North Carolina › Buncombe County › Arden
Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 100 beds, Biltmore Haven Nursing and Rehabilitation serves Arden in Buncombe County, North Carolina and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 1, staffing 2 and quality measures 3.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (19, 14, 17 by cycle, most recent first), 7 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 15.6.
CMS lists 4 penalties in the period covered: fines totalling $189K and 1 payment denial.
Reported nurse staffing is 2.9 hours per resident per day (0.7 RN), close to the North Carolina median of 3.5; nursing staff turnover is 71.4%.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Buncombe Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 15 | 16 | 28.7 |
| Citations per 100 beds | 50.0 | 16.7 | 15.6 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.5 | 0.7 |
| Nursing staff turnover | 71.4% | 46.2% | 48.6% | 45.8% |
| Fines listed | $189,174 | $4,271 | $8,512 | — |
County and state figures are medians across facilities (19 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 May 2025, 16 Jan 2024.
Severity mix: J ×2 K ×3 G ×2 D ×24 E ×13 F ×3 B ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 12 May 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 5 Mar 2026 |
| 12 May 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 5 Mar 2026 |
| 1 May 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 1 May 2025 |
| 1 May 2025 | 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. | E | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0803 | 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 | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 17 Jun 2025 |
| 1 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0700 | 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 | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0726 | 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. | D | Complaint investigation | 17 Jun 2025 |
| 1 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 17 Jun 2025 |
| 1 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jun 2025 |
| 1 May 2025 | F0584 | 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 | Complaint investigation | 17 Jun 2025 |
| 27 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 12 Mar 2024 |
| 27 Feb 2024 | F0687 | Provide appropriate foot care. | D | Complaint investigation | 12 Mar 2024 |
| 27 Feb 2024 | 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. | D | Complaint investigation | 12 Mar 2024 |
| 27 Feb 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 12 Mar 2024 |
| 27 Feb 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | B | Complaint investigation | 12 Mar 2024 |
| 16 Jan 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0791 | Provide or obtain dental services for each resident. | G | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0758 | 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 | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | 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. | E | Complaint investigation | 12 Mar 2024 |
| 16 Jan 2024 | F0809 | 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. | E | Standard survey | 27 Feb 2024 |
| 16 Jan 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 12 Mar 2024 |
| 16 Jan 2024 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0578 | 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. | D | Standard survey | 27 Feb 2024 |
| 16 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 27 Feb 2024 |
| 16 Jan 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 27 Feb 2024 |
| 28 Dec 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint investigation | 12 Mar 2024 |
| 28 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Jan 2024 |
| 24 Jun 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0584 | 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. | E | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 25 Jul 2022 |
| 24 Jun 2022 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | B | Standard survey | 25 Jul 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 May 2026 | Fine | $13,405 | |
| 12 May 2026 | Fine | $13,405 | |
| 28 Dec 2023 | Payment denial | — | 26 days |
| 28 Dec 2023 | Fine | $162,364 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 71.4%, RNs 88.9%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.8% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.1% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.9% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.3% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: 3864 Sweeten Creek Road Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Arden Parentco LLC | Direct ownership interest | NOT APPLICABLE | 06/01/2025 |
| Ncop Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Scr Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| SNF Care Centers LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Cse Arden LP | 5% or greater security interest | NOT APPLICABLE | 06/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Cse Arden LP | Adp of the snf | NOT APPLICABLE | 06/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/23/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Buncombe County
| 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 |
All 19 facilities in Buncombe County
Questions and answers
How many deficiencies has Biltmore Haven Nursing and Rehabilitation been cited for?
50 health deficiencies across the three most recent survey cycles, 7 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Biltmore Haven Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $189K in the period covered, plus 1 payment denial.
How does staffing at Biltmore Haven Nursing and Rehabilitation compare?
Reported total nurse staffing is 2.9 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Biltmore Haven Nursing and Rehabilitation?
It is part of the Avardis Health chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Arden Parentco LLC, Ncop Holdco LLC and Scr Holdco LLC. Individual owners and managers are not listed on this site.
When was Biltmore Haven Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 12 May 2026; the most recent standard health survey was 1 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.