25 health deficiencies
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Asheville, NC
1-star overall rating with 1-star inspections with abuse icon flag with $139,071 in total fines with 25 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
213 Richmond Hill Drive, Asheville, NC
(828) 254-9675
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
100
Certified beds
Average residents
74
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1993-02-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.50
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 0.87 · national 0.87
Aide hours / resident day
1.98
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.62
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.64
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.35
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.34
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.88
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
80%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
83%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
2,638
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
48.59
Composite VBP score used to determine payment impact.
Payment multiplier
1.0024
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
9.02
Baseline 18.03% · Performance 17.25% · Measure score 9.02 · Achievement 9.02 · Improvement 7.27
Healthcare-associated infections
6.70
Baseline 7.00% · Performance 5.83% · Measure score 6.70 · Achievement 6.70 · Improvement 5.32
Total nurse turnover
0
Baseline 65.57% · Performance 84.61% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.72
Baseline 4.69 hours · Performance 4.14 hours · Measure score 3.72 · Achievement 3.72 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.13% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 101 · Observed rate 8.91% · Lower 95% interval 6.73% |
| Discharge to community | 51.28% |
50.57%
0.7 pts better
|
No Different than the National Rate · Eligible stays 81 · Observed rate 43.21% · Lower 95% interval 39.73% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 93.62% |
95.27%
1.6 pts worse
|
Numerator 88 · Denominator 94 |
| Falls with major injury | 1.06% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 94 |
| Discharge self-care score | 60.66% |
53.69%
7 pts better
|
Numerator 37 · Denominator 61 |
| Discharge mobility score | 60.66% |
50.94%
9.7 pts better
|
Numerator 37 · Denominator 61 |
| Pressure ulcers or injuries, new or worsened | 6.38% |
2.29%
4.1 pts worse
|
Numerator 6 · Denominator 94 · Adjusted rate 5.55% |
| Healthcare-associated infections requiring hospitalization | 5.83% |
7.12%
1.3 pts better
|
No Different than the National Rate · Eligible stays 58 · Observed rate 1.72% · Lower 95% interval 2.88% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 108 |
| Staff flu vaccination coverage | 0% |
42%
42 pts worse
|
Numerator 0 · Denominator 104 |
| Discharge function score | 63.93% |
56.45%
7.5 pts better
|
Numerator 39 · Denominator 61 |
| Transfer of health information to provider | 84% |
95.95%
12 pts worse
|
Numerator 21 · Denominator 25 |
| Transfer of health information to patient | 89.19% |
96.28%
7.1 pts worse
|
Numerator 33 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 5.26% |
25.2%
19.9 pts worse
|
Numerator 3 · Denominator 57 |
Quality measures
| 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 1.5 · Expected 2.5 · 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 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 43.7% |
91.5%
47.8 pts worse
|
93.4%
49.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.0% · Q2 28.8% · Q3 21.3% · Q4 81.1% · 4Q avg 43.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 61.2% |
94.1%
32.9 pts worse
|
95.5%
34.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 61.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 9.8% |
3.6%
6.2 pts worse
|
3.3%
6.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.8% · Q3 9.8% · Q4 13.5% · 4Q avg 9.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 3.7% |
4.8%
1.1 pts better
|
11.4%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 3.7% · Q3 5.3% · Q4 1.7% · 4Q avg 3.7% |
| Percentage of long-stay residents who lose too much weight | 11.4% |
7.2%
4.2 pts worse
|
5.4%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 7.8% · Q3 15.8% · Q4 14.1% · 4Q avg 11.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.1% |
21.6%
8.5 pts better
|
19.6%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 11.3% · Q3 13.6% · Q4 16.4% · 4Q avg 13.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.6% |
15.0%
7.6 pts worse
|
16.7%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 25.0% · Q3 21.3% · Q4 26.7% · 4Q avg 22.6% · 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 | 31.8% |
21.5%
10.3 pts worse
|
16.3%
15.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.8% · Q2 43.8% · Q3 15.8% · Q4 35.8% · 4Q avg 31.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.9% |
16.8%
9.1 pts worse
|
14.9%
11 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 29.4% · Q2 31.4% · Q3 14.5% · Q4 28.2% · 4Q avg 25.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
0.9%
0.4 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
2.6%
0.6 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.8% · Q3 0.0% · Q4 6.8% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 36.5% |
21.2%
15.3 pts worse
|
19.8%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 43.2% · Q2 49.8% · Q3 19.3% · Q4 34.5% · 4Q avg 36.5% |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
6.0%
2.3 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 3.4% · Q4 6.6% · 4Q avg 3.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 40.2% |
79.9%
39.7 pts worse
|
81.7%
41.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 43.5% · Q2 38.1% · Q3 35.8% · Q4 47.1% · 4Q avg 40.2% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
13.2%
4.7 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 9.2% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 5.3% |
1.5%
3.8 pts worse
|
1.6%
3.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 3.9% · Q3 4.7% · Q4 9.3% · 4Q avg 5.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.1% |
78.1%
35 pts worse
|
79.7%
36.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 43.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.1% |
22.9%
6.2 pts worse
|
23.9%
5.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.1% · Observed 28.9% · Expected 23.7% · Used in QM five-star |
Survey summary
Top issue: Resident Rights (6 deficiencies)
4 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Resident Rights (2 deficiencies)
10 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
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 2025-08-29
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-08-29
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-08-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-08-29
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-01
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 2024-10-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-10-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-01
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-10-01
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-10-01
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-10-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-10-01
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 2023-12-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-18
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-18
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-12-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-12-18
Fire Safety
Install proper backup exit lighting.
Corrected 2023-12-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-12-18
Fire Safety
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2023-12-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-18
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2023-12-18
Inspection history
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Not marked corrected
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Not marked corrected
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-07-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-10
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-10
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-10
Health
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-07-10
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-07-10
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-07-10
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-10
Health
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2025-07-10
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-07-10
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-07-10
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-10
Health
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.
Corrected 2025-07-10
Health
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2025-07-10
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-07-10
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-07-10
Health
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected 2025-07-10
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-10
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-07-10
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2025-07-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-10
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-13
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-07-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-23
Health
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-07-23
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-07-23
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 2024-07-23
Health
Provide and implement an infection prevention and control program.
Corrected 2024-07-23
Health
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-07-23
Health
Keep residents' personal and medical records private and confidential.
Corrected 2024-07-23
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-07-23
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-07-23
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-23
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-07-23
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-23
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2024-07-23
Health
Post nurse staffing information every day.
Corrected 2024-07-23
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-07-23
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-07-23
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-06-27
Health
Respond appropriately to all alleged violations.
Corrected 2024-06-27
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-10-17
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-17
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2023-10-17
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-17
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-17
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-17
Penalties and ownership
Fine · fine $104,670
Fine
Payment Denial · denial start 2025-05-23 · 48 days
48 day denial
Fine · fine $5,346
Fine
Fine · fine $22,620
Fine
Fine · fine $6,435
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
Asheville, NC
2-star overall rating with 2-star inspections with $10,868 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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
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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