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Nursing homes in Buncombe County, North Carolina
Buncombe County, North Carolina, has 19 Medicare-certified nursing homes with 1,899 certified beds.
37% of them are rated 1 or 2 stars overall, about the same share as the state (42%). Inspectors recorded 383 health deficiencies over three cycles, 20.2 per 100 beds against 17.8 statewide.
Fines in the period covered total $777K across 22 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Buncombe County | North Carolina | US |
|---|---|---|---|
| Facilities | 19 | 419 | 14690 |
| Rated 1–2 stars overall | 37% | 42% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 20.2 | 17.8 | 26.8 |
| Median nurse hours per resident day | 3.6 | 3.5 | 3.7 |
| Fines listed | $777K | $15M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aston Park Health Care Center | Asheville | 120 | 5 | 4 | 5 | 5 | 4.2 | — | 16 Apr 2026 |
| Black Mountain Neuro-Medical Treatment Center | Black Mountain | 163 | 5 | 5 | — | 5 | 3.1 | — | 15 Aug 2024 |
| Deerfield Episcopal Retirement | Asheville | 62 | 5 | 5 | 5 | 3 | 4.8 | — | 4 Jun 2026 |
| Givens Health Center | Asheville | 70 | 5 | 4 | 5 | 19 | 27.1 | — | 18 Mar 2026 |
| Highland Farms | Black Mountain | 60 | 5 | 4 | 5 | 14 | 23.3 | $4K | 15 Aug 2025 |
| Nc State Veterans Home - Black Mountain | Black Mountain | 100 | 5 | 3 | 5 | 13 | 13.0 | $13K | 4 Dec 2025 |
| The Laurels of Greentree Ridge | Asheville | 90 | 5 | 4 | 3 | 15 | 16.7 | — | 7 May 2025 |
| The Greens At Weaverville | Weaverville | 122 | 4 | 4 | 3 | 12 | 9.8 | — | 12 Jun 2026 |
| The Laurels of Summit Ridge | Asheville | 68 | 4 | 3 | 4 | 17 | 25.0 | — | 2 Jul 2026 |
| Bear Mountain Health and Rehabilitation | Asheville | 77 | 3 | 3 | 3 | 29 | 37.7 | — | 30 Dec 2025 |
| Stonecreek Health and Rehabilitation | Asheville | 120 | 3 | 2 | 2 | 16 | 13.3 | $38K | 17 Jun 2026 |
| Swannanoa Valley Health and Rehabilitation | Swannanoa | 106 | 3 | 3 | 3 | 12 | 11.3 | — | 6 Oct 2025 |
| Fleshers Fairview Health Care | Fairview | 106 | 2 | 1 | 5 | 38 | 35.8 | $61K | 22 Sep 2025 |
| Pisgah Manor Health Care Center | Candler | 118 | 2 | 2 | 2 | 12 | 10.2 | $59K | 20 May 2026 |
| Biltmore Haven Nursing and RehabilitationSFF Candidate | Arden | 100 | 1 | 1 | 2 | 50 | 50.0 | $189K | 12 May 2026 |
| Elevate Health and Rehabilitation | Asheville | 120 | 1 | 1 | 1 | 28 | 23.3 | $174K | 22 Dec 2025 |
| Emerald Ridge Health and Rehabilitation | Asheville | 100 | 1 | 1 | 4 | 32 | 32.0 | $73K | 9 Apr 2026 |
| Mountain Ridge Rehabilitation and Healthcare Cente | Black Mountain | 97 | 1 | 1 | 2 | 11 | 11.3 | $16K | 21 Oct 2025 |
| River Bend Health and Rehabilitationabuse icon | Asheville | 100 | 1 | 1 | 2 | 52 | 52.0 | $148K | 26 Feb 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 35 |
| F0880 | Provide and implement an infection prevention and control program. | 23 |
| F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | 15 |
| F0761 | 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. | 15 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 14 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 14 |
| Non profit | 4 |
| Government | 1 |
Chains present: Ascent Healthcare Management (3), Avardis Health (2), Lutheran Services Carolinas (1), Pruitthealth (1), Liberty Senior Living (1), Brighton Healthcare (1), Sanstone Health & Rehabilitation (1), Cch Healthcare (1).
Questions and answers
How many nursing homes are in Buncombe County, North Carolina?
19 Medicare-certified nursing homes with 1,899 certified beds.
Which nursing homes in Buncombe County have the highest CMS ratings?
Aston Park Health Care Center (5 stars), Black Mountain Neuro-Medical Treatment Center (5 stars), Deerfield Episcopal Retirement (5 stars)
How do Buncombe County nursing homes compare with North Carolina?
37% are rated 1–2 stars overall against 42% statewide; citations run at 20.2 per 100 beds against 17.8 statewide.