Home / North Carolina / Swannanoa
Swannanoa Valley Health and Rehabilitation
1984 Us Highway 70, Swannanoa, NC 28778 · Buncombe County · (828) 298-2214
106 certified beds, about 103 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345418 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on October 6, 2025, inspectors cited 4 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 12 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.22 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
57.8% 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.
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.
407/23
409/24
410/25
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
5E
0F
Potential for minimal harm
0A
0B
0C
October 6, 2025Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interviews, the facility failed to remove expired food (walk in cooler #1) and failed to remove perishable food with grey and white fuzz (walk in cooler #2) from 2 out of 2 walk in coolers. This practice had the potential to affect food served to residents.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observations and interviews with staff and residents, the facility failed to ensure a resident's accessibility to the light switch that was located behind the bed for 1 out 1 resident reviewed for accommodation of needs (Resident #44).
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, and interviews with residents, pharmacy, medical director, nurse practitioner and staff, the facility failed to implement an effective system to ensure the antidiarrheal medication was reordered and available to administer which resulted in 12 missed doses for 1 out of 1 resident reviewed for pharmacy services (Resident #4)
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record reviews, and staff interviews, the facility failed to implement their infection control hand hygiene policy when the Wound Nurse failed to change gloves and perform hand hygiene after wound care for Resident #30 and Resident #18. This occurred for 1 of 5 staff members observed for infection control practices (Wound Nurse).
September 18, 2024Standard inspection, Complaint inspection · 4 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and resident and staff interviews, the facility failed to maintain the commodes free from dirty build-ups around the base for 2 of 2 toilets (rooms [ROOM NUMBERS]) and failed to replace broken blinds with sharp edges in 2 of 2 resident rooms (rooms [ROOM NUMBERS]) reviewed for orderly interior in 2 of 2 halls.
- E Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Inspectors wroteBased on record review, observations, resident and staff interviews, the facility failed to maintain an effective pest control program as evidenced by the presence of flies on 2 of 4 hallways (West hallways) that affected resident rooms [ROOM NUMBERS], and the dining room.
- D 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, observation, and interview with resident and staff, the facility failed to protect a resident's right to be free from physical abuse when a cognitively intact resident (Resident #23) hit a resident with severely impaired cognition (Resident #19) who wandered into his room asking for cigarette. This affected 1 of 4 sampled residents review for abuse.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, interviews with resident and staff, the facility failed to provide care in a safe manner when a resident fell from her bed during personal care. Resident #29 fell off her bed and hit her nose on an oxygen concentrator positioned next to the bed and subsequently fell to the floor. The resident was sent to the hospital evaluated and returned to the facility the same day with no injuries from the fall. This was for 1 of 5 residents reviewed for the prevention of accidents (Resident #29).
July 20, 2023Standard inspection · 4 citations
- 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 ensure staff wore hair coverings when working in food production areas for 1 of 1 meal production observation. This practice had the potential to affect food served to residents.
- E Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record reviews, and staff 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 and recertification survey that occurred on 11/23/21. The failure was for one deficiency that was originally cited in the area of Food Procurement (F812). The repeat deficiency during two surveys of record shows a pattern of the facility's inability to sustain an effective QA program.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, staff interviews, and observations the facility failed to develop and implement care plan interventions for hearing (Resident #73) and limited Range of Motion (ROM) (Resident #75) for 2 of 4 sampled residents. 1. Resident #73 was admitted to the facility on [DATE] with diagnoses which included muscle weakness, dementia, and hypertension. Review of Resident #73's quarterly Minimum Data Set (MDS) dated [DATE] revealed Resident #73 was moderately cognitively impaired and required supervision for most of activities of daily living (ADL). The MDS further revealed Resident #73 was coded for a hearing aide device. Review of Resident #73's care plan revealed no goals or interventions regarding Resident #73's hearing aids. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record reviews and resident and staff interviews, the facility failed to have a plan in place for providing minimum supervision and assistance with applying a smoking apron for a resident during the hours there was not a staff member assigned to supervise residents in the designated smoking area. Resident #52 was required to wear a smoking apron at all times when he was smoking and was not able to apply it independently. This deficient practice occurred for 1 of 3 residents reviewed for smoking (Resident #52).
Fire safety inspections
9 fire safety citations on file: 1 on September 18, 2024, 7 on July 20, 2023, 1 on November 23, 2021.
Every fire safety citation9 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Have generator or other power source capable of supplying service within 10 seconds.
- C Have properly installed electrical wiring and gas equipment.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.22 | 3.85 | 3.86 |
| Registered nurses | 0.49 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.98 | 3.42 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 57.8% | 49.0% | 45.8% |
| Registered nurse turnover | 50.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.35 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 3.32 on weekdays and 2.98 on weekends, 10% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 87.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.22 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 | 3.22 | 0.49 | 3.32 | 2.98 | 87.0% | 0 of 90 | 103 |
| Oct to Dec 2025 | 3.40 | 0.45 | 3.50 | 3.14 | 87.3% | 0 of 92 | 101 |
| Jul to Sep 2025 | 3.30 | 0.37 | 3.40 | 3.03 | 88.3% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.32 | 0.42 | 3.40 | 3.11 | 87.9% | 0 of 91 | 101 |
| 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 | 10.8 | 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 | 5.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.5 | 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 | 15.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.9 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.6 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.2 | 12.9 | 12.0 |
Owners and operators
Legal business name: ASHEVILLE US SEVENTY 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 officer | Individual | 01/01/2024 | |
| Self, Holly | Operational/managerial control | Individual | 01/01/2024 | |
| Moye, Matthew | Adp of the SNF | Individual | 07/31/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- 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 October 6, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 6, 2025: "Reasonably accommodate the needs and preferences of each resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on September 18, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 6, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- The Laurels of Summit Ridge Asheville, 2.5 mi · 4 of 5 stars · 17 citations
- Nc State Veterans Home - Black Mountain Black Mountain, 4.3 mi · 5 of 5 stars · 13 citations
- Highland Farms Black Mountain, 5.2 mi · 5 of 5 stars · 10 citations
- The Laurels of Greentree Ridge Asheville, 5.5 mi · 5 of 5 stars · 15 citations
- Bear Mountain Health and Rehabilitation Asheville, 6 mi · 3 of 5 stars · 16 citations
- Fleshers Fairview Health Care Fairview, 6 mi · 2 of 5 stars · 38 citations
- Elevate Health and Rehabilitation Asheville, 6.3 mi · 1 of 5 stars · 28 citations
- Stonecreek Health and Rehabilitation Asheville, 6.7 mi · 3 of 5 stars · 16 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 Swannanoa Valley Health and Rehabilitation's Medicare star rating?
- CMS rates Swannanoa Valley Health and Rehabilitation 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Swannanoa Valley Health and Rehabilitation get at its last inspection?
- 4 health deficiencies at the standard inspection on October 6, 2025. The North Carolina average is 4.7.
- Has Swannanoa Valley Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Swannanoa Valley Health and Rehabilitation 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 Swannanoa Valley Health and Rehabilitation?
- CMS lists 3 owners and managers, and links the home to Ascent Healthcare Management. Legal business name: ASHEVILLE US SEVENTY NC OPCO LLC.
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.