Nursing homeActive
Graham Healthcare and Rehabilitation Center
811 Snowbird Road, Robbinsville, NC 28771828479842180 certified beds · 57 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
16
● 0● 15● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-05-28
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-28 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2026-03-05 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-12-19 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-07-18 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-07-20 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-05-07Record 345355-20260528-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-07Record 345355-20260528-F607
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 345355-20260305-F578
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 345355-20260305-F644
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 345355-20260305-F756
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-01Record 345355-20260305-F757
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 345355-20241219-F644
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 345355-20241219-F761
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 345355-20241219-F880
F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-25Record 345355-20241219-F887
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-06Record 345355-20240718-F602
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 345355-20230720-F582
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 345355-20230720-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 345355-20230720-F641
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 345355-20230720-F656
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-11Record 345355-20230720-F867
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.67
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.33
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover70%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover60%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.2% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.1% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 9.3% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.6% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.8% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 7.1% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 38.6% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Principle Long Term Care, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stephens, Donna Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boice, Gale Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boice, Gale Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hill, Raymond Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hill, Stephen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Johnson, Dianne Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stephens, Donna Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stover, Lani Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Principle Long Term Care — 40 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Graham.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Valley View Care and Rehabilitation Andrews | 8.1 mi | 2026-06-04 | 1263 |
| Clay County Health and Rehabilitation Hayesville | 18.6 mi | 2026-05-01 | 1160 |
| Mountain View Manor Nursing Center Bryson City | 21.0 mi | 2026-07-09 | 3331 |
| Chatuge Regional Nursing Home Hiawassee | 25.5 mi | 2025-12-04 | 1195 |
| Murphy Rehabilitation & Nursing Murphy | 24.3 mi | 2026-03-05 | 090 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |