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Aston Park Health Care Center

380 Brevard Road, Asheville, NC 28806 · Buncombe County · (828) 253-4437

120 certified beds, about 106 residents a day · Non profit - Corporation · Medicare and Medicaid since 1980

CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345198 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 16, 2026, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

None of its 5 health citations since October 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.67 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.11 of those hours.

39.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

CMS links it to Lutheran Services Carolinas, an affiliated group of 9 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
3D
1E
0F
Potential for minimal harm
0A
0B
1C
April 16, 2026Standard inspection · 2 citations
  1. D
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to maintain a clean floor in of 1 of 2 walk-in coolers (walk-in cooler #2).
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 7, 2026
    Inspectors wroteBased on observations, record reviews, and staff interviews, the facility failed to follow their infection control policies and procedures for hand hygiene while feeding residents when Facility Aide #1 handled food with bare hands while feeding Resident #59. In addition, Facility Aide #2 handled food with bare hands while feeding Resident #59 and did not perform hand hygiene in between feeding Resident #59 and Resident #27 after touching Resident #59's food and hands. This deficiency occurred for 2 of 12 staff members observed for infection control practices while feeding residents (Facility Aide #1 and Facility Aide #2).
February 20, 2025Standard inspection · 2 citations
  1. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 10, 2025
    Inspectors wroteBased on observations and staff interviews, the facility failed to clean and maintain 1 of 1 walk-in refrigerator in the main kitchen free from debris. The facility also failed to refrigerate opened jelly containers stored in the dry food storage area, remove expired thickened beverages from the dry food storage area and expired thickened beverage from a dining area refrigerator ([NAME] dining room). This practice had the potential to affect food served to residents. Findings Included: a. On 2/17/25 at 9:46 AM an observation with the Dietary manager (DM) in the kitchen's walk-in refrigerator found a whiteish in color and fuzzy in appearance substance on the floor beneath the food storage rack on the left side of the refrigerator. The substance was concentrated in some areas and speckled in other areas on the floor and on the baseboard spanning the length of the wall. [...]
  2. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has March 10, 2025
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure daily nurse staffing sheets were filled out completely for 9 of 110 days reviewed during the period 10/31/24 through 2/17/25.
October 12, 2023Standard inspection, Complaint inspection · 1 citation
  1. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on record reviews, observations, and staff interviews the facility failed to follow a resident's care plan when transferring 1 of 5 residents reviewed (Resident #307).

Fire safety inspections

22 fire safety citations on file: 8 on April 16, 2026, 6 on February 20, 2025, 8 on October 12, 2023.

Every fire safety citation22 citations
  1. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · April 16, 2026 · deficient, provider has
  2. F
    Have restrictions on the use of flammable curtains.
    K 751 · April 16, 2026 · deficient, provider has
  3. F
    Ensure proper usage of power strips and extension cords.
    K 920 · April 16, 2026 · deficient, provider has
  4. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · April 16, 2026 · deficient, provider has
  5. D
    Install an approved automatic sprinkler system.
    K 351 · April 16, 2026 · deficient, provider has
  6. D
    Provide properly sized and located linen or trash receptacles.
    K 754 · April 16, 2026 · deficient, provider has
  7. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · April 16, 2026 · deficient, provider has
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 16, 2026 · deficient, provider has
  9. D
    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
    K 222 · February 20, 2025 · Corrected (the home has a date of correction)
  10. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · February 20, 2025 · Corrected (the home has a date of correction)
  11. D
    Have exits that are accessible at all times.
    K 271 · February 20, 2025 · Corrected (the home has a date of correction)
  12. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 20, 2025 · Corrected (the home has a date of correction)
  13. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · February 20, 2025 · Corrected (the home has a date of correction)
  14. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 20, 2025 · Corrected (the home has a date of correction)
  15. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 12, 2023 · Corrected (the home has a date of correction)
  16. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · October 12, 2023 · Corrected (the home has a date of correction)
  17. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 12, 2023 · Corrected (the home has a date of correction)
  18. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 12, 2023 · Corrected (the home has a date of correction)
  19. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 12, 2023 · Corrected (the home has a date of correction)
  20. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 12, 2023 · Corrected (the home has a date of correction)
  21. D
    Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
    K 111 · October 12, 2023 · Corrected (the home has a date of correction)
  22. D
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 12, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeNorth CarolinaUnited States
All nursing staff (RN, LPN and aides)3.673.853.86
Registered nurses1.110.620.69
All nursing staff on weekends3.533.423.42
Nurse aides2.01
Licensed practical nurses0.55
Nursing staff turnover (share who left in a year)39.5%49.0%45.8%
Registered nurse turnover18.5%45.6%42.9%
Administrators who left0

CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.73 on weekdays and 3.53 on weekends, 5% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.05 in April to June 2025 to 3.67 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.671.113.733.53 0.0%0 of 90106
Oct to Dec 20253.951.083.973.89 0.0%0 of 92107
Jul to Sep 20253.831.193.923.59 0.0%0 of 92106
Apr to Jun 20254.051.224.173.76 0.0%0 of 91106
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
North Carolina, Jan to Mar 20263.650.533.823.258.0%0.7% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for North Carolina

JobMedianMiddle halfEmployed
North Carolina, all employers
CNAs (nursing assistants)$18.49$17.28 to $21.0864,010
LPNs and LVNs$30.42$28.50 to $33.5118,010
Registered nurses$40.56$37.87 to $49.06111,120
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeNorth CarolinaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
27.915.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
2.40.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
3.82.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.93.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
34.118.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
2.35.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
20.514.015.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.822.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.712.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.41.81.8

Owners and operators

Legal business name: ASTON PARK HEALTH CARE CENTER, INC.. CMS links this home to Lutheran Services Carolinas, a group of 9 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Lutheran Services for the Aging, Inc.Indirect ownership interestOrganization09/08/2022
Goins, TedManaging control - governing bodyIndividual10/01/2004
Herman, RichardManaging control - governing bodyIndividual06/01/2021
Maddry, KarenManaging control - governing bodyIndividual04/01/1982
Nelson, DouglasManaging control - governing bodyIndividual09/01/2022
Smith, KeshaCorporate directorIndividual10/01/2012
Maddry, KarenCorporate officerIndividual04/01/1982
Nickerson, KirbyCorporate officerIndividual10/01/2012
Aston Park Health Care Center, Inc.Operational/managerial controlOrganization05/04/2009
Lsa Management Inc.Operational/managerial controlOrganization09/08/2022
Lutheran Services for the Aging, Inc.Operational/managerial controlOrganization09/08/2022
Goins, TedOperational/managerial controlIndividual10/01/2004
Kaufman, MarshaOperational/managerial controlIndividual07/07/1980
Patel, HirenOperational/managerial controlIndividual09/01/2012
Smith, KeshaOperational/managerial controlIndividual09/08/2003
Lutheran Services for the Aging, Inc.Trustee of the SNFOrganization09/08/2022
Goins, TedTrustee of the SNFIndividual10/01/2004
Herman, RichardTrustee of the SNFIndividual06/01/2021
Nelson, DouglasTrustee of the SNFIndividual09/01/2022
Aston Park Health Care Center, Inc.Adp of the SNFOrganization05/04/2009
Lsa Management Inc.Adp of the SNFOrganization03/12/2025
Lutheran Services for the Aging, Inc.Adp of the SNFOrganization03/12/2025
Kaufman, MarshaAdp of the SNFIndividual07/08/1980
Nickerson, KirbyAdp of the SNFIndividual10/01/2012
Patel, HirenAdp of the SNFIndividual09/01/2012
Smith, KeshaAdp of the SNFIndividual09/08/2003

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 16, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 16, 2026: "Provide and implement an infection prevention and control program."
  3. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on February 20, 2025: "Post nurse staffing information every day."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on October 12, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."

Other nursing homes nearby

North Carolina contacts for a concern about a nursing home

These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.

Common questions

What is Aston Park Health Care Center's Medicare star rating?
CMS rates Aston Park Health Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Aston Park Health Care Center get at its last inspection?
2 health deficiencies at the standard inspection on April 16, 2026. The North Carolina average is 4.7.
Has Aston Park Health Care Center been fined?
CMS lists no fines in the last three years.
Does Aston Park Health Care Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Aston Park Health Care Center?
CMS lists 26 owners and managers, and links the home to Lutheran Services Carolinas. Legal business name: ASTON PARK HEALTH CARE CENTER, INC..

Sources

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