLICABLE | 12/28/2011 |
| Rohrer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Rohrer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 03/12/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who oversees residents' therapeutic diets, and how do the doctor and dietitian work together on them?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Carolina Village INC | 0.3 mi | Hendersonville, NC | ★★★★★ | 5/5 | |
| The Laurels of Hendersonville | 0.6 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| The Greens at Hendersonville | 2.9 mi | Hendersonville, NC | ★★★☆☆ | 3/5 | |
| Valley Hill Health & Rehab Center | 2.9 mi | Hendersonville, NC | ★★☆☆☆ | 2/5 | |
| Orchard Valley Health and Rehabilitation | 3.0 mi | Hendersonville, NC | ★☆☆☆☆ | 2/5 | |
| Hendersonville Health and Rehabilitation | 3.1 mi | Flat Rock, NC | ★★★★★ | 5/5 | |
| Fletcher Rehabilitation and Healthcare Center | 7.5 mi | Fletcher, NC | ★☆☆☆☆ | 1/5 | abuse |
| Autumn Care of Saluda | 8.8 mi | Saluda, NC | ★★☆☆☆ | 2/5 | |
| The Lodge at Mills River | 9.3 mi | Mills River, NC | ★★★★★ | 5/5 | |
| Biltmore Haven Nursing and Rehabilitation | 9.6 mi | Arden, NC | ★☆☆☆☆ | 1/5 | SFF |
| Fleshers Fairview Health Care | 11.5 mi | Fairview, NC | ★★☆☆☆ | 1/5 | |
| Givens Health Center | 11.8 mi | Asheville, NC | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345463.