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Black Mountain Neuro-Medical Treatment Center
932 Old Us Highway 70, Black Mountain, NC 28711 · Buncombe County · (828) 259-6700
163 certified beds, about 74 residents a day · Government - State · Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 34A001 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 5 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists no fines against this home in the last three years.
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.
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.
September 25, 2025Standard inspection · 0 citations
August 15, 2024Standard inspection, Complaint inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews the facility failed to discard food items past the use by date in 1 of 2 reach-in coolers; discard food with signs of spoilage in 2 of 2 walk-in coolers; and label and date two bags of unidentifiable frozen food items that had been removed from the original container in 1 of 1 reach-in freezer. This failure had the potential to affect food served to residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on record review and interviews with staff and the Nurse Practitioner, the facility failed to protect the resident's right to be free from neglect when Nurse Aide (NA) #1 started providing incontinence care for Resident #2 without assistance and was aware of the plan of care instructions for 2-person assist. NA #1 turned away from the bed to reach supplies and Resident #2 rolled off the raised bed onto the fall mat. The deficient practice occurred for 1 of 3 residents reviewed for abuse (Resident #2).
March 24, 2023Standard inspection · 3 citations
- J Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review, staff and physician interviews, the facility failed to prevent a significant medication error when Nurse #1 administered medications to Resident #8 that were prescribed for Resident #58 for 1 of 2 sampled residents reviewed for hospitalization. On the morning of 11/23/22, Resident #8 received six medications which included Depakote (mood stabilizer), Bumex (diuretic), Gabapentin (used to treat nerve pain), Metoprolol (used to treat blood pressure), Risperdal (antipsychotic), and Sertraline (antidepressant). On 11/23/22 at 11:50 AM, Resident #8 appeared lethargic (decreased alertness) and was assessed by Nurse #1 to have a heart rate of 43 and her blood pressure reading could not be obtained. [...]
- E 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 area of Preadmission Screening and Resident Review (PASRR) for 6 of 6 sampled residents reviewed for PASRR (Residents #4, #11, #12, #15, #16, and #37).
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record reviews and interviews with staff, Consultant Pharmacist, and Medical Director, the facility failed to monitor the cholesterol level for 1 of 5 residents reviewed for unnecessary medications (Resident #68).
Fire safety inspections
7 fire safety citations on file: 5 on August 15, 2024, 2 on March 24, 2023.
Every fire safety citation7 citations
- D Use approved construction type or materials.
- 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.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F 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.
- F Have generator or other power source capable of supplying service within 10 seconds.
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) | not reported | 3.85 | 3.86 |
| Registered nurses | not reported | 0.62 | 0.69 |
| All nursing staff on weekends | not reported | 3.42 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | not reported | 49.0% | 45.8% |
| Registered nurse turnover | not reported | 45.6% | 42.9% |
| Administrators who left | not reported |
CMS note on this home's staffing data: This facility submitted data that did not meet the criteria required to calculate a staffing measure.
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 | 10.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 48.8 | 14.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.3 | 1.8 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 24, 2023: "Ensure that residents are free from significant medication errors."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on August 15, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on March 24, 2023: "Ensure each resident receives an accurate assessment."
Other nursing homes nearby
- Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain, 0 mi · 1 of 5 stars · 13 citations
- Highland Farms Black Mountain, 2.2 mi · 5 of 5 stars · 10 citations
- Nc State Veterans Home - Black Mountain Black Mountain, 3.4 mi · 5 of 5 stars · 13 citations
- Swannanoa Valley Health and Rehabilitation Swannanoa, 7.3 mi · 3 of 5 stars · 12 citations
- Fleshers Fairview Health Care Fairview, 9.1 mi · 2 of 5 stars · 38 citations
- The Laurels of Summit Ridge Asheville, 9.8 mi · 4 of 5 stars · 17 citations
- Bear Mountain Health and Rehabilitation Asheville, 12.4 mi · 3 of 5 stars · 16 citations
- The Laurels of Greentree Ridge Asheville, 12.7 mi · 5 of 5 stars · 15 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 Black Mountain Neuro-Medical Treatment Center's Medicare star rating?
- CMS rates Black Mountain Neuro-Medical Treatment Center 5 out of 5 stars overall, with 5 for health inspections, no for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Black Mountain Neuro-Medical Treatment Center get at its last inspection?
- 0 health deficiencies at the standard inspection on September 25, 2025. The North Carolina average is 4.7.
- Has Black Mountain Neuro-Medical Treatment Center been fined?
- CMS lists no fines in the last three years.
- Does Black Mountain Neuro-Medical Treatment Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Black Mountain Neuro-Medical Treatment Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.
- 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.