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Deerfield Episcopal Retirement

1617 Hendersonville Road, Asheville, NC 28803 · Buncombe County · (828) 274-1531

62 certified beds, about 59 residents a day · Non profit - Corporation · Medicare since 2013

CMS high performing icon Part of a continuing care retirement community Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 345556 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 4, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).

None of its 3 health citations since February 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 5.44 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.60 of those hours.

28.7% of nursing staff left within the year CMS measured (North Carolina average 49.0%).

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 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
1E
0F
Potential for minimal harm
0A
0B
0C
June 4, 2026Standard inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 5, 2026
    Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to provide safe oxygen tank storage for 1 of 5 residents reviewed for accident hazards (Resident #28).
April 3, 2025Standard inspection · 1 citation
  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 5, 2025
    Inspectors wroteBased on record review, observations and staff interviews, the facility failed to remove expired prepackaged produce stored for use in 1 of 3 kitchen refrigerators (reach-in refrigerator). The practice had the potential to affect food served to residents.
February 8, 2024Standard inspection · 1 citation
  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 6, 2024
    Inspectors wroteBased on observations and staff interviews the facility failed to remove expired food stored for use from 2 of 3 kitchen refrigerators (#1 and #2). This practice had the potential to affect food served to residents.

Fire safety inspections

7 fire safety citations on file: 1 on June 4, 2026, 3 on April 3, 2025, 3 on February 8, 2024.

Every fire safety citation7 citations
  1. D
    Have proper medical gas storage and administration areas.
    K 923 · June 4, 2026 · Not yet corrected
  2. 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.
    K 222 · April 3, 2025 · Corrected (the home has a date of correction)
  3. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · April 3, 2025 · Corrected (the home has a date of correction)
  4. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 3, 2025 · Corrected (the home has a date of correction)
  5. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · February 8, 2024 · Corrected (the home has a date of correction)
  6. D
    Install an approved automatic sprinkler system.
    K 351 · February 8, 2024 · Corrected (the home has a date of correction)
  7. D
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · February 8, 2024 · 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)5.443.853.86
Registered nurses1.600.620.69
All nursing staff on weekends4.693.423.42
Nurse aides3.05
Licensed practical nurses0.79
Nursing staff turnover (share who left in a year)28.7%49.0%45.8%
Registered nurse turnover14.3%45.6%42.9%
Administrators who left0

CMS expects 3.17 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 5.74 on weekdays and 4.69 on weekends, 18% 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 5.19 in April to June 2025 to 5.44 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20265.441.605.744.69 0.0%0 of 9059
Oct to Dec 20255.371.555.584.82 0.0%0 of 9260
Jul to Sep 20255.261.545.524.59 0.0%0 of 9261
Apr to Jun 20255.191.565.444.57 0.0%0 of 9160
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
17.615.613.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
3.80.70.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
6.82.31.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
8.73.53.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
9.11.41.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
16.018.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.25.54.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
18.014.015.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.01.81.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.81.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Deerfield Episcopal Retirement's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.9% this home

No different from the national rate

US median of homes 51.5% · North Carolina: 93 better, 25 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 35 eligible stays.

Potentially preventable readmissions

11.1% this home

No different from the national rate

US median of homes 10.7% · North Carolina: 1 better, 4 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 46 eligible stays.

Infections that led to a hospital stay

6.8% this home

No different from the national rate

US median of homes 7.1% · North Carolina: 1 better, 3 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 27 eligible stays.

Self-care and mobility at discharge

61.5% this home

Median of homes: North Carolina54.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 26 residents counted.

Falls with major injury

0.0% this home

Median of homes: North Carolina0.6% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 30 residents counted.

New or worsened pressure ulcers

13.2% this home

Median of homes: North Carolina2.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 30 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: North Carolina97.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 11 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC..

NameRoleTypeShareSince
Bush, ElizabethW-2 managing employeeIndividual08/22/2022
Bush, ElizabethCorporate officerIndividual08/22/2022
Chandler, RobertCorporate officerIndividual01/01/2012
Sharpe, MatthewCorporate officerIndividual05/23/2022
King, BrianOperational/managerial controlIndividual07/08/2013

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 3, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on June 4, 2026: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."

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 Deerfield Episcopal Retirement's Medicare star rating?
CMS rates Deerfield Episcopal Retirement 5 out of 5 stars overall, with 5 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Deerfield Episcopal Retirement get at its last inspection?
1 health deficiency at the standard inspection on June 4, 2026. The North Carolina average is 4.7.
Has Deerfield Episcopal Retirement been fined?
CMS lists no fines in the last three years.
Does Deerfield Episcopal Retirement accept Medicaid?
CMS lists it as "Medicare", so it is not certified for Medicaid.
Who owns Deerfield Episcopal Retirement?
CMS lists 5 owners and managers. Legal business name: DEERFIELD EPISCOPAL RETIREMENT COMMUNITY, INC..

Sources

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