Home / North Carolina / Asheville
Bear Mountain Health and Rehabilitation
500 Beaverdam Road, Asheville, NC 28804 · Buncombe County · (828) 254-8833
77 certified beds, about 65 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1967
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345010 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 15, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 16 health citations since March 2024 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 3.28 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
60.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Ascent Healthcare Management, an affiliated group of 6 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.
503/24
605/25
212/25
307/26
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 16 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
1E
0F
Potential for minimal harm
0A
2B
0C
July 15, 2026Standard inspection · 3 citations
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on record review, facility activity calendar, and resident and staff interviews, the facility failed to ensure group activities were planned for outside of the facility to meet the needs of residents who expressed that it was important to them to attend group activities outside of the facility for 7 of 9 residents reviewed for activities (Residents #10, #41, #11, #57, #8, #56, #9). The residents expressed not being able to leave the facility made them feel sad and sometimes depressed and angry.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review, Responsible Party, resident and staff interviews, the facility failed to obtain consent and inform the resident or resident representative in advance of the risks and benefits of psychotropic medications prior to starting them for 2 of 5 residents reviewed for unnecessary medications (Resident #12 and Resident #3).
- D 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.
Inspectors wroteBased on observation and staff interviews, the facility failed to discard an expired medication from 1 of 2 medication carts (West-Front Hall) reviewed for medication labeling and storage.
December 30, 2025Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, staff, Pharmacist, and Medical Director interview, the facility failed to transcribe and implement orders for diabetes care according to the hospital discharge summary for a resident with diabetes. The hospital discharge summary ordered sitagliptin/metformin (Janumet extended release). The facility instead entered and administered metformin, omitting the sitagliptin component and the extended-release formulation. This deficient practice occurred for 1 of 3 residents reviewed for providing care according to professional standards (Resident #1).
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on record review, and staff, Clinical Practice Manager, and Physician Assistant (PA) interviews, the facility failed to notify the medical provider of abnormal laboratory results for 1 of 1 resident reviewed for notification of laboratory results (Resident #1).
May 9, 2025Standard inspection, Complaint inspection · 6 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to promote care in a dignified manner for 1 of 2 residents who were assisted with meals (Resident #2). Staff were observed standing beside the resident's bed while feeding assistance was provided.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments in the areas of Preadmission Screening and Resident Review (PASARR) and high-risk drug classes usage that involved anticoagulant, antipsychotic, and opioid medications for 3 of the 7 sampled residents (Residents #11, #24, and #52).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on staff interview and medical record review, the facility failed to refer a resident with newly diagnosed serious mental illnesses for Pre-admission Screening and Annual Resident Review (PASARR) Level II screening for 1 of 2 residents reviewed for PASARR (Resident #36).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, record review, and Medical Director (MD), resident and staff interviews, the facility failed to readjust medication orders after those orders had been updated which resulted in the resident missing one dose of five medications for 1 of 1 resident reviewed for pharmacy services (Resident #36).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to intervene effectively when two residents became agitated and were yelling at each other in a common area. Resident #44 was cognitively impaired and had a history of violent behaviors caused Resident #229 to sustain a skin tear by hitting her on the hand with a cellphone. This deficient practice occurred for 1 of 3 residents reviewed for supervision to prevent accidents (Resident #229).
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to keep a urinary catheter bag and drainage spout from touching the floor to reduce the risk of infection for 1 of 1 resident (Resident #62). This deficient practice occurred for 1 of 1 resident reviewed with a urinary catheter.
March 7, 2024Standard inspection, Complaint inspection · 5 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, record review, resident, and staff interview the facility failed to assess a resident's ability to self-administer medications for 1 of 1 resident reviewed for medications at bedside (Resident #67).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a Level II Preadmission Screening and Resident Review (PASRR) was completed for a resident with new mental health diagnoses for 1 of 2 residents reviewed for PASRR (Resident #23).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observations, record review, and resident and staff interviews the facility administered a medicated powder without a physician's order for 1 of 1 resident reviewed for professional standards of practice (Resident #21).
- B Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete quarterly assessments within the regulated time frames for 3 of 3 residents reviewed for completion of quarterly Minimum Data Set (MDS) assessments (Residents # 34, #15, #69).
- B Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review and staff interview, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the recertification surveys conducted on 1/28/22 and 12/16/22. This was for a repeat deficiency in the area of quarterly assessments that was originally cited on 1/28/22 during the recertification survey, and subsequently recited during the recertification survey on 12/16/22 and the recertification survey completed on 3/7/24. The continued failure of the facility during three federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
Fire safety inspections
22 fire safety citations on file: 6 on May 9, 2025, 5 on March 7, 2024, 11 on December 16, 2022.
Every fire safety citation22 citations
- F Install corridor and hallway doors that block smoke.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
- D Meet Health Care Facilities Code mechanical requirements.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Have an alternate power supply for its alarm system.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
- E Have properly installed electrical wiring and gas equipment.
- D Use approved construction type or materials.
- D Install proper backup exit lighting.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D Meet other general requirements that are deficient.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Have restrictions on the use of portable space heaters.
- C Ensure proper usage of power strips and extension cords.
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.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.28 | 3.85 | 3.86 |
| Registered nurses | 0.49 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.83 | 3.42 | 3.42 |
| Nurse aides | 2.21 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 60.5% | 49.0% | 45.8% |
| Registered nurse turnover | 55.6% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.30 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 3.47 on weekdays and 2.83 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 37.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.28 | 0.49 | 3.47 | 2.83 | 37.6% | 0 of 90 | 65 |
| Oct to Dec 2025 | 3.07 | 0.43 | 3.25 | 2.60 | 48.2% | 0 of 92 | 70 |
| Jul to Sep 2025 | 3.02 | 0.38 | 3.18 | 2.61 | 43.3% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.26 | 0.37 | 3.45 | 2.79 | 46.4% | 0 of 91 | 70 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 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
| Job | Median | Middle half | Employed |
|---|---|---|---|
| North Carolina, all employers | |||
| CNAs (nursing assistants) | $18.49 | $17.28 to $21.08 | 64,010 |
| LPNs and LVNs | $30.42 | $28.50 to $33.51 | 18,010 |
| Registered nurses | $40.56 | $37.87 to $49.06 | 111,120 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 10.3 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.7 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.7 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.0 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: ASHEVILLE BEAVERDAM NC OPCO LLC. CMS links this home to Ascent Healthcare Management, a group of 6 nursing homes averaging 2.2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nebo Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 05/01/2024 |
| Badimu, Kamuina | Operational/managerial control | Individual | 01/01/2025 | |
| Crum, Katherine | Operational/managerial control | Individual | 01/01/2025 | |
| Friedman, Yisroel | Operational/managerial control | Individual | 05/01/2024 | |
| Badimu, Kamuina | Adp of the SNF | Individual | 01/01/2025 | |
| Crum, Katherine | Adp of the SNF | Individual | 01/01/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on December 30, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 15, 2026: "Provide activities to meet all resident's needs."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 15, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on December 30, 2025: "Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.83 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Emerald Ridge Health and Rehabilitation Asheville, 2.8 mi · 1 of 5 stars · 32 citations
- River Bend Health and Rehabilitation Asheville, 3.7 mi · 1 of 5 stars · 52 citations
- The Laurels of Summit Ridge Asheville, 4.3 mi · 4 of 5 stars · 17 citations
- Elevate Health and Rehabilitation Asheville, 4.7 mi · 1 of 5 stars · 28 citations
- The Greens at Weaverville Weaverville, 4.8 mi · 3 of 5 stars · 12 citations
- The Laurels of Greentree Ridge Asheville, 5.4 mi · 5 of 5 stars · 15 citations
- Stonecreek Health and Rehabilitation Asheville, 5.5 mi · 3 of 5 stars · 16 citations
- Swannanoa Valley Health and Rehabilitation Swannanoa, 6 mi · 3 of 5 stars · 12 citations
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.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Bear Mountain Health and Rehabilitation's Medicare star rating?
- CMS rates Bear Mountain Health and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bear Mountain Health and Rehabilitation get at its last inspection?
- 3 health deficiencies at the standard inspection on July 15, 2026. The North Carolina average is 4.7.
- Has Bear Mountain Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Bear Mountain Health and Rehabilitation 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 Bear Mountain Health and Rehabilitation?
- CMS lists 6 owners and managers, and links the home to Ascent Healthcare Management. Legal business name: ASHEVILLE BEAVERDAM NC OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.