Federal inspection record · CMS data as of October 1, 2026
Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC · (828) 681-0904
- Certified beds
- 100
- Residents per day
- 81
- Ownership
- For-Profit
- Chain
- Avardis Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 2, 1996
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Biltmore Haven Nursing and Rehabilitation carries 193.5 inspection points. That is fewer than 3% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
48 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (6)
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
K
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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G
Provide or obtain dental services for each resident.
Everything else, by area of care
Quality of Life and Care10E
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Provide appropriate foot care.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate foot care.
- E
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Resident Assessment and Care Planning7E
- E
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service6E
- 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.
- D
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.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- E
Ensure that residents are free from significant medication errors.
- 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.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Rights6D
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- B
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.
- B
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Administration5F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Nutrition and Dietary4F
- E
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1E
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Nursing and Physician Services1D
- D
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Inspection history
2026-07-31
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2025-05-01
17 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (4 deficiencies)
2024-01-16
21 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 52 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
2 h 52 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 80% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$179,790 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-12 | Fine | $8,713 |
| 2026-05-12 | Fine | $8,713 |
| 2023-12-28 | Fine | $162,364 |
| 2023-12-28 | Payment Denial · 26 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts better | 1.4 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine15.8 pts worse | 76.6% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 96.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.2 pts better | 3.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6 pts better | 0.8% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2 pts better | 5.1% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts worse | 27.2% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.8 pts better | 10.1% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.8 pts better | 15.8% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 12.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts worse | 1.7% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts worse | 2.9% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 25.0% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts better | 2.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine23 pts worse | 58.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.8 pts better | 7.9% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts worse | 2.9% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.3 pts worse | 71.8% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission15.3 pts worse | 37.5% | 22.2% | 23.4% |
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Who owns and runs it
24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Arden Parentco LLC | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Cse Arden LP | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Cse Arden LP | Adp Of The SNF · Organization | 0% | 1 facilities |
| Hoback, Tiffany | Managing Control - Governing Body · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Operational/Managerial Control · Individual | 0% | 45 facilities |
| Hoback, Tiffany | Adp Of The SNF · Individual | 0% | 45 facilities |
| Jones, Tequilla | Operational/Managerial Control · Individual | 0% | 40 facilities |
| Jones, Tequilla | Adp Of The SNF · Individual | 0% | 40 facilities |
| Ncop Holdco LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Nelson, John | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Nelson, John | Adp Of The SNF · Individual | 0% | 5 facilities |
| Nu C Ii Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Nu C Irrevocable Trust | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Payne, Patrick | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Payne, Patrick | Adp Of The SNF · Individual | 0% | 1 facilities |
| Russell, Alex | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Russell, Alex | Operational/Managerial Control · Individual | 0% | 4 facilities |
| Russell, Alex | Adp Of The SNF · Individual | 0% | 4 facilities |
| Scr Holdco LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Snf Care Centers LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
| Snf Mgr LLC | Operational/Managerial Control · Organization | 0% | 43 facilities |
| Snf Mgr LLC | Adp Of The SNF · Organization | 0% | 43 facilities |
| Zenith Holdco Ii LLC | Indirect Ownership Interest · Organization | 0% | 22 facilities |
| Zenith Holdco LLC | Indirect Ownership Interest · Organization | 0% | 21 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
Services3F
- F
Have properly installed electrical wiring and gas equipment.
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress3D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
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
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems1D
- D
Have proper medical gas storage and administration areas.
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Other homes nearby
-
Fletcher Rehabilitation and Healthcare Center
Fletcher, NC · Yad Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 46 min
- Fines
- $62,868
-
Givens Health Center
Asheville, NC
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 10 min
- Fines
- $0
-
Deerfield Episcopal Retirement
Asheville, NC
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 40 min
- Fines
- $0