Home / North Carolina / Black Mountain
Nc State Veterans Home - Black Mountain
62 Lake Eden Road, Black Mountain, NC 28711 · Buncombe County · (828) 257-6800
100 certified beds, about 82 residents a day · For profit - Corporation · Medicare and Medicaid since 2013
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345558 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 4, 2025, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 13 health citations since May 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $12,759 in the last three years; the largest was $12,759, and the latest is dated September 5, 2024.
Nurses and nurse aides worked 5.43 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 1.46 of those hours.
45.3% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Pruitthealth, an affiliated group of 96 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.
205/23
809/24
102/25
212/25
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 13 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
5D
6E
0F
Potential for minimal harm
0A
1B
0C
December 4, 2025Standard inspection · 2 citations
- E PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for an evaluation for a Level II Preadmission Screening and Resident Review (PASRR) determination for residents with serious mental health disorders for 4 of 6 residents reviewed for PASRR (Resident #48, Resident #71, Resident #7, and Resident #73).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to implement their infection control policy and procedures when a Nurse Aide (NA) did not follow droplet-contact isolation precautions before entering Resident #14's room who had tested positive for influenza. This occurred for 1 of 3 staff members reviewed for infection control (NA #1).
February 19, 2025Complaint inspection · 1 citation
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure staff implemented their abuse policy and procedure in the area of reporting when nursing staff did not immediately inform the Administrator that a Nurse Aide had reported an alleged use of a physical restraint for a resident with no medical symptoms. This failure resulted in a delay in the facility investigating the allegation and reporting the allegation to the State Agency for 1 of 3 residents reviewed for restraints (Resident #1).
September 5, 2024Standard inspection, Complaint inspection · 8 citations
- G 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, observations, and interviews with staff the facility failed to protect a resident's right to be free from abuse (Resident #33) when a resident (Resident #324) physically pulled him to the floor causing a fall. During a second physical altercation Resident #324 grabbed hold of Resident #33 causing him to fall on his left hip. After the second fall Resident #33 was unable to move his left leg, complained of pain to the leg and hip, and was transferred to the hospital. The hospital x-ray identified an acute left femoral neck fracture (a break of the upper leg bone just below the joint that connects to the hip) with mild varus angulation (a displacement of the bone causing it to tilt inward towards the midline of the body). [...]
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to resolve and communicate the facility's efforts to address repeated concerns and/or suggestions voiced by residents during Resident Council meetings for 6 of 7 months reviewed (August 2023, January 2024, March 2024, April 2024, May 2024, and June 2024).
- E 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, staff interviews, and record reviews, the facility failed to secure zinc oxide ointment for 1 of 1 Resident (Resident #6) review for medication storage, failed to remove expired over-the-counter (OTC) medications from the medication cart in accordance with the manufacturer's expiration date, and failed to discard an eye drops from the medication carts as specified by the manufacturer's guidelines for 2 of 3 medication carts (B halls and D halls).
- 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 potentially hazardous food with signs of spoilage in 1 of 1 walk-in refrigerators and discard expired food items available for resident use in 1 of 1 walk-in freezers. This practice had the potential to affect food served to residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interviews, the facility failed to provide Skilled Nursing Facility Advanced Beneficiary Notices (SNF ABN) prior to discharge from Medicare Part A skilled services to 2 of 3 residents reviewed for beneficiary notification review (Residents #12 and #70). The Findings Included: 1. Resident #12 was admitted to the facility on [DATE]. Review of a Notice of Medicare Non-Coverage (NOMNC) revealed the notice was discussed with Resident #12's Responsible Party (RP) on 04/02/24 which indicated Resident #12's Medicare Part A coverage for skilled services would end on 04/04/24. Resident #12 remained in the facility. Review of Resident #12's medical record revealed no evidence a SNF ABN was reviewed with or provided to Resident #12 or Resident #12's RP. [...]
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on record review and staff interviews, the facility failed to protect a resident's right to privacy when Nurse Aide #1 used her cellphone to take an unauthorized video of a resident displaying behaviors and sent the video to Nurse #4 via a cellphone messenger application for 1 of 3 sampled residents (Resident #324). A reasonable person would have experienced embarrassment.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and interviews with the Wound Care Nurse Practitioner (NP) and staff the facility failed to obtain an x-ray as ordered by the Wound Care NP to rule out a possible fracture and osteomyelitis (an infection of the bone) for 1 of 2 residents reviewed for non-pressure skin conditions (Resident #7).
- B Give residents a notice of rights, rules, services and charges.
Inspectors wroteBased on record review, Resident Council group and staff interviews, the facility failed to provide ongoing communication to residents regarding the rights of residents in a nursing home setting. This occurred for 4 of 5 residents who attended the Resident Council group interview (Residents #10, #35, #36, #55, and #65).
May 12, 2023Standard inspection · 2 citations
- E 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 observations and staff interviews, the facility failed to remove expired medications from 2 of 4 medication carts (B hall and D hall) and 1 of 4 medication rooms (D hall).
- 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 remove expired and spoiled food items available for use in 1 of 1 walk-in cooler and 1 of 1 reach-in cooler; remove expired food from 1 of 1 dry storage room; and failed to ensure a pipe in 1 of 1 walk-in freezer was free from leaks. This practice had the potential to affect food served to residents.
Fire safety inspections
4 fire safety citations on file: 2 on September 5, 2024, 2 on May 12, 2023.
Every fire safety citation4 citations
- E 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 smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 5, 2024 | Fine | $12,759 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 5.43 | 3.85 | 3.86 |
| Registered nurses | 1.46 | 0.62 | 0.69 |
| All nursing staff on weekends | 4.33 | 3.42 | 3.42 |
| Nurse aides | 3.20 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 45.3% | 49.0% | 45.8% |
| Registered nurse turnover | 44.0% | 45.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.65 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 5.88 on weekdays and 4.33 on weekends, 26% 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 4.91 in April to June 2025 to 5.43 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 | 5.43 | 1.46 | 5.88 | 4.33 | 0.0% | 0 of 90 | 82 |
| Oct to Dec 2025 | 5.50 | 1.41 | 5.90 | 4.47 | 0.0% | 0 of 92 | 79 |
| Jul to Sep 2025 | 4.98 | 1.31 | 5.23 | 4.33 | 0.0% | 0 of 92 | 76 |
| Apr to Jun 2025 | 4.91 | 1.27 | 5.26 | 4.04 | 0.0% | 0 of 91 | 69 |
| 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.
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 | 14.6 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.3 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.9 | 14.0 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: NC DEPT OF MILTARY AND VETERANS AFFAIRS NC DIVISION OF VETERAN AFF. CMS links this home to Pruitthealth, a group of 96 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Nc Dept of Miltary and Veterans Affairs Nc Division of Veteran Aff | 5% or greater direct ownership interest | Organization | 100% | 10/01/2012 |
| Banks, Kathleen | Corporate director | Individual | 06/24/2025 | |
| Nc Dept of Miltary and Veterans Affairs Nc Division of Veteran Aff | Operational/managerial control | Organization | 10/01/2012 | |
| Banks, Kathleen | Operational/managerial control | Individual | 10/05/2012 | |
| Jones, Brandee | Operational/managerial control | Individual | 04/14/2025 | |
| Stephens, Nicole | Operational/managerial control | Individual | 10/05/2012 | |
| Banks, Kathleen | Adp of the SNF | Individual | 06/24/2025 | |
| Jones, Brandee | Adp of the SNF | Individual | 07/30/2025 | |
| Kutob, Rabi | Adp of the SNF | Individual | 07/30/2025 | |
| Stephens, Nicole | Adp of the SNF | Individual | 10/05/2012 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on September 5, 2024: "Honor the resident's right to organize and participate in resident/family groups in the facility."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on February 19, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on September 5, 2024: "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."
- 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 September 5, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Highland Farms Black Mountain, 1.2 mi · 5 of 5 stars · 10 citations
- Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain, 3.4 mi · 1 of 5 stars · 13 citations
- Black Mountain Neuro-Medical Treatment Center Black Mountain, 3.4 mi · 5 of 5 stars · 5 citations
- Swannanoa Valley Health and Rehabilitation Swannanoa, 4.3 mi · 3 of 5 stars · 12 citations
- The Laurels of Summit Ridge Asheville, 6.7 mi · 4 of 5 stars · 17 citations
- Fleshers Fairview Health Care Fairview, 8.1 mi · 2 of 5 stars · 38 citations
- Bear Mountain Health and Rehabilitation Asheville, 9 mi · 3 of 5 stars · 16 citations
- The Laurels of Greentree Ridge Asheville, 9.8 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 Nc State Veterans Home - Black Mountain's Medicare star rating?
- CMS rates Nc State Veterans Home - Black Mountain 5 out of 5 stars overall, with 3 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Nc State Veterans Home - Black Mountain get at its last inspection?
- 2 health deficiencies at the standard inspection on December 4, 2025. The North Carolina average is 4.7.
- Has Nc State Veterans Home - Black Mountain been fined?
- Yes. CMS lists 1 fine totaling $12,759 in the last three years.
- Does Nc State Veterans Home - Black Mountain 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 Nc State Veterans Home - Black Mountain?
- CMS lists 10 owners and managers, and links the home to Pruitthealth. Legal business name: NC DEPT OF MILTARY AND VETERANS AFFAIRS NC DIVISION OF VETERAN AFF.
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.