Home / North Carolina / Asheville
25 Reynolds Mountain Boulevard, Asheville, NC 28804 · Buncombe County · (828) 645-6619
100 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345447 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 9, 2026, inspectors cited 10 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 32 health citations since October 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 2 fines totaling $73,475 in the last three years; the largest was $62,607, and the latest is dated April 9, 2026.
Nurses and nurse aides worked 3.06 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
35.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Avardis Health, an affiliated group of 38 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 32 health citations on file.
Inspectors wroteBased on record review and interviews with staff, power of attorney (POA), Nurse Practitioners, Psychiatrist and Medical Director, the facility failed to ensure Resident #101, who was admitted on [DATE] following a stay at an inpatient psychiatric facility beginning on 1/9/26 for a severe episode of recurrent major depressive disorder with suicidal behavior with attempted self-injury, received the necessary treatment that was person-centered and individualized to meet her needs. The resident's psychiatric diagnoses included major depressive disorder, post-traumatic stress disorder (PTSD), bipolar disorder, and delusional disorders. The inpatient psychiatric facility's discharge summary included an order for antipsychotic medication (olanzapine) every night at bedtime. [...]
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address concerns voiced by residents during Resident Council meetings for 11 of 12 months reviewed (April 2025, May 2025, June 2025, July 2025, August 2025, September 2025, October 2025, November 2025, January 2026, February 2026 and March 2026).
Inspectors wroteBased on record review and interviews with staff and Pharmacist, the facility failed to implement a system to consistently and accurately reconcile controlled medications obtained from home for 1 of 1 resident reviewed for medication management (Resident #8). As a result, a total of 31 tablets of Lorazepam (a controlled medication) were unaccounted for. The facility also failed to keep accurate records of controlled medications for 1 of 2 medication cart narcotic records reviewed.
Inspectors wroteBased on record reviews, observations and staff interviews, the facility failed to follow their infection control policies and procedures for Enhanced Barrier Precautions and hand hygiene when Nurse Aide (NA) #8, Medication Aide #1 and NA #10 did not wear personal protective equipment during incontinence care and when NA #8 did not change gloves and perform hand hygiene after contact with a soiled brief. In addition, the Treatment Nurse failed to change her gloves and perform hand hygiene during wound care. This deficiency occurred for 4 of 8 staff members observed for infection control practices (NA #8, NA #10, Medication Aide #1 and Treatment Nurse).
Inspectors wroteBased on observations, record reviews, and resident and staff interviews, the facility failed to provide a functioning resident call system for 1 of 2 residents reviewed for resident call system (Residents #1).
Inspectors wroteBased on record review, observations, and resident and staff interviews, the facility failed to provide care in a manner that maintained the resident's dignity by not providing incontinence care when needed. Resident #102 stated it made her feel bad having to wait a long time to be changed. This occurred for 1 of 3 residents reviewed for dignity (Resident #102).
Inspectors wroteBased on record review and staff interviews, the facility failed to notify law enforcement and Adult Protective Services (APS) for an initial allegation of injury of unknown origin. The facility also failed to submit a 5-day investigation report to the state agency within the required timeframe for 1 of 1 resident with an allegation of injury or unknown source (Resident #105). 1. Review of the facility policy dated 6/1/25 abuse, neglect and exploitation stated the facility was to provide protections for the health, welfare and rights of each resident by developing and implementing written policies and procedures that prevent abuse, neglect, exploitation and misappropriation of resident property.2. The procedure included:7. [...]
Inspectors wroteBased on record review, and Power of Attorney, staff, Ombudsman, Hospital Case Manager and Medical Director interviews, the facility failed to allow a resident to return to the first available bed at the facility after being sent to the hospital for a medical and psychiatric evaluation. Resident #101 remained in the hospital for 11 days despite being cleared to return to the nursing home and was eventually discharged home. This deficient practice was evidenced for 1 of 3 residents reviewed for transfer and discharge (Resident #101).
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a resident with serious mental health disorders for 1 of 3 residents reviewed for PASRR (Resident #101).
Inspectors wroteBased on record review, observations and interviews with residents and staff, the facility failed to provide incontinence care (Resident #102) and showers as scheduled (Resident #77) for 2 of 6 dependent residents reviewed for assistance with activities of daily living.
Inspectors wroteBased on record review and interviews with staff, the facility failed to complete an accurate Minimum Data Set (MDS) in the areas of behaviors, wandering, and the use of a wanderguard bracelet (used to protect residents from elopement) for 1 of 2 residents review for accuracy of assessments (Resident #1).
Inspectors wroteBased on record review, observations, and staff and Wound Care Nurse Practitioner (NP) interviews, the facility failed to assess for and identify a pressure ulcer on the buttock before it was assessed as a stage III (full-thickness loss of skin) for 1 of 2 residents (Resident #10) reviewed for pressure ulcers.
Inspectors wroteBased on observations and staff interviews, the facility failed to date opened containers of thickened liquids and clean 1 of 1 reach-in refrigerators. The facility also failed to remove expired chocolate milk from a nourishment room (the Secured Unit nourishment room). These practices had the potential to affect food served to the residents.
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to develop an accurate baseline care plan for a resident (Resident #303) when the care plan did not include the indwelling catheter that was present on admission for Resident #303. This deficient practice occurred for 1 of 2 residents reviewed for baseline care plans.
Inspectors wroteBased on record review and staff interviews, the facility failed to develop an accurate comprehensive care plan for a resident (Resident #10) when the care plan did not include a plan of care for pain. This deficient practice occurred for 1 of 1 resident reviewed for pain.
Inspectors wroteBased on observations, record review, and staff and Nurse Practitioner (NP) interviews, the facility failed to ensure the resident had medical diagnoses to support an indwelling urinary catheter and to keep a urinary catheter bag and its tubing from touching the floor to reduce the risk of infection for 1 of 1 resident reviewed with a urinary catheter (Resident #303).
Inspectors wroteBased on observations, record review, and resident, and staff interviews, the facility failed to ensure that oxygen air filters were present, clean, and without dust for 2 of 3 residents reviewed for respiratory care (Resident #25 and Resident #78).
Inspectors wroteBased on record review, and staff, Nurse Practitioner (NP), and Consultant Pharmacist interviews, the facility failed to act on a pharmacy recommendation to add a stop date for a PRN antipsychotic medication (Resident #17). This deficient practice occurred for 1 of 5 residents reviewed for pharmacy recommendations.
Inspectors wroteBased on record review, and staff, Pharmacy Representative, and Nurse Practitioner (NP) interviews, the facility the facility failed to include a 14- day stop date with an order for a PRN antipsychotic medication (Resident #17). This deficient practice occurred for 1 of 5 residents reviewed for pharmacy recommendations.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide drinks consistent with the resident's thickened liquid needs for 1 of 1 sampled resident (Resident #73) reviewed for drinks available to meet resident needs.
Inspectors wroteBased on observations, resident interview, Responsible Party (RP) interview, Psychiatric Nurse Practitioner interview, staff and physician interviews, the facility failed to communicate and provide information in a language the resident could understand for a resident that did not speak or understand the English language for 1 of 1 resident reviewed for communication (Resident #43).
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to resolve repeat concerns regarding cold food temperatures and late meal delivery reported during the Resident Council meetings for 10 of 13 months (October 2022, November 2022, December 2022, January 2023, Feburary 2023, March 2023, May 2023, June 2023, July 2023, and October 2023) months reviewed.
Inspectors wroteBased on record review, staff interview, and nurse practitioner interview the facility failed to transcribe and implement the nurse practitioner orders for two (Resident #30, Resident #21) of three residents reviewed for professional standards of practice.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to offer hand hygiene to residents before meals when staff delivered lunch meal trays to resident rooms for 2 of 3 observations completed for dining (Resident #86, Resident #58, Resident #6, Resident #83, Resident #37, and Resident #147).
Inspectors wroteBased on record reviews, staff, resident, and Physician interviews the facility failed to protect a resident's right to be free of misappropriation of narcotic pain medication for 2 of 3 residents (Resident #27 & #247) reviewed for misappropriation of property.
Inspectors wroteBased on record review and staff interviews, the facility failed to follow their policy related to misappropriation of property and exploitation in the areas of reporting to the state, investigating an allegation of misappropriation and exploitation, and protecting residents at risk as a result of not investigating. In addition, the Administrator failed to identify an allegation of misappropriation and exploitation when reported to her by the Business Office Manager. This was for 1 of 3 residents (Resident #397) reviewed for misappropriation of property.
Inspectors wroteBased on record review and staff interviews, the facility failed to develop an individualized person-centered care plan in the area of dementia for 1 of 3 residents reviewed for dementia care (Resident #40).
Inspectors wroteBased on observations, record review, resident and staff interviews, the facility failed to place hand/wrist splint to the left hand for contracture management for 1 of 1 resident reviewed for limited range of motion (Resident #19).
Inspectors wroteBased on record review, observations and staff interviews the facility failed to discard expired medications stored for use in 1 of 1 medication storage room reviewed for medication storage.
Inspectors wroteBased on record review and staff interviews the facility failed to administer the pneumococcal vaccination to an eligible resident for 1 of 5 residents reviewed for immunizations (Resident #158).
Inspectors wroteBased on observations, resident and staff interviews, Facility failed to inform residents (Residents #52, #47, #2, #49, #40, #150, #76, #17, and #21) of the location of the most recent survey results and failed to display the survey results in a location accessible to residents.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments for 2 of 24 sampled residents whose MDS assessments were reviewed (Resident #43 and Resident #17).
20 fire safety citations on file: 9 on April 9, 2026, 5 on March 6, 2025, 6 on October 26, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| April 9, 2026 | Fine | $62,607 |
| March 6, 2025 | Fine | $10,868 |
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) | 3.06 | 3.85 | 3.86 |
| Registered nurses | 0.63 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.60 | 3.42 | 3.42 |
| Nurse aides | 2.00 | ||
| Licensed practical nurses | 0.43 | ||
| Nursing staff turnover (share who left in a year) | 35.8% | 49.0% | 45.8% |
| Registered nurse turnover | 25.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.16 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 3.25 on weekdays and 2.60 on weekends, 20% 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 3.16 in April to June 2025 to 3.06 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 | 3.06 | 0.63 | 3.25 | 2.60 | 0.0% | 0 of 90 | 90 |
| Oct to Dec 2025 | 3.10 | 0.57 | 3.25 | 2.72 | 0.0% | 0 of 92 | 89 |
| Jul to Sep 2025 | 3.15 | 0.47 | 3.27 | 2.86 | 0.0% | 0 of 92 | 88 |
| Apr to Jun 2025 | 3.16 | 0.52 | 3.31 | 2.78 | 0.0% | 0 of 91 | 87 |
| 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.
| 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 | 7.7 | 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 | 1.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.1 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.3 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 24.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.4 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Emerald Ridge Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (44.8% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
44.8% 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. 85 eligible stays.
9.2% 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. 100 eligible stays.
7.9% 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. 54 eligible stays.
38.5% 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. 39 residents counted.
1.5% 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. 68 residents counted.
2.7% 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. 68 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. 8 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: 25 REYNOLDS MOUNTAIN BOULEVARD OPCO LLC. CMS links this home to Avardis Health, a group of 38 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Asheville Parentco LLC | Direct ownership interest | Organization | 06/01/2025 | |
| Ncop Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Nu C II Irrevocable Trust | Indirect ownership interest | Organization | 06/01/2025 | |
| Nu C Irrevocable Trust | Indirect ownership interest | Organization | 06/01/2025 | |
| Rmb Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| SNF Care Centers LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Zenith Holdco II LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Zenith Holdco LLC | Indirect ownership interest | Organization | 06/01/2025 | |
| Cse Woodfin LP | 5% or greater security interest | Organization | 06/01/2025 | |
| Hoback, Tiffany | Managing control - governing body | Individual | 05/01/2025 | |
| Semones, Brandi | Managing control - governing body | Individual | 05/01/2025 | |
| SNF Mgr LLC | Operational/managerial control | Organization | 05/01/2025 | |
| Crum, Katherine | Operational/managerial control | Individual | 05/01/2025 | |
| Fisher, Candace | Operational/managerial control | Individual | 05/01/2025 | |
| Hoback, Tiffany | Operational/managerial control | Individual | 05/01/2025 | |
| Jones, Tequilla | Operational/managerial control | Individual | 05/01/2025 | |
| Ramsey, Rebecca | Operational/managerial control | Individual | 05/01/2025 | |
| Semones, Brandi | Operational/managerial control | Individual | 05/01/2025 | |
| Cse Woodfin LP | Adp of the SNF | Organization | 06/01/2025 | |
| SNF Mgr LLC | Adp of the SNF | Organization | 04/15/2025 | |
| Crum, Katherine | Adp of the SNF | Individual | 05/01/2025 | |
| Fisher, Candace | Adp of the SNF | Individual | 05/01/2025 | |
| Hoback, Tiffany | Adp of the SNF | Individual | 05/01/2025 | |
| Jones, Tequilla | Adp of the SNF | Individual | 05/01/2025 | |
| Ramsey, Rebecca | Adp of the SNF | Individual | 05/01/2025 | |
| Semones, Brandi | Adp of the SNF | Individual | 05/01/2025 |
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.
Chosen from this home's own inspection record.
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.