2 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Asheville, NC
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
70 Sweeten Creek Road, Asheville, NC
(828) 274-7646
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
90
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Ciena Healthcare/Laurel Health Care
Operator or chain grouping
Approved since
1989-05-17
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
84 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 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
1.00
Registered nurse staffing · state 0.59 · national 0.68
LPN hours / resident day
0.71
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
3.79
All reported nurse hours · state 3.78 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.45 · national 1.54
Weekend hours
3.19
Weekend nurse staffing · state 3.34 · national 3.43
Weekend RN hours
0.81
Weekend registered nurse coverage · state 0.38 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.09 · national 0.07
Adjusted RN hours
0.88
CMS adjusted RN staffing hours
Adjusted total hours
3.34
CMS adjusted total nurse staffing hours
Case-mix index
1.55
Higher values indicate more complex resident acuity
RN turnover
24%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
10,588
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.84
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.32
Baseline 19.47% · Performance 20.36% · Measure score 2.32 · Achievement 2.32 · Improvement 0
Healthcare-associated infections
1.31
Baseline 5.39% · Performance 7.44% · Measure score 1.31 · Achievement 1.31 · Improvement 0
Total nurse turnover
2.26
Baseline 45.95% · Performance 54.45% · Measure score 2.26 · Achievement 2.26 · Improvement 0
Adjusted total nurse staffing
2.06
Baseline 3.21 hours · Performance 3.66 hours · Measure score 2.06 · Achievement 2.06 · Improvement 1.26
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.36% |
10.72%
0.4 pts better
|
No Different than the National Rate · Eligible stays 137 · Observed rate 8.76% · Lower 95% interval 7.15% |
| Discharge to community | 50.45% |
50.57%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 138 · Observed rate 47.83% · Lower 95% interval 40.24% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.59% |
95.27%
2.3 pts better
|
Numerator 81 · Denominator 83 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 83 |
| Discharge self-care score | 58.82% |
53.69%
5.1 pts better
|
Numerator 40 · Denominator 68 |
| Discharge mobility score | 51.47% |
50.94%
0.5 pts better
|
Numerator 35 · Denominator 68 |
| Pressure ulcers or injuries, new or worsened | 3.61% |
2.29%
1.3 pts worse
|
Numerator 3 · Denominator 83 · Adjusted rate 3.56% |
| Healthcare-associated infections requiring hospitalization | 7.44% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 81 · Observed rate 7.41% · Lower 95% interval 3.58% |
| Staff COVID-19 vaccination coverage | 12.24% |
8.2%
4 pts better
|
Numerator 12 · Denominator 98 |
| Staff flu vaccination coverage | 26.72% |
42%
15.3 pts worse
|
Numerator 31 · Denominator 116 |
| Discharge function score | 67.65% |
56.45%
11.2 pts better
|
Numerator 46 · Denominator 68 |
| 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 14 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 53.49% |
25.2%
28.3 pts better
|
Numerator 23 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.4 |
1.8
0.4 pts better
|
1.9
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.9 · Expected 2.5 · 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 1.2 · Expected 1.8 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.6% |
91.5%
6.1 pts better
|
93.4%
4.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 97.0% · Q3 98.4% · Q4 96.7% · 4Q avg 97.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.6% |
94.1%
4.5 pts better
|
95.5%
3.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.6%
0.8 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 4.5% · Q3 1.6% · Q4 1.7% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.8% |
4.8%
4 pts better
|
11.4%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.6% · Q3 0.0% · Q4 1.9% · 4Q avg 0.8% |
| Percentage of long-stay residents who lose too much weight | 2.9% |
7.2%
4.3 pts better
|
5.4%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 4.8% · Q3 3.4% · Q4 1.7% · 4Q avg 2.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.2% |
21.6%
1.4 pts better
|
19.6%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.3% · Q2 18.8% · Q3 18.0% · Q4 23.7% · 4Q avg 20.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.1% |
15.0%
2.9 pts better
|
16.7%
4.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 10.5% · Q3 9.1% · Q4 13.7% · 4Q avg 12.1% · 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 | 21.4% |
21.5%
0.1 pts better
|
16.3%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 17.4% · Q3 30.0% · 4Q avg 21.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 12.7% |
16.8%
4.1 pts better
|
14.9%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 14.5% · Q3 22.8% · Q4 3.6% · 4Q avg 12.7% · 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 | 0.8% |
2.6%
1.8 pts better
|
1.7%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.7% · Q4 1.7% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 26.5% |
21.2%
5.3 pts worse
|
19.8%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 21.1% · Q3 20.0% · Q4 32.6% · 4Q avg 26.5% |
| Percentage of long-stay residents with pressure ulcers | 4.4% |
6.0%
1.6 pts better
|
5.1%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 1.3% · Q3 5.5% · Q4 8.9% · 4Q avg 4.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.0% |
79.9%
18.1 pts better
|
81.7%
16.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.5% · Q2 96.9% · Q3 99.4% · Q4 98.4% · 4Q avg 98.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% |
13.2%
6.7 pts better
|
12.0%
5.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 6.5% · Observed 6.5% · Expected 11.2% · 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 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.8% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 93.8% |
78.1%
15.7 pts better
|
79.7%
14.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.0% |
22.9%
8.9 pts better
|
23.9%
9.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.0% · Observed 15.2% · Expected 25.9% · Used in QM five-star |
Survey summary
Top issue: Nutrition and Dietary (1 deficiency)
3 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
5 fire-safety deficiencies
Top issue: Services (2 deficiencies)
Fire safety
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 2025-06-20
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-06-20
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-20
Fire Safety
Have exits that are accessible at all times.
Corrected 2024-05-10
Fire Safety
Install proper backup exit lighting.
Corrected 2024-05-10
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-10
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-10
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-13
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-13
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-02-13
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-13
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-13
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-08
Health
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.
Corrected 2025-05-08
Health
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.
Corrected 2024-03-20
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-03-11
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-03-25
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-03-21
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-20
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-03-06
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-01
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-21
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-03
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-01-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-01
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-02-01
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Corporate Officer · Individual
Corporate Officer · Individual
Nearby options
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
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
3-star overall rating with 2-star inspections with 7 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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