Nursing HomeInspections

Biltmore Haven Nursing and Rehabilitation

Nursing home in Arden, NC

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
3864 Sweeten Creek Road, Arden, NC 28704
Phone
(828) 681-0904
Listed under
For-profit
Medicare CCN
345477
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
100
Average residents per day
81
Ownership
For-profit, corporation
Legal business name
3864 Sweeten Creek Road Opco LLC
Chain
Avardis Health (38 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 2, 1996
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 345477. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 31, 2026. CMS lists 48 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 28, 2023 to Jul 31, 2026): 27 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 31, 2026Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 31, 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
Jul 31, 2026Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 31, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 31, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 12, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
May 12, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
May 1, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection		B
Potential for minimal harm, pattern
May 1, 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

Showing the 12 most recent of 48. 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 Oct 1, 2026.

Fines and payment denials

CMS records 3 fines totalling $179,790 and 1 denial of Medicare payment for new admissions in the last three years.

May 12, 2026Fine: $8,713
May 12, 2026Fine: $8,713
Dec 28, 2023Fine: $162,364
Dec 28, 2023Payment denial for 26 days from Feb 15, 2024

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

Staffing

Total nurse staffing per resident per day
2.86 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
2.47 hours
Nursing staff turnover (yearly)
70%
RN turnover (yearly)
80%
Administrators who left in the past year
2

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.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error