Home / North Carolina / Asheville
91 Victoria Road, Asheville, NC 28801 · Buncombe County · (828) 255-0076
120 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1979
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345174 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on September 2, 2025, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 28 health citations since April 2023, 5 were rated as actual harm or immediate jeopardy to residents (5 immediate jeopardy).
CMS lists 3 fines totaling $174,346 in the last three years; the largest was $139,932, and the latest is dated September 2, 2025.
Nurses and nurse aides worked 3.25 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.26 of those hours.
72.8% 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.
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.
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 28 health citations on file.
Inspectors wroteBased on record reviews, observations and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions (EBP) for two residents with chronic wounds when the Treatment Nurse did not wear Personal Protective Equipment while providing wound care for Resident #7 and Resident #8. In addition, the Treatment Nurse failed to change her gloves and perform hand hygiene during wound care. This deficiency occurred for 1 of 3 staff members reviewed for infection control practices (Treatment Nurse).
Inspectors wroteBased on record review, observations, and interviews with family, staff, Nurse Practitioner (NP), and Medical Director, the facility failed to prevent significant medication errors when required seizure medication (lacosamide) was not administered during the timeframe of 1/10/25 to 1/14/25 as a result of the medication not being available from the pharmacy. Resident #98 was ordered lacosamide twice daily. The medication supply was depleted and it was not administered as ordered on 1/10/25, 1/11/25, and the morning dose on 1/12/25. On the afternoon of 1/12/25 the lacosamide order was put on hold for two days for the documented reason of hold until pharmacy arrival. On the morning of 1/14/25 an additional hold order was entered into the medical record for the time period of one day with no documented reason noted on the order. [...]
Inspectors wroteBased on observations and staff interviews, the facility failed to date, label and store staff food in a nourishment room refrigerator (100-hall). The facility also failed to date an opened container of applesauce and store in a refrigerator (200-hall). This was for 2 of 2 nourishment rooms observed and had the potential to affect food served to residents in the facility.
Inspectors wroteThe facility failed to remove a petroleum-based lotion from a resident's room that received oxygen which posed a significant fire hazard for 1 of 1 resident reviewed for respiratory care (Resident #20).
Inspectors wroteBased on record reviews, staff, and Medical Director (MD) interviews, the facility failed to notify the physician of a Urologist appointment on 5/16/24 for Resident #53 that resulted in an order for a CT (computed tomography) scan for renal stones (small, hard deposit that forms in kidneys) and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of renal stones and right ureteral (tubes composed of smooth muscle that transport urine from the kidneys to the urinary bladder) stent exchange (procedure that replaces an existing stent with a new one) not being completed. Resident #53 experienced and was treated for urinary tract infections (UTI) and on-going hematuria (blood in urine) while waiting to see the urologist. [...]
Inspectors wroteBased on record review, and interviews with staff, Nurse Practitioner (NP), Medical Director, urology office staff, and the Urologist the facility failed to follow an order from a Urologist appointment on 5/16/24 for a CT (computed tomography) scan for ureteral stones and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of ureteral stones and right ureteral stent exchange for Resident #53. Resident #53 was previously hospitalized for obstructing ureteral stones (kidney stones that get stuck in tubes composed of smooth muscle that transport the urine from the kidneys to the bladder) with hydronephrosis (swelling of one or both kidneys due to urine build up), urinary tract infection (UTI), and sepsis (a serious condition in which the body responds improperly to an infection). [...]
Inspectors wroteBased on observations, record review, and staff, Nurse Practitioner, Medical Director, and Podiatrist interviews the facility failed to apply the ordered dressing for a resident (Resident #31) with diabetic foot ulcers when the Treatment Nurse Aide (NA) applied a Coban 2 two-layer compression system (a two layer system: a Comfort Foam Layer (Layer 1) and a Compression Layer (Layer 2) that provides therapeutic compression) to Resident #31's feet instead of using regular Coban (a self-adherent wrap). Resident #31 experienced the toes on his right foot turning purple after the right foot dressing was applied by the Treatment NA and dusky gray skin discoloration under the left foot dressing when the dressing was removed. Had the dressing been left in place, there was a high likelihood for blood circulation problems, vessel blockage or development of new wounds. [...]
Inspectors wroteBased on observations, record reviews, and staff, resident, and Nurse Practitioner interviews, the facility failed to obtain a physician's order for a resident who returned from the hospital on continuous oxygen (Resident #3) and the facility also failed to ensure oxygen was delivered at the prescribed rate (Resident #70). These practices occurred for 2 of 2 residents reviewed for respiratory care and services.
Inspectors wroteBased on observations, record review, staff and pharmacist interviews, the facility failed to secure medications when a Medication Aide (Medication Aide #1) left medication at a resident's (Resident #57) bedside. Furthermore, the facility failed to discard expired medications on 2 of 4 medication carts (200 hall medication cart-2 and 100 hall medication cart-2) reviewed for medication storage and labeling.
Inspectors wroteBased on observations and staff interviews the facility failed to label opened foods with a use by date stored for use in 1 of 1 reach-in refrigerators and 1 of 1 walk-in refrigerators. This practice had the potential to affect food served to residents.
Inspectors wroteBased on record review, and staff interviews the facility failed to maintain an accurate treatment administration record (TAR) when the Treatment Nurse Aide (NA) used a Nurse's (Nurse #3) login credentials for the electronic medical record to sign off treatments for 1 of 1 resident (Resident #31) reviewed for accurate and complete medical records.
Inspectors wroteBased on record reviews, observations and staff interviews, the facility failed to implement their infection control policy when the Treatment Nurse Aide (NA) did not perform hand hygiene and wore the same pair of gloves while doing wound care for two wounds and incontinence care for Resident #31. In addition, the Treatment NA failed to wear a gown while providing wound care for a resident (Resident #31) who required Enhanced Barrier Precautions (EBP) and did not wear personal protective equipment (PPE) per the facility's policy while doing wound care on Resident #31. The Treatment NA also failed to change her gloves and perform hand hygiene while providing several treaments and wound care for Resident #3. The Treament NA touched the resident, several surfaces in the room, and obtained supplies from the treament cart wearing the soiled gloves. [...]
Inspectors wroteBased on observation and staff interviews, the facility failed to protect the private health information for 1 of 1 sampled resident by leaving confidential medical information unattended in an area accessible to the public (Resident #45).
Inspectors wroteBased on observations, record review, and staff and Nurse Practitioner interviews, the facility failed to follow physician orders for 2 of 3 wounds (pressure ulcer of the coccyx and pressure ulcer of the back) for 1 of 2 residents reviewed for wound care (Resident #3).
Inspectors wroteBased on record reviews, observations, resident and staff interviews, the facility failed to ensure smoking assessments were completed accurately and timely to reflect residents smoking status and level of supervision for 2 of 5 residents reviewed for smoking (Resident #65 and Resident #57). Findings Included: 1. Resident #65 was admitted to the facility on [DATE] with diagnosis that included chronic respiratory failure and muscle weakness. Review of revised care plan dated 3/19/24 revealed Resident #65 was assessed as a supervised smoker and vaper and at risk for injury related to smoking activity. [...]
Inspectors wroteBased on record reviews, and interviews with resident, staff and Medical Director, the facility failed to prevent a significant medication error when Nurse #1 administered medications to Resident #1 prescribed for Resident #2 which included Risperidone (antipsychotic medication), Furosemide (a medication used to treat fluid retention and swelling), Lisinopril (a medication used to treat hypertension), and Amlodipine (a medication used to treat hypertension). Nurse #1 identified the error and Resident #1 was sent to the emergency department (ED) on 2/17/24 for further evaluation due to elevated heart rate and hypotension (low blood pressure). While in the ED, Resident #1 complained of having chest pain and feeling weak. [...]
Inspectors wroteBased on record reviews, and interviews with resident, staff and Medical Director, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions the committee put into place following the complaint investigation survey conducted on 3/3/22 and the recertification and complaint investigation survey conducted on 6/1/22. This was for a repeat deficiency in the area of significant medication errors that was originally cited on 3/3/22 during the complaint survey, and subsequently recited during the recertification and complaint investigation survey on 6/1/22 and the complaint survey completed on 4/10/24. 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.
Inspectors wroteD. Resident #6 was admitted to the facility on [DATE]. A quarterly Minimum Data Set for Resident #6 dated 1/6/23 revealed she was cognitively intact. The resident was dependent on staff for transfers, walking did not occur during the assessment period. An observation was made of Resident #6's room on 4/10/23 at 2:25 PM. The switch for the lights behind Resident #6's bed was located on the wall approximately 3 feet from the floor and about 5-6 feet from Resident #6's bed, and there was no cord attached for the resident's use. Resident #6 could not reach the light switch from her bed. During an interview on 4/10/23 at 2:30 PM Resident #6 revealed she could not reach any of the light switches in the room and if she wanted the lights off or on, she would have to call staff for assistance. She stated if she had a cord, she could control the lights herself. E. [...]
Inspectors wroteBased on observations and interviews with residents and staff, the facility failed to repair a hole with jagged edges and splintered wood on the lower portion of a door in a shared bathroom (room [ROOM NUMBER]); failed to repair holes in the bathroom linoleum floor (room [ROOM NUMBER]); failed to repair the seal surrounding the base of the toilet that had a buildup of black colored debris in shared bathrooms with a strong odor resembling urine (rooms [ROOM NUMBERS]); failed to maintain clean and sanitary bathroom floors (rooms 110, 114, 116, 120, 128); failed to remove side rails from the floor (room [ROOM NUMBER]); failed to maintain a clean and sanitary room divider curtain (room [ROOM NUMBER]); failed to properly label and store personal care equipment in shared bathrooms (rooms 110, 116, 119, 120, 121); [...]
Inspectors wroteBased on observations, record review, resident interview, staff interviews, Pharmacist interview, and Physician interview the facility failed to provide care according to professional standards when the Physician failed to continue a resident's testosterone injections that he needed for hormone replacement. This resulted in 1 of 1 resident missing monthly testosterone injections for more than 2 months. (Resident #83)
Inspectors wroteBased on observations and staff interviews the facility failed to secure medication for 6 of 6 residents observed for medicated creams and/or medicated powders at the bedside (Resident #26, Resident #80, Resident #24, Resident #20, Resident #38, and Resident #44).
Inspectors wroteBased on observations, record review and interviews the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the complaint survey and recertification survey conducted on 3/3/22 and 6/1/22. Six of the seven repeat deficiencies were originally cited on the 6/1/22 recertification survey under the areas of Resident Rights (F561 and F584), Comprehensive Resident Centered Care Plan (F658), Quality of Life (F677), Quality of Care (F684), and Infection Control (F880). One of the seven repeat deficiencies was originally cited on the 3/3/22 complaint survey under the area of Resident Rights (F558). These repeat deficiencies during the 3 federal surveys show a pattern of the facility's inability to sustain an effective QAA Program.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to implement infection control for hand hygiene when 2 of 2 facility staff (Nurse Aide #6 and Nurse Aide #2) did not remove their gloves and perform hand hygiene after providing incontinence care for 2 of 2 residents observed for incontinence care (Resident #33 and Resident #46); and when 1 of 1 facility staff (Nurse Aide #6) handled soiled linen without gloved hands and failed to place soiled linen in bag before removing it from a resident room and placing it in the soiled linen hamper for 1 of 2 residents observed for incontinence care (Resident #33).
Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to honor a resident's bathing preference for 1 of 4 residents reviewed for choices (Resident #19).
Inspectors wroteBased on record review and staff interviews, the facility failed to provide a Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) prior to discharge from Medicare Part A skilled services to 2 of 3 residents reviewed for beneficiary notification review (Residents #41 and #46). The Findings Included: 1. Resident #41 was admitted to the facility on [DATE]. Review of the medial record revealed a Notice of Medicare Non-Coverage (NOMNC) was discussed with and signed by Resident #41 on 03/21/23 which indicated Medicare Part A coverage for skilled services would end on 03/27/23. Resident #41 remained in the facility. A review of the medical record revealed no evidence a SNF ABN was provided to Resident #41. [...]
Inspectors wroteBased on record review and interviews with staff, the facility failed to request a resident with a newly diagnosed mental illness be reevaluated for a level II Preadmission Screening and Resident Review (PASRR) for 1 of 1 resident reviewed for PASRR (Resident #28).
Inspectors wroteBased on record review, observations, and interviews with residents and staff the facility failed to provide dependent residents assistance with personal hygiene including oral care (Resident #2 and #47) and shaving (Resident #6) for 3 of 11 residents reviewed for activities of daily living.
Inspectors wroteBased on observations, record review, resident interview, staff interviews, and Physician interview the facility failed to follow the Physician's order to provide dressing changes to a resident's peritoneal catheter daily. This occurred for 1 of 1 resident reviewed for quality of care (Resident # 83).
30 fire safety citations on file: 11 on August 7, 2024, 3 on April 14, 2023, 16 on June 1, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| September 2, 2025 | Fine | $17,345 |
| August 7, 2024 | Fine | $139,932 |
| April 10, 2024 | Fine | $17,069 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.25 | 3.85 | 3.86 |
| Registered nurses | 0.26 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.42 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.71 | ||
| Nursing staff turnover (share who left in a year) | 72.8% | 49.0% | 45.8% |
| Registered nurse turnover | 76.9% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.38 on weekdays and 2.92 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 54.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.41 in April to June 2025 to 3.25 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 | 3.25 | 0.26 | 3.38 | 2.92 | 54.7% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.02 | 0.33 | 3.15 | 2.69 | 62.8% | 0 of 92 | 98 |
| Jul to Sep 2025 | 3.21 | 0.40 | 3.36 | 2.85 | 62.6% | 0 of 92 | 98 |
| Apr to Jun 2025 | 3.41 | 0.47 | 3.66 | 2.77 | 63.6% | 0 of 91 | 84 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 6.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.4 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.1 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Elevate Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (34.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
34.9% this home
Worse than 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. 57 eligible stays.
10.5% 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. 86 eligible stays.
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. 59 eligible stays.
27.3% 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. 33 residents counted.
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. 53 residents counted.
5.3% 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. 53 residents counted.
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. 13 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.
Legal business name: ASHEVILLE VICTORIA 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 |
|---|---|---|---|---|
| Friedman, Yisroel | Corporate director | Individual | 01/01/2024 | |
| Friedman, Yisroel | Operational/managerial control | Individual | 01/01/2024 | |
| Moye, Matthew | Operational/managerial control | Individual | 01/01/2025 | |
| Price, Varonica | Operational/managerial control | Individual | 01/01/2025 | |
| Moye, Matthew | Adp of the SNF | Individual | 05/13/2025 | |
| Price, Varonica | Adp of the SNF | Individual | 05/13/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.