River Bend Health and Rehabilitation
Nursing home in Asheville, NC
Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon
Public-record details
- Address
- 213 Richmond Hill Drive, Asheville, NC 28806
- Phone
- (828) 254-9675
- Listed under
- For-profit
- Medicare CCN
- 345432
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 100
- Average residents per day
- 87
- Ownership
- For-profit, limited Liability company
- Legal business name
- Asheville Health and Rehabilitation SNF LLC
- Chain
- Brighton Healthcare (8 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Feb 24, 1993
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Jun 13, 2025. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2023 to Feb 26, 2026): 41 from complaint inspections, 7 at the “actual harm” level or higher. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 26, 2026 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| Feb 26, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Jan 30, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| Jan 30, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| Jun 13, 2025 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| Jun 13, 2025 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| Jun 13, 2025 | Reasonably accommodate the needs and preferences of each resident. | D |
| Jun 13, 2025 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D |
| Jun 13, 2025 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| Jun 13, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Jun 13, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Jun 13, 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… | D |
Fines and payment denials
CMS records 6 fines totalling $147,579 and 1 denial of Medicare payment for new admissions in the last three years.
| Jan 30, 2026 | Fine: $4,254 |
| Jan 30, 2026 | Fine: $4,254 |
| Apr 25, 2025 | Fine: $104,670 |
| Apr 25, 2025 | Payment denial for 48 days from May 23, 2025 |
| Apr 23, 2024 | Fine: $5,346 |
| Apr 23, 2024 | Fine: $22,620 |
| Sep 15, 2023 | Fine: $6,435 |
Staffing
- Total nurse staffing per resident per day
- 3.13 hours
- Registered nurse (RN) time per resident per day
- 0.63 hours
- Nurse aide time per resident per day
- 1.60 hours
- Total nurse staffing on weekends
- 2.85 hours
- Nursing staff turnover (yearly)
- 86%
- RN turnover (yearly)
- 71%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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