Home / North Carolina / Asheville
213 Richmond Hill Drive, Asheville, NC 28806 · Buncombe County · (828) 254-9675
100 certified beds, about 87 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345432 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 13, 2025, inspectors cited 21 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 52 health citations since September 2023, 7 were rated as actual harm or immediate jeopardy to residents.
CMS lists 5 fines totaling $141,144 in the last three years; the largest was $104,670, and the latest is dated January 30, 2026.
Nurses and nurse aides worked 3.13 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.63 of those hours.
86.4% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Brighton Healthcare, an affiliated group of 8 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 52 health citations on file.
Inspectors wroteBased on record review and staff interviews, the facility failed to implement their abuse policy when the Administrator was not immediately notified of an allegation of staff to resident abuse resulting in delayed investigation, protection, and reporting to the State Agency, law enforcement, and Adult Protective Services for 1 of 3 residents review for abuse (Resident #1). A facility policy dated 9/1/24 titled Abuse, Neglect, and Exploitation indicated the following:-all alleged violations were to be reported to the Administrator, State Agency, Adult Protective Services (APS), and to all other required agencies (e.g., law enforcement) when applicable with in specified time frames: [...]
Inspectors wroteBased on observations, record review, and staff and Medical Director interviews, the facility failed to assess a resident (Resident #1) after a fall when a Nurse Aide (NA #2) did not report a fall to the nurse on 11/24/25. X-ray's completed on 11/25/25 showed Resident #1 had a fracture (break in the bone) of her right olecranon (bony pointed tip of the elbow) and right femoral (thigh bone) neck requiring her to be transferred to the hospital on [DATE]. Resident #1's right arm and right hip were surgically repaired on 11/25/25 and she was readmitted to the facility on [DATE]. This deficient practice occurred for 1 of 3 residents reviewed for quality of care.
Inspectors wroteBased on record review, and staff and pharmacist interviews, the facility failed to protect the resident's right to be free from misappropriation of controlled narcotic medications for 6 of 6 residents reviewed for misappropriation of residents' property (Residents #6, #7, #8, #9, #10, and #11).
Inspectors wroteBased on record review and staff interviews, the facility failed to have effective systems in place for accurate reconciliation of narcotics medications when Nurse #2 signed narcotic records as witness to wasting without visually observing narcotic medications being wasted for 2 of 6 residents reviewed for misappropriation of residents' property (Residents #6 and #9).
Inspectors wroteBased on record review, and staff, resident, family, Physician, Medical Director, and Nurse Practitioner interviews, the facility failed to notify the Physician when a resident (Resident #69) reported she had fallen and was experiencing acute pain after the reported fall. Due to ineffective communication between staff a medical provider was not notified of the fall until the following day which delayed x-rays, medical interventions and an evaluation in the emergency department. Resident #69 sustained an acute proximal tibia and fibula fracture (breaks in the upper part of the shinbone (tibia) and the smaller bone of the lower leg (fibula) from the reported fall and required a two day hospitalization. Orthopedics recommended hinged knee brace with non-weight bearing status to the right lower extremity. [...]
Inspectors wroteBased on record review, and staff, resident, family, Physician, Medical Director, and Nurse Practitioner (NP) interviews, the facility failed to protect a resident's right to be free from neglect after Resident #69 had a fall during a staff assisted transfer on 6/27/25 (Saturday). The Nursing Supervisor went to assess Resident #69 after a nurse aide told her the resident reported she had fallen and was having pain in her right knee. Resident #69 told the Nursing Supervisor she was in pain and said her knee was hurting. The Nursing Supervisor did not report the fall or pain to a medical provider. Resident #69 spoke Spanish and there was no evidence that staff utilized an interpreter to determine what had occurred or her level of pain. [...]
Inspectors wroteBased on record review, and staff, resident, family, and Nurse Practitioner interviews, the facility failed to recognize a resident experienced a fall during a staff transfer that resulted in acute pain to her right knee/ leg on 6/7/25. The nurse aides did not report Resident #69 falling to a nurse and Resident #69 was not assessed by a nurse or medical provider before she was moved and transferred back to her bed. In addition, nursing staff did not complete or document comprehensive assessments of the resident and did not recognize Resident #69 needed medical evaluation and treatment. Due to ineffective communication between staff a medical provider was not notified of fall until the following day and x-ray results reported on 6/8/25 were not communicated to a medical provider until 6/9/25, which delayed medical interventions and an evaluation in the emergency department. [...]
Inspectors wroteBased on record review, and staff, resident, family, and Nurse Practitioner interviews, the facility failed to provide a safe transfer for a resident who reported she fell during a transfer with staff. Resident #69 stated she was assisted off the toilet by two staff members, had difficulty holding on to the assist rail because her right hand did not work, fell on her right knee and had pain her in right knee immediately. Resident #69 sustained an acute proximal tibia and fibula fracture (breaks in the upper part of the shinbone (tibia) and the smaller bone of the lower leg (fibula) from the reported fall and required a two day hospitalization. Orthopedics recommended hinged knee brace with non-weight bearing status to the right lower extremity. This deficient practice occurred for 1 of 5 residents reviewed for falls (Resident #69).
Inspectors wroteBased on record review, and staff, resident, family, and Nurse Practitioner (NP) interviews, the facility failed to provide effective pain management for a resident who had acute pain after a reported fall on 6/27/25 (Saturday). Resident #69 spoke Spanish and reported through an interpreter two days after the fall that she fell on her right knee during an assisted transfer and had pain immediately which she rated at a pain scale of 9 (Pain scale of 0 is no pain and pain scale of 10 is the worst pain). Due to ineffective communication between staff a medical provider was not notified of fall or pain until 6/8/25 at which time ibuprofen (a nonsteroidal anti-inflammatory drug) was ordered for pain. There was no evidence staff utilized an interpreter to determine an accurate level of pain or the effectiveness of pain medication. [...]
Inspectors wroteBased on record review, and staff, resident, family, Physician, Medical Director, and Nurse Practitioner interviews, the facility failed to notify the Physician of radiology results for a resident who was experiencing acute pain after a reported fall on 6/7/25. Due to ineffective communication between staff x-ray results reported on 6/8/25 were not communicated to a medical provider until 6/9/25 which delayed medical interventions and an evaluation in the emergency department. Resident #69 sustained an acute proximal tibia and fibula fracture (breaks in the upper part of the shinbone (tibia) and the smaller bone of the lower leg (fibula) from the reported fall and required a two day hospitalization. Orthopedics recommended hinged knee brace with non-weight bearing status to the right lower extremity. [...]
Inspectors wrote4. Resident #5 was admitted to the facility on [DATE]. His cumulative diagnoses included protein-calorie malnutrition and dysphagia (difficulty swallowing). A Speech Therapy (ST) evaluation and plan of treatment for the certification period 05/01/25 through 07/29/25 revealed at baseline, Resident #5 presented with mild oropharyngeal (middle part of the throat behind the mouth) dysphagia characterized by mildly impaired lingual (tongue)/labial (lips) range of motion/coordination, loss of bolus (soft mass of chewed food), and coughing/gagging. A nutrition evaluation dated 05/29/25 revealed Resident #5 had the following signs/symptoms of a swallowing disorder: loss of liquids/solids from mouth when eating or drinking, coughing or choking during meals or when swallowing medications, and complaints of difficulty or pain when swallowing. [...]
Inspectors wroteBased on record review, and resident and staff interviews, the facility failed to invite a resident to participate and provide input in the care planning process for 1 of 2 sampled residents (Resident #16).
Inspectors wroteBased on observation, record review, and interviews with residents and staff, the facility failed to ensure a dependent resident's accessibility to the light switch located behind the bed for 1 of 1 resident reviewed for accommodation of needs (Resident #30).
Inspectors wroteBased on record review and interviews with the Resident Representative and staff, the facility failed to ensure the basis for a resident's discharge from the facility met the discharge requirement criteria for 1 of 3 residents reviewed for discharge (Resident #189). On 01/28/25, Resident #189 was issued a 30-day notice for non-payment prior to a claim being submitted to the Managed Medicaid plan (private insurance company contracted to manage the provision of care and benefits) for payment of his stay.
Inspectors wroteBased on record review and staff interviews, the facility failed to complete a discharge summary that included a recapitulation of the resident's stay and final summary of the resident's status for 1 of 3 sampled residents reviewed for discharge (Resident #189).
Inspectors wrote2. Resident #5 was admitted to the facility on [DATE] with diagnoses that included cerebral palsy (group of disorders that affect movement, balance and posture). The admission Minimum Data Set (MDS) dated [DATE] revealed Resident #5 had intact cognition. He required partial/moderate to substantial/maximum staff assistance with self-care tasks and was dependent on staff for mobility and transfers. It was noted on the MDS assessment that Resident #5's activities of daily living functional/rehabilitation potential would be addressed in the care plan. The significant change MDS dated [DATE] revealed Resident #5 had intact cognition. He required supervision or touching assistance with eating and was dependent on staff for all other self-care tasks. [...]
Inspectors wroteBased on record review and interviews with the staff, resident and the Nurse Practitioner (NP), the facility failed to request a refill from the pharmacy prior to the last dose being administered resulting in a resident missing 3 doses of the scheduled medication for 1 of 9 residents reviewed for unnecessary medications (Resident #16).
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to assess the risks of entrapment and complete bed rail assessments and failed to obtain informed consent prior to the installation for 2 of 3 residents reviewed for bed rails (Resident #4 and Resident #76). Findings Included: 1. Resident #4 was admitted to the facility 01/21/25 with diagnoses including dementia and Parkinson's disease (a brain disorder that can cause uncontrollable movements). A review of Resident #4's electronic medical records revealed no bed rail assessments had been completed since admission to the facility on [DATE]. The significant change in status Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #4 was rarely or never understood, and her cognition was severely impaired. [...]
Inspectors wroteBased on record review, and staff, resident, family, and Nurse Practitioner interviews, the facility failed to provide ongoing, consistent, effective means of communication for a resident (Resident #69) to be able to communicate. Resident #69's primary language was Spanish, and she did not speak English. This deficient practice occurred for 1 of 1 resident reviewed for medically related social services.
Inspectors wroteBased on record review and interviews with the staff and the Nurse Practitioner (NP), the facility failed to have effective systems in place for acquiring a scheduled opioid pain medication when nursing staff failed to request a prescription from the medical provider to avoid a gap in medication administration when refilling a controlled medication, and failed to utilize pharmaceutical resources in Pyxis (an automated dispensing machine that provided secure medication storage) which resulted in Resident #139 missing 3 days of a scheduled pain medication. This deficient practice occurred for 1 of 8 residents reviewed for pharmacy services (Resident #139).
Inspectors wroteBased on record review and interviews with the staff and the Nurse Practitioner (NP), the facility failed to prevent a significant medication error when nursing staff failed to administer tramadol (opioid pain medication) to Resident #139 for three consecutive days. This deficient practice occurred for 1 of 9 residents reviewed for significant medication errors (Resident #139).
Inspectors wroteBased on record review, observations, interviews with the Speech Therapist and staff, the facility failed to provide fluids of a nectar thick consistency as ordered by the physician for 1 of 8 residents reviewed for nutrition (Resident #20).
Inspectors wroteBased on record review, and staff, resident, family, and Nurse Practitioner interviews, the facility failed to document a reported fall with acute pain in a resident's medical record. This deficient practice occurred for 1 of 1 resident record reviewed for accuracy of documentation (Resident #69).
Inspectors wroteBased on record review, and resident and staff interviews the facility failed to provide an influenza vaccine to 1 of 5 residents reviewed for immunizations (Resident #23).
Inspectors wroteBased on observations, and staff and resident interviews the facility failed to post survey results in a location accessible to all residents and failed to post signage as to the location of the survey results in areas accessible to the public. This deficient practice occurred for 4 out of 5 days of the survey.
Inspectors wroteBased on record review, review of video footage, resident and staff interviews, the facility failed to protect a resident's right to be free from physical abuse when a moderately cognitively impaired resident (Resident #3) used a closed fist and punched a severely cognitively impaired resident (Resident #4) in the face. Resident #4 fell backwards, hit her head on the floor and was sent to the emergency room for further evaluation. A computed tomography (CT) scan of the head identified a small intraventricular hemorrhage (a small amount of bleeding inside the ventricles that produce fluid to protect and cushion the brain in the skull) and a scalp hematoma (a collection of blood between the skull the scalp). Neurosurgery was consulted and considered the intraventricular hemorrhage stable, and no further treatment was required, and Resident #4 returned to the facility. [...]
Inspectors wroteBased on record review, and interviews with the Responsible Party (RP), and staff, the facility failed to implement their abuse policy and procedures for reporting and protecting residents after a resident (Resident #2) reported a male Nurse Aide (NA) attacked and cursed at her. After the allegation of abuse was reported the male NA assigned to the unit remained at the facility for the rest of his shift with access to other residents. Additionally, the facility failed to report Resident #2 alleged sexual abuse to Adult Protective Services. The deficient practice occurred for 1 of 4 residents reviewed for abuse (Resident #2).
Inspectors wroteBased on record review and interviews with resident, staff, and the Nurse Practitioner (NP), the facility failed to protect residents' rights to be free from misappropriation of controlled medications for 3 of 3 residents (Resident #29, Resident # 58, and Resident #113) reviewed for misappropriation of residents' property.
Inspectors wroteBased on record review, interviews with the Registered Dietitian (RD) and staff, the facility failed to implement the recommendation for a protein supplement and failed to administer the correct amount of a nutritional supplement as ordered by the physician for 2 of 3 residents reviewed for nutrition (Resident #25 and #51).
Inspectors wrotef. Resident #25 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus and severe protein-calorie malnutrition. Review of the medical records for Resident #25 revealed physician progress notes dated 01/11/24, 02/15/24, and 03/31/24 to indicate she was seen by the facility's Medical Doctor (MD). There was no other evidence in the medical records of Resident #25 of physician visits conducted by the MD. Review of the medical records for Resident #25 revealed she was seen by the NP on 10/5/23, 11/11/23, 12/13/23, 3/19/24, 4/4/24, and 5/24/24. The Director of Nursing was no longer employed and unable to be interviewed. The facility's MD was out of the country and unable to be interviewed. During an interview on 06/26/24 at 1:39 PM, the Regional Clinical Nurse Consultant revealed the MD kept track of his own schedule for when regulatory visits were due. [...]
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure Registered Nurse (RN) coverage was provided for at least 8 consecutive hours per day for 6 of 85 days reviewed (Dates 04/27/24, 04/28/24, 05/20/24, 05/21/24, 05/26/24, and 06/08/24).
Inspectors wroteBased on observation, staff interviews, and record reviews, the facility failed to secure an opened bottle of Silvadene cream for 1 of 1 Resident (Resident # 30) review for medication storage, failed to removed expired over-the-counter (OTC) medications in accordance with the manufacturer's expiration date for 1 of 2 medication storage rooms and 1 of 4 medication carts (Upper medication storage room and Upper C halls medication cart), failed to remove expired insulin as specified by the manufacturer's guidelines for 1 of 4 medication carts (Upper C halls), and failed to store insulins and eye drops in the temperature specified by the manufacturer's guidelines in 3 of 4 medication carts during medication storage checks (Upper C halls, Lower C halls, and Lower D halls).
Inspectors wroteBased on observations, record review, and interviews with staff the facility failed to follow their infection control policy and procedures to implement Enhanced Barrier Precaution (EBP) precautions for residents with indwelling medical devices during high-contact care activities of a central line, feeding tube, tracheostomy, and urinary catheter (Resident #25, #51, #18, and #2) and failed to follow their hand hygiene policy and procedure after removing gloves, after handling items potentially contaminated with body fluids, and when moving from a contaminated body site to a clean body site during incontinence care (Resident#36). These failures occurred for 5 of 5 residents reviewed for infection control.
Inspectors wroteBased on record review, family and staff interviews, the facility failed to invite residents and/or their Resident Representative (RR) to participate and provide input in care planning for 1 of 2 sampled residents (Resident #30). This practice had the potential to affect other residents.
Inspectors wroteBased on observation and staff interviews, the facility failed to protect the private health information for 2 of 2 sampled residents (Resident #1 and Resident #53) by leaving confidential medical information unattended and exposed in an area accessible to the public.
Inspectors wroteBased on record review and staff interviews, the facility failed to identify and implement effective interventions to prevent resident-to-resident physical abuse when a severely cognitively impaired resident (Resident #23) with a known history of aggression hit another severely cognitively impaired resident (Resident #11) in the face for 1 of 5 residents reviewed for abuse. As a result of the incident, Resident #11 sustained a small cut measuring 0.2 centimeters (cm) by 0.1 cm to the left eyebrow and bruising to the left top of hand measuring 3.5 cm by 3 cm.
Inspectors wroteBased on record review and staff interviews the facility failed to implement their abuse policy and procedures in the areas of reporting and investigation by not submitting an Initial Allegation Report within 2 hours to the State Regulatory Agency and not initiating an investigation when an allegation of abuse was reported to the Administrator. This deficient practice affected 1 of 5 residents reviewed for abuse (Resident #31).
Inspectors wroteBased on record review and staff interviews, the facility failed to develop individualized, comprehensive care plans that included areas of focus for nutritional risk and indwelling catheter for 2 of 5 residents reviewed for nutrition and urinary catheters (Resident #2 and Resident #22).
Inspectors wroteBased on observations, record review, and interviews with the Nurse Practitioner (NP) and staff the facility failed to obtain a physician's order for the administration of heparin (an anticoagulant medication) used by Nurse #1 to flush the peripherally inserted central catheter for 1 of 5 residents reviewed for unnecessary medications (Resident #25).
Inspectors wroteBased on record review and interviews with resident, staff, and the Nurse Practitioner (NP), the facility failed to pull controlled medications from the medication cart and returned them to the pharmacy after the resident was deceased . As a result, controlled medications of a deceased resident remained in the medication cart were targeted and diverted for 1 of 1 resident reviewed for pharmacy services (Resident #113).
Inspectors wroteBased on record review and staff interview the facility failed to include documentation in the medical record of refusal or acceptance of the influenza and pneumonia vaccinations for 1 of 5 residents (Resident #20) reviewed for immunizations.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure daily nurse staffing sheets were filled out completely for 27 of 123 days reviewed during the period 10/01/23 through 01/31/24.
Inspectors wroteBased on record review, resident and staff interviews, the facility failed to complete a baseline care plan that addressed the resident's immediate needs within 48 hours of admission and failed to provide the resident or their Responsible Party (RP) with a written summary of the baseline care plan for 2 of 7 residents reviewed for dialysis and nutrition (Resident #22 and Resident #25).
Inspectors wroteBased on record review, interviews with the Registered Dietitian, Nurse Practitioner, Medical Doctor, and staff, the facility failed to obtain weekly weights as ordered by the physician and failed to implement the recommendation for a nutritional supplement to promote weight stability and failed to implement interventions when weight loss was identified for a resident with significant weight loss for 1 of 2 residents reviewed for nutrition (Resident #1).
Inspectors wroteBased on record review and staff interviews the facility failed to complete and submit an Initial Allegation Report within 2 hours to the State Regulatory Agency for 2 of 3 residents reviewed for abuse (Resident #2 and Resident #3).
Inspectors wroteBased on record review and staff interviews the facility failed to complete a thorough investigation of an allegation of resident-to-resident abuse for 2 of 3 residents reviewed for abuse (Resident #2 and Resident #3).
Inspectors wroteBased on staff interviews, record reviews, and review of the facility's abuse policies and procedures the facility failed to develop an abuse policy that included procedures related to screening, training, prevention, identification, investigation, protection, and coordination with QAPI to address allegations of abuse.
Inspectors wroteBased on observations and staff interviews the facility failed to date opened food, remove expired food available for use, and indicate the expiration date of thawed milkshakes for 1 of 1 walk-in cooler; failed to date and cover food item in 1 of 1 walk-in freezer; failed to label and date food and beverage items, indicate the expiration date of thawed milkshakes, and remove expired food available for use in 2 of 2 nourishment rooms (upper and lower floor nourishment rooms). This practice had the potential to affect food served to residents.
Inspectors wroteBased on observations, record review, and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor the interventions that the committee put into place following the recertification and complaint investigation survey completed on 03/25/22. This was for three repeat deficiencies originally cited in the areas of accuracy of assessments, food procurement - store/prepare/serve, and infection control that were subsequently recited on the current recertification and complaint investigation survey of 09/15/23. The continued failure of the facility during two federal surveys of record shows a pattern of the facility's inability to sustain an effective Quality Assessment and Assurance Program.
Inspectors wroteBased on record review and staff interviews, the facility failed to ensure a resident was treated with dignity and respect when Nurse Aide (NA) #2 was observed speaking to a resident in a disrespectful manner for 1 of 1 resident reviewed for dignity (Resident #60).
Inspectors wroteBased on record review and staff interviews, the facility failed to provide completed 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 #9 and #21). The Findings Included: 1. Resident #9 was admitted to the facility on [DATE]. Review of the medical record revealed a Notice of Medicare Non-Coverage (NOMNC) was discussed with Resident #9's Responsible Party (RP) on 08/23/23 which indicated Resident #9's Medicare Part A coverage for skilled services would end on 08/25/23. Resident #9 remained in the facility. Review of Resident #9's medical record revealed no evidence a SNF-ABN was also provided to Resident #9's RP. [...]
Inspectors wroteBased on observations and staff interviews, the facility failed to ensure 2 of 2 facility contractors followed the Special Droplet Contact Precautions signage posted on the doors of residents' rooms by not donning and doffing Personal Protective Equipment (PPE) while entering and exiting 2 of 6 resident rooms on transmission-based precautions (TBP) for COVID-19.
22 fire safety citations on file: 4 on June 13, 2025, 8 on June 27, 2024, 10 on September 15, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| January 30, 2026 | Fine | $4,254 |
| January 30, 2026 | Fine | $4,254 |
| April 25, 2025 | Fine | $104,670 |
| April 25, 2025 | Payment Denial | 48 days from May 23, 2025 |
| April 23, 2024 | Fine | $5,346 |
| April 23, 2024 | Fine | $22,620 |
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) | 3.13 | 3.85 | 3.86 |
| Registered nurses | 0.63 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.85 | 3.42 | 3.42 |
| Nurse aides | 1.60 | ||
| Licensed practical nurses | 0.90 | ||
| Nursing staff turnover (share who left in a year) | 86.4% | 49.0% | 45.8% |
| Registered nurse turnover | 71.4% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.61 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 3.24 on weekdays and 2.85 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 39.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.13 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 | 3.13 | 0.63 | 3.24 | 2.85 | 39.3% | 0 of 90 | 87 |
| Oct to Dec 2025 | 3.33 | 0.53 | 3.44 | 3.03 | 53.2% | 0 of 92 | 81 |
| Jul to Sep 2025 | 3.62 | 0.50 | 3.73 | 3.35 | 60.3% | 0 of 92 | 74 |
| Apr to Jun 2025 | 3.51 | 0.44 | 3.65 | 3.15 | 56.9% | 0 of 91 | 85 |
| 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 | 27.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.0 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.9 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 23.0 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.8 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 6.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for River Bend 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 (51.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
51.3% 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. 81 eligible stays.
10.1% 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. 101 eligible stays.
5.8% 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. 58 eligible stays.
57.8% 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. 45 residents counted.
2.7% 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. 75 residents counted.
6.0% 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. 75 residents counted.
84.6% this home
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. 26 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 HEALTH AND REHABILITATION SNF LLC. CMS links this home to Brighton Healthcare, a group of 8 nursing homes averaging 1.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Asheville Health and Rehabilitation SNF Holding LLC | 5% or greater direct ownership interest | Organization | 100% | 09/08/2023 |
| Asheville Nc Property Holdings, LLC | 5% or greater mortgage interest | Organization | 09/08/2023 | |
| Fischer, David | Managing control - governing body | Individual | 09/08/2023 | |
| Lefkowitz, Zev | Managing control - governing body | Individual | 09/08/2023 | |
| Fischer, David | Operational/managerial control | Individual | 09/08/2023 | |
| Norman, Angelita | Operational/managerial control | Individual | 09/09/2024 | |
| Asheville Nc Property Holdings, LLC | Adp of the SNF | Organization | 09/08/2023 | |
| Brand Sonnenschine LLP | Adp of the SNF | Organization | 09/08/2023 | |
| Brighton Management Two LLC | Adp of the SNF | Organization | 09/08/2023 | |
| Forvis Mazars LLP | Adp of the SNF | Organization | 09/08/2023 | |
| Fischer, David | Adp of the SNF | Individual | 09/08/2023 | |
| Lefkowitz, Zev | Adp of the SNF | Individual | 09/08/2023 | |
| Norman, Angelita | Adp of the SNF | Individual | 09/09/2024 | |
| Turbett, Timothy | Adp of the SNF | Individual | 09/08/2023 |
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.
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