Nursing HomeInspections

River Bend Health and Rehabilitation

Nursing home in Asheville, NC

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (828) 254-9675Send a messageMap ↗

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

CMS certification number 345432. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
Feb 26, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 30, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 30, 2026Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
E
Potential for more than minimal harm, pattern
Jun 13, 2025Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights
C
Potential for minimal harm, widespread
Jun 13, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 13, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 13, 2025Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 13, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 13, 2025Develop 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
D
Potential for more than minimal harm, isolated
Jun 13, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 13, 2025Try 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…
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

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, 2026Fine: $4,254
Jan 30, 2026Fine: $4,254
Apr 25, 2025Fine: $104,670
Apr 25, 2025Payment denial for 48 days from May 23, 2025
Apr 23, 2024Fine: $5,346
Apr 23, 2024Fine: $22,620
Sep 15, 2023Fine: $6,435

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Asheville

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