Cycle 1
Health 2025-02-20 · Fire 2025-02-20
2 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
6 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Asheville, NC
Aston Park Health Care Center
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
380 Brevard Road, Asheville, NC
(828) 253-4437
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
106
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Lutheran Services Carolinas
Operator or chain grouping
Approved since
1980-06-03
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
9 facilities
Chain averages 4 overall / 4 health / 5 staffing / 3 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.19
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.56
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.08
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.83
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.75
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.59
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.87
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
1.32
CMS adjusted RN staffing hours
Adjusted total hours
4.26
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
19%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,110
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
37.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9906
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.80
Baseline 16.66% · Performance 19.67% · Measure score 3.80 · Achievement 3.80 · Improvement 0
Healthcare-associated infections
1.66
Baseline 4.72% · Performance 7.34% · Measure score 1.66 · Achievement 1.66 · Improvement 0
Total nurse turnover
5.19
Baseline 61.03% · Performance 42.48% · Measure score 5.19 · Achievement 5.19 · Improvement 4.63
Adjusted total nurse staffing
4.3
Baseline 5.3 hours · Performance 4.30 hours · Measure score 4.3 · Achievement 4.3 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.38% |
10.72%
0.3 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 7.39% · Lower 95% interval 6.85% |
| Discharge to community | 54.21% |
50.57%
3.6 pts better
|
No Different than the National Rate · Eligible stays 160 · Observed rate 55% · Lower 95% interval 47.41% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 94.74% |
95.27%
0.5 pts worse
|
Numerator 90 · Denominator 95 |
| Falls with major injury | 1.05% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 95 |
| Discharge self-care score | 50.68% |
53.69%
3 pts worse
|
Numerator 37 · Denominator 73 |
| Discharge mobility score | 65.75% |
50.94%
14.8 pts better
|
Numerator 48 · Denominator 73 |
| Pressure ulcers or injuries, new or worsened | 3.16% |
2.29%
0.9 pts worse
|
Numerator 3 · Denominator 95 · Adjusted rate 2.84% |
| Healthcare-associated infections requiring hospitalization | 7.34% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 110 · Observed rate 5.45% · Lower 95% interval 4.69% |
| Staff COVID-19 vaccination coverage | 12.12% |
8.2%
3.9 pts better
|
Numerator 20 · Denominator 165 |
| Staff flu vaccination coverage | 37.25% |
42%
4.8 pts worse
|
Numerator 111 · Denominator 298 |
| Discharge function score | 63.01% |
56.45%
6.6 pts better
|
Numerator 46 · Denominator 73 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 52 · Denominator 52 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 32.5% |
25.2%
7.3 pts better
|
Numerator 13 · Denominator 40 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.9
0.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.4 |
1.8
1.4 pts better
|
1.8
1.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.4 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 68.4% |
91.5%
23.1 pts worse
|
93.4%
25 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 53.3% · Q2 62.6% · Q3 77.3% · Q4 79.8% · 4Q avg 68.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.0% |
94.1%
0.1 pts worse
|
95.5%
1.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.2% |
3.6%
2.6 pts worse
|
3.3%
2.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 6.6% · Q3 3.4% · Q4 6.1% · 4Q avg 6.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.7% |
4.8%
4.1 pts better
|
11.4%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% |
| Percentage of long-stay residents who lose too much weight | 5.9% |
7.2%
1.3 pts better
|
5.4%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 7.4% · Q3 2.6% · Q4 4.5% · 4Q avg 5.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 21.8% |
21.6%
0.2 pts worse
|
19.6%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 18.3% · Q3 24.7% · Q4 21.1% · 4Q avg 21.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.7% |
15.0%
7.7 pts worse
|
16.7%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.2% · Q2 24.2% · Q3 22.9% · Q4 18.2% · 4Q avg 22.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 40.9% |
21.5%
19.4 pts worse
|
16.3%
24.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 57.1% · Q2 42.7% · Q3 19.1% · Q4 42.8% · 4Q avg 40.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 32.7% |
16.8%
15.9 pts worse
|
14.9%
17.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.2% · Q2 37.7% · Q3 20.5% · Q4 32.9% · 4Q avg 32.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% |
0.9%
1.3 pts worse
|
1.0%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 2.0% · Q3 2.5% · Q4 0.8% · 4Q avg 2.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 5.2% |
2.6%
2.6 pts worse
|
1.7%
3.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.8% · Q2 4.4% · Q3 1.2% · Q4 7.1% · 4Q avg 5.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.6% |
21.2%
8.4 pts worse
|
19.8%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.9% · Q2 33.1% · Q3 21.2% · Q4 31.5% · 4Q avg 29.6% |
| Percentage of long-stay residents with pressure ulcers | 3.8% |
6.0%
2.2 pts better
|
5.1%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.4% · Q3 2.1% · Q4 5.9% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.0% |
79.9%
21.9 pts worse
|
81.7%
23.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.4% · Q2 48.2% · Q3 64.9% · Q4 67.5% · 4Q avg 58.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.0% |
13.2%
1.8 pts worse
|
12.0%
3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 13.5% · Expected 10.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.5%
1 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 71.3% |
78.1%
6.8 pts worse
|
79.7%
8.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 71.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 28.1% |
22.9%
5.2 pts worse
|
23.9%
4.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 28.1% · Observed 20.3% · Expected 17.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-10-12 · Fire 2023-10-12
1 health deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Cycle 3
Health 2022-03-17 · Fire 2022-03-17
0 health deficiencies
No concentrated health issue counts in this cycle.
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-02-20
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-02-20
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-02-20
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-02-20
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-02-20
K911 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2025-06-13
D · Potential for more than minimal harm
2025-02-20
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-13
F · Potential for more than minimal harm
2023-10-12
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-14
F · Potential for more than minimal harm
2023-10-12
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-02-14
F · Potential for more than minimal harm
2023-10-12
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-14
F · Potential for more than minimal harm
2023-10-12
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-02-14
F · Potential for more than minimal harm
2023-10-12
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-02-14
F · Potential for more than minimal harm
2023-10-12
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-14
D · Potential for more than minimal harm
2023-10-12
K111 · Construction Deficiencies
Fire Safety
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2024-02-14
D · Potential for more than minimal harm
2023-10-12
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-02-14
E · Potential for more than minimal harm
2022-03-17
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-06-04
E · Potential for more than minimal harm
2022-03-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-06-04
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-02-20
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-03-10
C · Minimal harm
2025-02-20
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2025-03-10
D · Potential for more than minimal harm
2023-10-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-28
Penalties and ownership
What sits behind the stars
Ownership
Lutheran Services For The Aging, Inc.
5% Or Greater Indirect Ownership Interest · Organization
Aston Park Health Care Center, Inc.
Operational/Managerial Control · Organization
Goins, Ted
Operational/Managerial Control · Individual
Kaufman, Marsha
Operational/Managerial Control · Individual
Lsa Management Inc.
Operational/Managerial Control · Organization
Lutheran Services For The Aging, Inc.
Operational/Managerial Control · Organization
Maddry, Karen
Corporate Officer · Individual
Nickerson, Kirby
Corporate Officer · Individual
Patel, Hiren
Operational/Managerial Control · Individual
Smith, Kesha
Operational/Managerial Control · Individual
Smith, Kesha
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
StoneCreek Health and Rehabilitation
Asheville, NC
2-star overall rating with 1-star inspections with $38,431 in total fines with 5 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Elevate Health and Rehabilitation
Asheville, NC
1-star overall rating with 1-star inspections with $219,560 in total fines with 4 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
#3
The Laurels Of Greentree Ridge
Asheville, NC
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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