Pisgah Manor Health Care Center

Name: Pisgah Manor Health Care Center
Address: 104 Holcombe Cove Road, Candler, NC, 28715, US
Telephone: 8286679851

104 Holcombe Cove Road, Candler, NC 28715 · Buncombe County · 118 certified beds · avg 105 residents/day · certified since Jul 16, 1991

Part of chain: LIBERTY SENIOR LIVING (37 facilities, chain avg rating 2.8★)

2/5

Health inspection rating (on-site)

Serious findings on record

$59,391

Fines, last 3 years

2.78

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: 2/5

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)

▲ Immediate jeopardy, facility-wide · Apr 1, 2025 · F-0880

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.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.

Corrected: Apr 2, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (12)

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
May 20, 2026	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. · from a complaint
Apr 1, 2025	▲ L · Immediate jeopardy, facility-wide	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.
Apr 1, 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.
Dec 6, 2023	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.
Dec 6, 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.
Dec 6, 2023	E · Potential for harm, repeated	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 6, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 6, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 6, 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. · from a complaint
Dec 6, 2023	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
Dec 6, 2023	D · Potential for harm, one-off	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (2 → 1).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2025	2	1	L ▲
2026	1	0	D

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)

1 fine totaling $59,391.

Date	Type	Amount / length
Apr 1, 2025	Fine	$59,391

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)	2.78	4.01	3.95	bottom 2% in North Carolina; bottom 8% in the U.S.
Registered Nurse hours	0.74	0.64	0.69	top 23% in North Carolina; top 32% in the U.S.
Weekend total nurse staffing	2.60	3.56	3.50	bottom 5% in North Carolina; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.41	0.48	top 19% in North Carolina; top 26% in the U.S.
Total nursing staff turnover (%)	59.1	49.0	45.8	bottom 26% in North Carolina; bottom 18% in the U.S.
RN turnover (%)	52.6	45.7	42.9	bottom 39% in North Carolina; bottom 32% 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 2.86, RN 0.76, weekend 2.68. 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: 3/5 · long-stay residents: 3/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Long Term Care Management Services LLC	Organization	5% or Greater Direct Ownership Interest	100%	03/10/2011
Calcutt, Joseph	Individual	Corporate Officer	NOT APPLICABLE	03/10/2011
Calcutt, Joseph	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2011
Grandy, Michelle	Individual	Operational/Managerial Control	NOT APPLICABLE	08/03/2009
Long Term Care Management Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	03/10/2011
McNeill, John	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2011
McNeill, Ronald	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2011
Miller, Robert	Individual	Corporate Director	NOT APPLICABLE	09/01/2024
Purifoy, Penny	Individual	Corporate Director	NOT APPLICABLE	03/10/2011
Purifoy, Penny	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2011
Wilson, Jeffrey	Individual	Corporate Officer	NOT APPLICABLE	03/10/2011
Wilson, Jeffrey	Individual	Operational/Managerial Control	NOT APPLICABLE	03/10/2011

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"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
Aston Park Health Care Center	4.5 mi	Asheville, NC	★★★★★	4/5
River Bend Health and Rehabilitation	5.9 mi	Asheville, NC	★☆☆☆☆	1/5	abuse
Stonecreek Health and Rehabilitation	6.6 mi	Asheville, NC	★★★☆☆	2/5
Elevate Health and Rehabilitation	6.9 mi	Asheville, NC	★☆☆☆☆	1/5
Emerald Ridge Health and Rehabilitation	7.5 mi	Asheville, NC	★☆☆☆☆	1/5
The Laurels of Greentree Ridge	8.0 mi	Asheville, NC	★★★★★	4/5
Deerfield Episcopal Retirement	9.3 mi	Asheville, NC	★★★★★	5/5
Bear Mountain Health and Rehabilitation	9.5 mi	Asheville, NC	★★★☆☆	3/5
Givens Health Center	10.3 mi	Asheville, NC	★★★★★	4/5
The Laurels of Summit Ridge	10.7 mi	Asheville, NC	★★★★☆	3/5

Compare this facility with the 3 closest →

All facilities in Candler →

Facility data as of CMS processing date 2026-08-01. CCN 345393.

The Care File

Visit checklist — Pisgah Manor Health Care Center

104 Holcombe Cove Road, Candler, NC 28715 · 8286679851

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $59,391

Most serious findings on record:

▲ Apr 1, 2025 (F-0880, Immediate jeopardy, facility-wide): 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.

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 345393 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)