SNF

Pisgah Manor Health Care Center

CCN: 345393 · Candler, NC 28715 · Buncombe County

ℹ CCRC

Overview

Address
104 Holcombe Cove Road, Candler, NC 28715
Phone
8286679851
Certified beds
118
Avg daily residents
102 (86% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1991-07-16
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.79 4.08 2.64 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.64 0.71 0.61 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 0.48 0.91 0.45 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.67 2.46 1.58 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.12 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.52
hrs / resident / day
RN (weekend)
0.43
hrs / resident / day
Total nurse (adjusted, weekend)
2.38
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
50.0%
annual
RN turnover
29.4%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.45
higher acuity than avg
Case-Mix Index Ratio
1.05
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-04-01 2 2 0 158 1 158
Cycle 2/3 (prior) 2023-12-06 9 9 4 48 1 48
Total weighted health score
130.5
lower is better

Deficiencies (31)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
27 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-04-01 2025-04-02
0880 Provide and implement an infection prevention and control program. L 2025-04-01 2025-04-02
0641 Ensure each resident receives an accurate assessment. D 2023-12-06 2024-01-02
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2023-12-06 2024-01-02
0761 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. E 2023-12-06 2024-01-02
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-12-06 2024-01-02
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2023-12-06 2024-01-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-06 2024-01-02
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-12-06 2024-01-02
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2023-12-06 2024-01-02
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2023-12-06 2024-01-02
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. H 2022-06-10 2022-07-04
0554 Allow residents to self-administer drugs if determined clinically appropriate. D 2022-06-10 2022-07-04
0558 Reasonably accommodate the needs and preferences of each resident. D 2022-06-10 2022-07-04
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. E 2022-06-10 2022-07-04
0578 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. D 2022-06-10 2022-07-04
0583 Keep residents' personal and medical records private and confidential. D 2022-06-10 2022-07-04
0622 Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. D 2022-06-10 2022-07-04
0641 Ensure each resident receives an accurate assessment. D 2022-06-10 2022-07-04
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2022-06-10 2022-07-04
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2022-06-10 2022-07-04
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2022-06-10 2022-07-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2022-06-10 2022-07-04
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2022-06-10 2022-07-04
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-06-10 2022-07-04
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. H 2022-06-10 2022-07-04
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2022-06-10 2022-07-04
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-06-10 2022-07-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-06-10 2022-07-04
0880 Provide and implement an infection prevention and control program. F 2022-06-10 2022-07-04
0888 Ensure staff are vaccinated for COVID-19 C 2022-06-10 2022-07-04

Penalties (1)

Fines issued
1
last 3 years
Total fines
$58,516
Date Type Fine amount
2025-04-01 Fine $58,516

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 12.7% Medicaid 48.7% Other 38.6%

Operating performance

Operating Margin
4.8%
Total Margin
6.6%
Occupancy Rate
81.7%
Cost per Resident Day
$57

Revenue & costs

Net Patient Revenue
$15.4M
Total Costs
$2.0M
Net Income
$1.0M

Balance sheet

Total Assets
$27.1M
Total Liabilities
$23.9M
Fund Balance
$3.2M
Current Ratio
1.20

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: LIBERTY SENIOR LIVING

Chain ID
310
Facilities in chain
35
Legal business name
LIBERTY HEALTHCARE GROUP LLC
Chain-average star ratings (for peer context)
Overall
2.6
Health
2.9
Staffing
2.1
QM
2.9

Owner / manager organizations (2)

Organization Role Association
LONG TERM CARE MANAGEMENT SERVICES LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/10/2011
LONG TERM CARE MANAGEMENT SERVICES LLC OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011

Owner / manager individuals (12)

Name Role Association
MCNEILL, JOHN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/10/2011
MCNEILL, RONALD 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 03/10/2011
CALCUTT, JOESEPH V OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011
GRANDY, MICHELLE OPERATIONAL/MANAGERIAL CONTROL since 08/03/2009
MCNEILL, JOHN OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011
MCNEILL, RONALD OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011
PURIFOY, PENNY OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011
WILSON, JEFFREY OPERATIONAL/MANAGERIAL CONTROL since 03/10/2011
MILLER, ROBERT CORPORATE DIRECTOR since 09/01/2024
PURIFOY, PENNY CORPORATE DIRECTOR since 03/10/2011
CALCUTT, JOESEPH V CORPORATE OFFICER since 03/10/2011
WILSON, JEFFREY CORPORATE OFFICER since 03/10/2011

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
Yes
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $57 metrics.cost_per_resident_day
Cost Report Current Ratio 1.20 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 48.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 12.7% metrics.medicare_day_share
Cost Report Net Income ($) $1,041,331 metrics.net_income
Cost Report Net Patient Revenue ($) $15,387,925 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 81.7% metrics.occupancy_rate
Cost Report Operating Margin (%) 4.8% metrics.operating_margin
Cost Report Total Assets ($) $27,140,682 metrics.total_assets
Cost Report Total Costs ($) $1,999,207 metrics.total_costs
Cost Report Total Fund Balances ($) $3,203,768 metrics.fund_balance
Cost Report Total Liabilities ($) $23,936,914 metrics.total_liabilities
Cost Report Total Margin (%) 6.6% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.45095 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.57777 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.60927 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.63799 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.38276 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 101.6 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.90590 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.46202 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.71404 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 4.08196 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.59782 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.6 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 2.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.1 Chain Average Staffing Rating
Provider Information Chain ID 310 Chain ID
Provider Information Chain Name LIBERTY SENIOR LIVING Chain Name
Provider Information City/Town Candler City/Town
Provider Information CMS Certification Number (CCN) 345393 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community Y Continuing Care Retirement Community
Provider Information County/Parish Buncombe County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1991-07-16 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 35.5707 Latitude
Provider Information Legal Business Name LIBERTY HEALTHCARE GROUP LLC Legal Business Name
Provider Information Location 104 Holcombe Cove Road,Candler,NC,28715 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.674 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 118 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 35 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.44606 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.04966 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 104 Holcombe Cove Road Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Pisgah Manor Health Care Center Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 100 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 158 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 0 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 2 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-04-01 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 158 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 2 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2023-12-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 48 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 48 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 9 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.43363 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 29.4 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.12092 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.47677 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.66809 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06198 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.64415 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.78901 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NC State
Provider Information Telephone Number 8286679851 Telephone Number
Provider Information Total Amount of Fines in Dollars 58516.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.51917 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 50.0 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 130.500 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 28715 ZIP Code