Fletcher Rehabilitation and Healthcare Center, located in Henderson County, was owned by Fletcher Holdings I, LLC as of the first quarter of 2026, according to Centers for Medicare and Medicaid Services (CMS). The facility has been under Fletcher Holdings I, LLC’s ownership since June 1, 2024.
The center operates as a for-profit nursing home.
For that period, the nursing home received an overall CMS rating of one, below the North Carolina state average rating of 2.9. CMS determines these ratings based on essential criteria including health inspection results, staff ratios, and resident care quality.
The data shows Fletcher Rehabilitation and Healthcare Center had an average daily census of 71.3 residents during the first quarter of 2026, with 90 beds available. The facility does not currently operate on a hospital campus.
During the first quarter of 2026, Fletcher Rehabilitation and Healthcare Center incurred a total of $67,600 in fines from two violations and faced two penalties.
There were eight for-profit nursing homes in Henderson County, North Carolina in total.
U.S. Census Bureau estimates show the population of older adults in the United States continues to increase while numbers of younger individuals decline. The number of Americans aged 65 and older grew by 13% from 2020 to 2024, whereas the population under 18 decreased by 1.7%. The nation’s older adult demographic has expanded significantly in the last century, rising from 4.9 million in 1920 to over 61 million by 2024.
A 2021 study found that almost half of older adults, or about 28 million people, are projected to need long-term services and support. The study also predicts that more than a third may eventually rely on nursing home care.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, an insurance education organization. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Fletcher Rehabilitation and Healthcare Center | Fletcher Holdings I, LLC | For profit – Limited Liability company | 1 | 71.3 |
| Hendersonville Health and Rehabilitation | Bluesky Healthcare, Inc. and Flat Rock Management Company | For profit – Limited Liability company | 5 | 99.5 |
| Life Care Center of Hendersonville | Forrest Preston | For profit – Limited Liability company | 3 | 68.7 |
| Orchard Valley Health and Rehabilitation | Pisgah Holdco, LLC | For profit – Corporation | 1 | 101.1 |
| The Greens at Hendersonville | Bync Holdings, LLC | For profit – Corporation | 3 | 105.1 |
| The Laurels of Hendersonville | Laurel Health Care Holdings, Inc. | For profit – Corporation | 3 | 92.4 |
| The Lodge at Mills River | Ardent Health and Rehabilitation County and Henderson-Beystone Healthcare Properties, LLC | For profit – Limited Liability company | 5 | 45.4 |
| Valley Hill Health & Rehab Center | Saber Healthcare Holdings, LLC | For profit – Corporation | 2 | 82.7 |
Information in this article was obtained from the Centers for Medicare and Medicaid Services. The source data can be found here.


