Senior Care Inspection Finder
Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › North Carolina › Buncombe County › River Bend Health and Rehabilitation

River Bend Health and Rehabilitation

213 Richmond Hill Drive, Asheville, NC 28806 · CMS Certification Number (CCN) 345432

CMS abuse icon

CMS shows the abuse icon when a nursing home was cited for abuse or neglect at the harm level or above (scope/severity G or higher) on its most recent inspection cycle, or at the potential-harm level (D or higher) on both of its two most recent cycles. CMS data dictionary

At a glance

CMS overall rating
★☆☆☆☆ 1 of 5
Health inspection citations
52 in the last 3 inspection cycles (0 immediate jeopardy, 7 actual harm, 41 from complaints)
Fire safety citations
22
Fines (last 3 years)
5 fines, total $141,144
Payment denials
1
Most recent standard inspection
June 13, 2025
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityNorth Carolina averageU.S. average
Overall★☆☆☆☆ 1 of 52.93
Health inspections★☆☆☆☆ 1 of 52.92.8
Staffing★★☆☆☆ 2 of 52.72.9
Quality measures★★☆☆☆ 2 of 53.33.6
Long-stay quality★★☆☆☆ 2 of 5Not publishedNot published
Short-stay quality★★★☆☆ 3 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)June 13, 2025252115
Cycle 2June 27, 2024271626

CMS weighted health inspection score: 192 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: Not published. How to read these citations

52 health citations across 8 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

February 26, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/25/2026
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 03/25/2026
January 30, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/26/2026
E F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/26/2026
June 13, 2025: 21 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0883 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0808 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.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0777 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0760 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0745 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0700 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.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0697 Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0658 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
E F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
G F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
C F-0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
D F-0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/10/2025
April 25, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/13/2025
G F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/10/2025
June 27, 2024: 16 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0883 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
E F-0761 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.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
C F-0732 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
Standard + Complaint Deficient, Provider has plan of correction
Corrected 07/23/2024
E F-0727 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.
Nursing and Physician Services Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
E F-0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Nursing and Physician Services Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
E F-0692 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0658 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
B F-0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Standard + Complaint Deficient, Provider has plan of correction
Corrected 07/23/2024
D F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
E F-0602 Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
D F-0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 07/23/2024
May 21, 2024: 1 citation (Complaint)
SeverityTagWhat was citedTypeStatus
E F-0692 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/23/2024
April 23, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/27/2024
D F-0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/27/2024
September 15, 2023: 6 citations (Standard + Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023
E F-0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023
F F-0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023
D F-0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023
D F-0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Standard + Complaint Deficient, Provider has date of correction
Corrected 10/17/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

22 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
06/13/2025DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 08/29/2025
06/13/2025DK-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 08/29/2025
06/13/2025DK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 08/29/2025
06/13/2025FK-0222Add 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.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 08/29/2025
06/27/2024DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0345Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
06/27/2024DK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 10/01/2024
09/15/2023DK-0922Meet requirements for the use and maintenance of medical gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023DK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023FK-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023DK-0911Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023FK-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023FK-0511Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023DK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023FK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023DK-0281Install proper backup exit lighting.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023
09/15/2023EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 12/18/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
January 30, 2026Fine$4,254—
January 30, 2026Fine$4,254—
April 25, 2025Fine$104,670—
April 25, 2025Payment Denial—Starting May 23, 2025, 48 days
April 23, 2024Fine$5,346—
April 23, 2024Fine$22,620—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityNorth Carolina averageU.S. average
Total nurse staff hours per resident per day3.133.853.86
Registered nurse (RN) hours per resident per day0.630.620.69
LPN/LVN hours per resident per day0.9Not publishedNot published
Nurse aide hours per resident per day1.6Not publishedNot published
Total nurse staff hours per resident per day, weekends2.85Not publishedNot published
RN hours per resident per day, weekends0.57Not publishedNot published
Total nursing staff turnover (%)86.44945.8
Registered nurse turnover (%)71.4Not publishedNot published
Administrators who have left0Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Asheville Health and Rehabilitation SNF LLC
Ownership type
For profit - Limited Liability company
Chain
Brighton Healthcare (8 facilities)
Ownership changed in last 12 months
No
Certified beds
100
Average residents per day
86.6
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
First approved for Medicare/Medicaid
February 24, 1993
County/parish
Buncombe

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

14 ownership and management records
NameRoleTypeOwnership %Since
ASHEVILLE HEALTH AND REHABILITATION SNF HOLDING LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
ASHEVILLE NC PROPERTY HOLDINGS, LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEundefined undefined, NaN
FISCHER, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
LEFKOWITZ, ZEVMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
FISCHER, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
NORMAN, ANGELITAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ASHEVILLE NC PROPERTY HOLDINGS, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BRAND SONNENSCHINE LLPADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
BRIGHTON MANAGEMENT TWO LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
FISCHER, DAVIDADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
LEFKOWITZ, ZEVADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
NORMAN, ANGELITAADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
TURBETT, TIMOTHYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.