ElderGrade
C

64/100

Average

Graham Healthcare And Rehabilitation Center

811 Snowbird Road, Robbinsville, NC 28771

CMS 2/5 stars (828) 479-8421
Certified beds
80
Occupancy
71%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 70%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

24/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.44 total nurse hours per resident per day (national median 3.77)
  • 0.61 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 70% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.67 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.61 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.33 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 70.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: March 5, 2026 (5 months ago).

G May 28, 2026 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Actual harm to a resident

D May 28, 2026 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

E Mar 5, 2026 F0757

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0578

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Mar 5, 2026 F0756

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

No actual harm, potential for more than minimal harm

E Dec 19, 2024 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

E Dec 19, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of PRINCIPLE LONG TERM CARE, which operates 44 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
BOICE, GALE Individual CORPORATE OFFICER
JOHNSON, DIANNE Individual CORPORATE OFFICER
PRINCIPLE LONG TERM CARE, INC. Organization OPERATIONAL/MANAGERIAL CONTROL
STEPHENS, DONNA Individual OPERATIONAL/MANAGERIAL CONTROL
BOICE, GALE Individual ADP OF THE SNF
HILL, RAYMOND Individual ADP OF THE SNF
HILL, ROBERT Individual ADP OF THE SNF
HILL, STEPHEN Individual ADP OF THE SNF
STEPHENS, DONNA Individual ADP OF THE SNF
STOVER, LANI Individual ADP OF THE SNF

What families say

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Common questions about Graham Healthcare And Rehabilitation Center

What is the ElderGrade for Graham Healthcare And Rehabilitation Center? +

Graham Healthcare And Rehabilitation Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Graham Healthcare And Rehabilitation Center? +

Residents receive an average of 3.67 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Graham Healthcare And Rehabilitation Center been cited for harming residents? +

Yes. 1 of the 16 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Graham Healthcare And Rehabilitation Center accept Medicaid? +

Yes, Graham Healthcare And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.