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Flesher's Fairview Rest Home

Nursing Home Facility

3016 Cane Creek Road, Fairview, NC 28730

Assisted Living Nursing Home Care Senior Living
Flesher's Fairview Rest Home

Flesher's Fairview Rest Home is a senior care community located in Fairview, NC. It provides assisted living, nursing home care, and senior living for older adults in the Fairview area. To learn more or schedule a tour, call (828)628-2800.

With 64 beds, Flesher's Fairview Rest Home is one of the larger communities in the area, senior care communities in Buncombe County average about 30 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 44% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below the Buncombe County average of roughly 82%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Buncombe County average about 3.1 stars. The individual scores differ noticeably: 5 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in September 2025 and recorded 23 deficiencies.

Residents receive about 4.0 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 46%.

The community is located in Buncombe County, NC.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 1/5
  • Staffing ★★★★★ 5/5
  • Quality measures ★★★★★ 3/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 38 problems at Flesher's Fairview Rest Home. 6 findings involved harm to a resident. 7 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $61,321. Medicare also stopped paying for new admissions once in that period.

Findings from the most recent inspection cycle

  • Caused harm to a resident, one or a few residents Resident Rights

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Inspected September 2025. Corrected by October 22, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Inspected September 2025, after a complaint. Corrected by October 21, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Inspected September 2025, after a complaint. Corrected by October 28, 2025.

  • Caused harm to a resident, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected September 2025, after a complaint. Corrected by October 27, 2025.

  • Caused harm to a resident, one or a few residents Nursing and Physician Services

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Inspected September 2025. Corrected by October 17, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, a pattern Resident Rights

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Inspected September 2025. Corrected by October 20, 2025.

  • Could cause more than minimal harm, a pattern Quality of Life and Care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Inspected September 2025. Corrected by October 16, 2025.

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  • Could cause more than minimal harm, one or a few residents Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected September 2025. Corrected by October 21, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected September 2025, after a complaint. Corrected by September 23, 2025.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected September 2025. Corrected by October 15, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide enough food/fluids to maintain a resident's health.

    Inspected September 2025. Corrected by October 17, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected September 2025. Corrected by October 21, 2025.

  • Could cause more than minimal harm, one or a few residents Nursing and Physician Services

    Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

    Inspected September 2025. Corrected by October 27, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected September 2025. Corrected by October 21, 2025.

  • Could cause more than minimal harm, one or a few residents Administration

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Inspected September 2025. Corrected by October 21, 2025.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected September 2025. Corrected by September 25, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected September 2025. Corrected by October 10, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Inspected September 2025, after a complaint. Corrected by October 21, 2025.

  • Minimal harm or the potential for it, widespread Nursing and Physician Services

    Post nurse staffing information every day.

    Inspected September 2025. Corrected by October 6, 2025.

  • Minimal harm or the potential for it, a pattern Resident Rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Inspected September 2025. Corrected by October 21, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Flesher's Fairview Rest Home offers assisted living, nursing home care, and senior living.

Facility details

  • Organization type for-profit corporation
  • Beds / units 64
  • Occupancy 44%
  • Nursing hours per resident/day 4.0
  • Annual staff turnover 46%
  • Last health inspection September 2025

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