Graham Healthcare and Rehabilitation Center

811 Snowbird Road · Robbinsville, NC · 28771 · 8284798421

80 certified beds For profit - Corporation Chain: Principle Long Term Care

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 100
Staffing 20% 62
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.363.48 min · 4.1 strong
RN hours / resident-day0.680.55–0.75
Weekend hours / resident-day2.97≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Potential for harm · D March 5, 2026

    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.

    Corrected April 1, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026

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

    Corrected April 1, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 5, 2026

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

    Corrected April 1, 2026 · Pharmacy Service

  • Potential for harm · E March 5, 2026

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

    Corrected April 1, 2026 · Pharmacy Service

  • Potential for harm · E December 19, 2024

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

    Corrected January 25, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E December 19, 2024

    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.

    Corrected January 25, 2025 · Pharmacy Service

  • Potential for harm · E December 19, 2024

    Provide and implement an infection prevention and control program.

    Corrected January 25, 2025 · Infection Control

  • Potential for harm · D December 19, 2024

    Educate 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.

    Corrected January 25, 2025 · Infection Control

  • Potential for harm · D July 18, 2024 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected May 6, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 20, 2023 · found via complaint

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected August 11, 2023 · Resident Rights

  • Potential for harm · D July 20, 2023 · found via complaint

    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.

    Corrected August 11, 2023 · Resident Rights

  • Potential for harm · D July 20, 2023 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected August 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 20, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected August 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 20, 2023 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected August 11, 2023 · Administration

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345355 · certified since February 5, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.