4 health deficiencies
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
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
91 Victoria Road, Asheville, NC
(828) 255-0076
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
98
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ascent Healthcare Management
Operator or chain grouping
Approved since
1979-02-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 2 overall / 2 health / 2 staffing / 2 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
RN hours / resident day
0.40
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
2.16
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.21
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
2.85
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.31
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
0.44
CMS adjusted RN staffing hours
Adjusted total hours
3.54
CMS adjusted total nurse staffing hours
Case-mix index
1.24
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
78%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,635
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.33
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 20.63% · Performance 21.51% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
3.50
Baseline 6.55% · Performance 6.79% · Measure score 3.50 · Achievement 3.50 · Improvement 0
Total nurse turnover
0
Baseline 70.89% · Performance 81.82% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.03
Baseline 2.95 hours · Performance 3.37 hours · Measure score 1.03 · Achievement 1.03 · Improvement 0.99
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.51% |
10.72%
0.2 pts better
|
No Different than the National Rate · Eligible stays 86 · Observed rate 11.63% · Lower 95% interval 7.17% |
| Discharge to community | 34.93% |
50.57%
15.6 pts worse
|
Worse than the National Rate · Eligible stays 57 · Observed rate 24.56% · Lower 95% interval 25.55% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 64 · Denominator 64 |
| Falls with major injury | 3.13% |
0.77%
2.4 pts worse
|
Numerator 2 · Denominator 64 |
| Discharge self-care score | 27.03% |
53.69%
26.7 pts worse
|
Numerator 10 · Denominator 37 |
| Discharge mobility score | 21.62% |
50.94%
29.3 pts worse
|
Numerator 8 · Denominator 37 |
| Pressure ulcers or injuries, new or worsened | 4.76% |
2.29%
2.5 pts worse
|
Numerator 3 · Denominator 63 · Adjusted rate 4.23% |
| Healthcare-associated infections requiring hospitalization | 6.79% |
7.12%
0.3 pts better
|
No Different than the National Rate · Eligible stays 59 · Observed rate 6.78% · Lower 95% interval 4.01% |
| Staff COVID-19 vaccination coverage | 2.08% |
8.2%
6.1 pts worse
|
Numerator 1 · Denominator 48 |
| Staff flu vaccination coverage | 17.98% |
42%
24 pts worse
|
Numerator 16 · Denominator 89 |
| Discharge function score | 29.73% |
56.45%
26.7 pts worse
|
Numerator 11 · Denominator 37 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 21 · Denominator 21 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 25.81% |
25.2%
0.6 pts better
|
Numerator 8 · Denominator 31 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.8
0.3 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
1.8
0.7 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 90.2% |
91.5%
1.3 pts worse
|
93.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 92.0% · Q3 89.9% · Q4 80.8% · 4Q avg 90.2% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 91.5% |
94.1%
2.6 pts worse
|
95.5%
4 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.1% |
3.6%
0.5 pts better
|
3.3%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.4% · Q3 5.1% · Q4 2.6% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
4.8%
3.2 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.2% · Q3 0.0% · Q4 2.7% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 7.1% |
7.2%
0.1 pts better
|
5.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 8.8% · Q3 9.6% · Q4 6.8% · 4Q avg 7.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.6% |
21.6%
1 pts worse
|
19.6%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 18.5% · Q3 23.3% · Q4 24.7% · 4Q avg 22.6% |
| Percentage of long-stay residents who received an antipsychotic medication | 21.8% |
15.0%
6.8 pts worse
|
16.7%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.3% · Q2 23.2% · Q3 21.6% · Q4 11.8% · 4Q avg 21.8% · 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 | 8.8% |
21.5%
12.7 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 11.5% · Q3 0.0% · Q4 11.0% · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.7% |
16.8%
9.1 pts better
|
14.9%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 2.9% · Q3 7.5% · Q4 8.7% · 4Q avg 7.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.9%
0.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.5% |
2.6%
0.1 pts better
|
1.7%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.1% · Q3 3.8% · Q4 2.6% · 4Q avg 2.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 15.0% |
21.2%
6.2 pts better
|
19.8%
4.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 11.0% · Q3 11.7% · Q4 25.2% · 4Q avg 15.0% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
6.0%
0.1 pts better
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 6.4% · Q3 5.0% · Q4 2.5% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 63.9% |
79.9%
16 pts worse
|
81.7%
17.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 70.9% · Q3 50.0% · Q4 48.1% · 4Q avg 63.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 14.5% |
13.2%
1.3 pts worse
|
12.0%
2.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 14.5% · Observed 17.9% · Expected 13.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 6.0% |
1.5%
4.5 pts worse
|
1.6%
4.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 11.4% · Q3 2.9% · Q4 0.0% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 56.3% |
78.1%
21.8 pts worse
|
79.7%
23.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 56.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 20.8% |
22.9%
2.1 pts better
|
23.9%
3.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 20.8% · Observed 25.0% · Expected 28.6% · Used in QM five-star |
Survey summary
Top issue: Infection Control (1 deficiency)
11 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (4 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Fire safety
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-12-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-12-01
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-12-01
Fire Safety
Install proper backup exit lighting.
Corrected 2024-12-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-12-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-12-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-12-01
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-12-01
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-12-01
Fire Safety
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-12-01
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-12-01
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-11
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-14
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-09-14
Fire Safety
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2022-09-14
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-14
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-09-14
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-09-14
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-09-14
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-09-14
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-14
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2022-09-14
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-09-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-14
Fire Safety
Meet other general requirements.
Corrected 2022-09-14
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2022-09-14
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2022-09-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-14
Inspection history
Health
Provide and implement an infection prevention and control program.
Corrected 2026-01-09
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-01-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-17
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-17
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-10
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-10
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-10
Health
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.
Corrected 2024-08-10
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-08-10
Health
Provide and implement an infection prevention and control program.
Corrected 2024-08-10
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-08-10
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-08-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-04-29
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-04-29
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-06-09
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-09
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-07-25
Health
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.
Corrected 2023-07-25
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-07-25
Health
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.
Corrected 2023-07-25
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-08-09
Health
Provide and implement an infection prevention and control program.
Corrected 2023-07-25
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2023-07-25
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-07-25
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-07-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-07-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-25
Penalties and ownership
Fine · fine $17,345
Fine
Fine · fine $139,932
Fine
Fine · fine $17,069
Fine
Fine · fine $45,214
Fine
Payment Denial · denial start 2023-07-14 · 26 days
26 day denial
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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Asheville, NC
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Asheville, NC
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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