CCN 345393 · Buncombe County, North Carolina

Pisgah Manor Health Care Center

104 Holcombe Cove Road, Candler, NC 28715

Pisgah Manor Health Care Center is a 118-bed for-profit nursing home in Candler, North Carolina, first certified for Medicare or Medicaid in 1991. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 105.2 residents a day, about 89% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
118
Average residents per day
105.2 (89.2% of beds)
Ownership type
For profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Liberty Healthcare Group LLC
Certified since
Jul 16, 1991
Chain or affiliated group
Liberty Senior Living (37 facilities, chain average 2.8 stars)
Location
Urban, part of a continuing care retirement community

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityNorth Carolina medianUS median
Overall rating2 of 5State spread: 91 at 1, 83 at 2, 85 at 3, 75 at 4, 81 at 5
Health inspections2 of 5
Quality measures3 of 5
Staffing2 of 5
Total nurse hours per resident per day2.863.533.68
RN hours per resident per day0.760.510.58
Weekend nurse hours per resident per day2.68
Nursing staff turnover59.1%48.6%44.9%
Occupancy (residents / beds)89.2%87.4%85.7%
Fines reported by CMS1 totaling $59,391
Health deficiencies, latest standard survey1 (May 20, 2026)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pisgah Manor Health Care Center meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Long Term Care Management Services LLCOrganizationDirect Ownership Interest100%03/10/2011
Long Term Care Management Services LLCOrganizationOperational / Managerial Controln/a03/10/2011
Calcutt, JosephIndividualOperational / Managerial Controln/a03/10/2011
Grandy, MichelleIndividualOperational / Managerial Controln/a08/03/2009
McNeill, JohnIndividualOperational / Managerial Controln/a03/10/2011
McNeill, RonaldIndividualOperational / Managerial Controln/a03/10/2011
Purifoy, PennyIndividualOperational / Managerial Controln/a03/10/2011
Wilson, JeffreyIndividualOperational / Managerial Controln/a03/10/2011

Changes of ownership

EffectiveBuyerSeller
Feb 1, 2018Liberty Healthcare Group LLCCarolina Adventist Retirement Systems, Inc.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Pisgah Manor Health Care Center: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.