Sapphire Ridge Health and Rehabilitation

Name: Sapphire Ridge Health and Rehabilitation
Address: 115 N Country Club Road, Brevard, NC, 28712, US
Telephone: 8288842031

115 N Country Club Road, Brevard, NC 28712 · Transylvania County · 147 certified beds · avg 104 residents/day · certified since Jul 17, 1981

Part of chain: ASCENT HEALTHCARE MANAGEMENT (6 facilities, chain avg rating 2.2★)

2/5

Health inspection rating (on-site)

Serious findings on record

$22,568

Fines, last 3 years

4.12

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.

All citations in the current public record (29)

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 7, 2026	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.
May 7, 2026	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
May 7, 2026	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
May 7, 2026	C · Minimal risk, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Mar 7, 2025	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.
Mar 7, 2025	E · Potential for harm, repeated	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. · from a complaint
Mar 7, 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.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Mar 7, 2025	E · Potential for harm, repeated	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Mar 7, 2025	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
Mar 7, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Mar 7, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Mar 7, 2025	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.
Mar 7, 2025	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
Nov 17, 2023	E · Potential for harm, repeated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Nov 17, 2023	E · Potential for harm, repeated	The facility did not let a resident return after a hospital stay or approved leave that lasted longer than the facility's bed-hold policy allowed. Residents generally have the right to come back to the next available bed. · from a complaint
Nov 17, 2023	E · Potential for harm, repeated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 2023	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. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 2023	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. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 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. · from a complaint
Nov 17, 2023	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Nov 17, 2023	B · Minimal risk, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 4).

Year	Citations	Worst severity that year
2023	13	E
2025	12	E
2026	4	E

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 $22,568.

Date	Type	Amount / length
Nov 17, 2023	Fine	$22,568

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)	4.12	4.01	3.95	top 27% in North Carolina; top 35% in the U.S.
Registered Nurse hours	0.56	0.64	0.69	top 45% in North Carolina; bottom 46% in the U.S.
Weekend total nurse staffing	3.73	3.56	3.50	top 25% in North Carolina; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.41	0.41	0.48	top 34% in North Carolina; top 47% in the U.S.
Total nursing staff turnover (%)	43.0	49.0	45.8	top 36% in North Carolina; top 44% in the U.S.
RN turnover (%)	53.8	45.7	42.9	bottom 38% in North Carolina; bottom 30% 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 3.47, RN 0.47, weekend 3.15. Staffing rating: 3/5.

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: 2/5 · long-stay residents: 4/5 · short-stay residents: 1/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Friedman, Yisroel	Individual	Indirect Ownership Interest	NOT APPLICABLE	01/01/2024
Pisgah Holdco LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2024
Friedman, Yisroel	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Holl, Blair	Individual	ADP of the SNF	NOT APPLICABLE	07/04/2025
Robinson, Susan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Robinson, Susan	Individual	ADP of the SNF	NOT APPLICABLE	07/04/2025

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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How can my family member make private phone or video calls, and can we see where?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
"What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
"How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
"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
Transylvania Regional Hospital	2.7 mi	Brevard, NC	★★★★☆	4/5
The Oaks-Brevard	3.0 mi	Brevard, NC	★★☆☆☆	2/5
The Greens at Hendersonville	15.4 mi	Hendersonville, NC	★★★☆☆	3/5
Valley Hill Health & Rehab Center	15.8 mi	Hendersonville, NC	★★☆☆☆	2/5
The Lodge at Mills River	16.8 mi	Mills River, NC	★★★★★	5/5
Orchard Valley Health and Rehabilitation	17.0 mi	Hendersonville, NC	★☆☆☆☆	2/5
River Falls Post Acute	17.2 mi	Marietta, SC	★★★☆☆	4/5
The Laurels of Hendersonville	17.8 mi	Hendersonville, NC	★★★☆☆	2/5
Carolina Village INC	18.1 mi	Hendersonville, NC	★★★★★	5/5
Life Care Center of Hendersonville	18.3 mi	Hendersonville, NC	★★★☆☆	2/5
Hendersonville Health and Rehabilitation	19.0 mi	Flat Rock, NC	★★★★★	5/5
Silver Bluff	19.5 mi	Canton, NC	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Brevard →

Facility data as of CMS processing date 2026-08-01. CCN 345208.

The Care File

Visit checklist — Sapphire Ridge Health and Rehabilitation

115 N Country Club Road, Brevard, NC 28712 · 8288842031

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $22,568

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How can my family member make private phone or video calls, and can we see where?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
☐ "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
☐ "How do you handle COVID-19 vaccination for residents and staff, and what happens during an outbreak?"
☐ "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 345208 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)