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Medicare-certifiedSkilled Nursing

River Bend Health and Rehabilitation

Asheville, North CarolinaMedicare inspection record
(828) 254-9675

About River Bend Health and Rehabilitation

River Bend Health and Rehabilitation brings specialized skilled nursing and rehabilitation care to Asheville, North Carolina, where experienced staff focus on helping patients regain strength and independence. Our compassionate team provides personalized treatment plans in a supportive environment designed for recovery.

Community at a glance

Capacity

100 residents

Location

Asheville, NC

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

213 Richmond Hill Drive, Asheville, North Carolina 28806

(828) 254-9675

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Medicare flags River Bend Health and Rehabilitation for a citation related to abuse of residents in its recent inspections.

At its most recent standard inspection, on June 13, 2025, state inspectors cited 25 health deficiencies (the North Carolina average is 4.7).

Nurses and nurse aides spend 3 hours 8 minutes with each resident a day, below the North Carolina average of 3 hours 51 minutes.

Medicare fined River Bend Health and Rehabilitation 5 times in the last three years, $141,144 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 8 minutesBelow the North Carolina average
Registered nurse time per resident, per day38 minutes
Nursing staff who left in the past year86%Above the North Carolina average

Inspections

46 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

February 26, 2026 · Complaint investigation · 2 citations

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 25, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 25, 2026

January 30, 2026 · Complaint investigation · 2 citations

  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 26, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 26, 2026
June 13, 2025 · Standard inspection · 21 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 10, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Residents were harmed, a few residents (level G)Resident RightsFrom a complaintCorrected Jul 10, 2025
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 10, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jul 10, 2025
  • Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    Residents were harmed, a few residents (level G)AdministrationCorrected Jul 10, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 10, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 10, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 10, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 10, 2025
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jul 10, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 10, 2025
  • Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 10, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 10, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 10, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 10, 2025
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 10, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 10, 2025
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 10, 2025
  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 10, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2025
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Minimal harm or risk, widespread (level C)Resident RightsCorrected Jul 10, 2025
April 25, 2025 · Complaint investigation · 2 citations+
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 10, 2025
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 13, 2025
June 27, 2024 · Standard inspection · 16 citations+
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 23, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 23, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Jul 23, 2024
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jul 23, 2024
  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jul 23, 2024
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2024
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jul 23, 2024
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 23, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 23, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 23, 2024
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 23, 2024
  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 23, 2024
  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 23, 2024
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintPlan to fix it accepted
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintPlan to fix it accepted
May 21, 2024 · Complaint investigation · 1 citation+
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 23, 2024
April 23, 2024 · Complaint investigation · 2 citations+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 27, 2024
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 27, 2024

Fines and payment denials

5 fines totaling $141,144 and 1 Medicare payment denial in the last three years.

  • January 30, 2026Fine: $4,254
  • January 30, 2026Fine: $4,254
  • April 25, 2025Fine: $104,670
  • April 25, 2025Payment denial, 48 days
  • April 23, 2024Fine: $5,346
  • April 23, 2024Fine: $22,620

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Asheville Health and Rehabilitation SNF LLC
Medicare-certified beds
100
Average residents per day
87
Accepts
Medicare and Medicaid
First certified
February 24, 1993
Part of a chain
Brighton Healthcare, 8 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
345432

Location

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213 Richmond Hill DriveAsheville, NC 28806

12 other communities within 10 miles

Senior living near Asheville

Questions about River Bend Health and Rehabilitation

How did River Bend Health and Rehabilitation do on its last inspection?+

State inspectors visited on June 13, 2025 and cited 25 health deficiencies, 15 of them from complaint investigations. The North Carolina average is 4.7.

How much nursing care does each resident get at River Bend Health and Rehabilitation?+

Nurses and aides spend 3 hours 8 minutes with each resident per day, including 38 minutes from registered nurses. 86% of nursing staff left over the past year.

Has River Bend Health and Rehabilitation been fined by Medicare?+

Yes. Medicare fined River Bend Health and Rehabilitation 5 times in the last three years, totaling $141,144.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Asheville Skilled Nursing in North Carolina Skilled Nursing guide Information last updated October 2026