River Bend Health and RehabilitationCMS ratings, inspections and fines
- Address
- 213 Richmond Hill Drive, Asheville, NC 28806
- CCN
- 345432
- Ownership type
- For-profit, limited liability company
- Certified beds
- 100
- Chain
- Brighton Healthcare
- Residents per day
- 87
- CMS flags
- CMS abuse icon
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives River Bend Health and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 13 Jun 2025. The latest survey cycle has 25 health citations. The median for nursing homes in North Carolina is 3. CMS lists 6 fines with a total of $147,579 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Buncombe County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 19 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Jun 2025 | 25 | 3 |
| Cycle 2 | 27 Jun 2024 | 18 | 5 |
| Cycle 3 | No date | 9 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 25 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 25 Mar 2026 |
| 26 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Mar 2026 |
| 30 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 26 Feb 2026 |
| 30 Jan 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 26 Feb 2026 |
| 13 Jun 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 10 Jul 2025 |
| 13 Jun 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 | 10 Jul 2025 |
| 13 Jun 2025 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 10 Jul 2025 |
| 13 Jun 2025 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | G | Standard survey | 10 Jul 2025 |
| 13 Jun 2025 | F0808 | 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. | D | Standard survey | 10 Jul 2025 |
| 13 Jun 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 | 10 Jul 2025 |
| 13 Jun 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 10 Jul 2025 |
Survey cycle 2: 18 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 25 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 10 Jul 2025 |
| 25 Apr 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 13 Jun 2025 |
| 27 Jun 2024 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 23 Jul 2024 |
| 27 Jun 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | Complaint investigation | 23 Jul 2024 |
| 27 Jun 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 | 23 Jul 2024 |
| 27 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0727 | 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. | E | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 23 Jul 2024 |
| 27 Jun 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 | 23 Jul 2024 |
| 27 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 23 Jul 2024 |
| 27 Jun 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 23 Jul 2024 |
Survey cycle 3: 9 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 23 Jul 2024 |
| 23 Apr 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 27 Jun 2024 |
| 23 Apr 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 27 Jun 2024 |
| 15 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 17 Oct 2023 |
| 15 Sep 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Complaint investigation | 17 Oct 2023 |
| 15 Sep 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | Complaint investigation | 17 Oct 2023 |
| 15 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 17 Oct 2023 |
| 15 Sep 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint investigation | 17 Oct 2023 |
| 15 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 17 Oct 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 30 Jan 2026 | Fine | $4,254 | |
| 30 Jan 2026 | Fine | $4,254 | |
| 25 Apr 2025 | Fine | $104,670 | |
| 25 Apr 2025 | Payment denial | 48 | |
| 23 Apr 2024 | Fine | $22,620 | |
| 23 Apr 2024 | Fine | $5,346 | |
| 15 Sep 2023 | Fine | $6,435 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.13 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.63 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.90 | 0.89 | |
| Nurse aides | 1.60 | 2.34 | |
| All nurse staff, weekends | 2.85 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 86.4%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 71.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.1% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 10.0% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 28.9% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 23.0% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Asheville Health and Rehabilitation SNF LLC
- Chain
- Brighton Healthcare (8 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Asheville Health and Rehabilitation SNF Holding LLC | 5% or greater direct ownership interest | 100% | 8 Sep 2023 |
| Asheville NC Property Holdings, LLC | 5% or greater mortgage interest | 8 Sep 2023 | |
| Asheville NC Property Holdings, LLC | Adp of the snf | 8 Sep 2023 | |
| Brand Sonnenschine LLP | Adp of the snf | 8 Sep 2023 | |
| Brighton Management Two LLC | Adp of the snf | 8 Sep 2023 | |
| Forvis Mazars LLP | Adp of the snf | 8 Sep 2023 |
The site shows organisations only. It does not show the names of persons.
Other homes in Buncombe County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Emerald Ridge Health and Rehabilitation | Asheville | 1 of 5 | 11 | $73,475 | 9 Apr 2026 | |
| Elevate Health and Rehabilitation | Asheville | 1 of 5 | 4 | $174,346 | 2 Sep 2025 | |
| Aston Park Health Care Center | Asheville | 5 of 5 | 2 | $0 | 16 Apr 2026 | |
| Stonecreek Health and Rehabilitation | Asheville | 3 of 5 | 4 | $38,431 | 17 Jun 2026 | |
| Bear Mountain Health and Rehabilitation | Asheville | 3 of 5 | 8 | $0 | 9 May 2025 | |
| The Laurels of Greentree Ridge | Asheville | 5 of 5 | 2 | $0 | 7 May 2025 | |
| The Laurels of Summit Ridge | Asheville | 4 of 5 | 2 | $0 | 2 Jul 2026 | |
| Pisgah Manor Health Care Center | Candler | 2 of 5 | 1 | $59,391 | 20 May 2026 | |
| The Greens at Weaverville | Weaverville | 4 of 5 | 3 | $0 | 31 Jul 2025 | |
| Deerfield Episcopal Retirement | Asheville | 5 of 5 | 1 | $0 | 4 Jun 2026 | |
| Swannanoa Valley Health and Rehabilitation | Swannanoa | 3 of 5 | 4 | $0 | 6 Oct 2025 | |
| Givens Health Center | Asheville | 5 of 5 | 1 | $0 | 18 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of River Bend Health and Rehabilitation (CCN 345432). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/river-bend-health-and-rehabilitation-asheville-nc-345432/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was River Bend Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 26 Feb 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 27 Jun 2024.
- Who operates River Bend Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Brighton Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is River Bend Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.