Pisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715
Candler, North Carolina · CMS verdict
Pisgah Manor Health Care Center's CMS overall star rating stands at 1 of 5, below the North Carolina state average (2.9) and reflecting below-average quality by the federal five-star measure.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Pisgah Manor Health Care Center in Candler, North Carolina holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 20 of 100 (grade F). The 118-bed facility operates where a semi-private nursing-home room in North Carolina runs a median of $9,733 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 1/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 20 is built
Each segment is a dimension's weighted points toward the score, summing to 20.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Pisgah Manor Health Care Center's lower-tercile CMS stars
Quality ratings
On Care Compare (data as of April 2026), Pisgah Manor Health Care Center carries an overall CMS quality rating of 1 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (1/5), staffing (2/5), and quality measures (2/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Candler, North Carolina, this facility operates 118 certified beds with an average daily census of roughly 102 residents - an occupancy rate of about 86%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 86% occupancy, this facility runs close to its typical range for a stabilized operation.
Same-ownership peers
Within North Carolina, Pisgah Manor Health Care Center is one of 177 for profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the for profit - corporation-segment average of 2.7 stars, ahead of roughly 0% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (31 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Pisgah Manor Health Care Center's lower-tercile stars compare to North Carolina
CMS five-star sub-ratings (0–5) for this facility against the North Carolina facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = North Carolina state average. Higher is better on all four CMS measures.
Where Pisgah Manor Health Care Center ranks in North Carolina
Among the 417 CMS-rated nursing homes in North Carolina, Pisgah Manor Health Care Center’s 1-star overall rating is higher than 0% of them. The bars show how all North Carolina homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
90 North Carolina homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 118 |
| Residents | 102 |
| Ownership | For profit - Corporation |
| County | Buncombe |
| Penalties | 1 |
| Deficiencies | 31 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Pisgah Manor Health Care Center? ▾
Pisgah Manor Health Care Center has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 2/5.
How much does a nursing home cost per month in North Carolina? ▾
In North Carolina, a semi-private nursing home room runs a median $9,733/month ($116,800/year) per the CareScout 2025 survey; private rooms average $10,798/month.
What services does Pisgah Manor Health Care Center offer? ▾
Pisgah Manor Health Care Center is a skilled nursing facility with 118 beds with approximately 102 current residents. It operates under for profit - corporation ownership. The facility has recorded 31 deficiencies and 1 penalties in CMS inspections.
Does Pisgah Manor Health Care Center have any deficiencies or penalties? ▾
Pisgah Manor Health Care Center has multiple deficiencies (31 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in North Carolina? ▾
In North Carolina, alternatives include assisted living ($6,496/mo), home health aides ($5,720/mo), and adult day care ($1,831/mo).
Keep reading
Also see the North Carolina elder-care overview and highest-rated states. Provider ID: 345393.
Read our methodology - how this data is sourced, computed, and verified.