Mountain Ridge Rehabilitation and Healthcare Cente — nursing home in Black Mountain, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 97 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 86.2 CMS, MDS-derived
CMS Certification Number: 345048
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Sep 1, 1978
Ownership type: For profit - Corporation
Operator (legal business name): Mountain Ridge Opco LLC
CMS chain: Yad Healthcare 14 facilities
Phone: (828) 669-9991
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jul 9, 2026

Citations

26

13 health · 13 fire

Harm or worse

3

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E5	F3
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

3

$31,792

Payment denials

0

Latest

Jul 9, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345048
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 97
First approved: Sep 1, 1978
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jul 9, 2026	Health	Health Complaint, Health Standard	5	Actual harm	—	Open →
Oct 21, 2025	Health	Health Complaint	2	Immediate jeopardy	—	Open →
May 30, 2025	Health	Health Standard	4	Potential harm	—	Open →
May 2, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
May 2, 2024	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →
Jan 12, 2023	Fire safety	Fire Safety Standard	9	Potential harm	—	Open →
May 6, 2021	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Jul 9, 2026	Civil money penalty (fine)	$15,185	—	345048\|Fine\|141682
Oct 21, 2025	Civil money penalty (fine)	$8,531	—	345048\|Fine\|135290
Oct 21, 2025	Civil money penalty (fine)	$8,076	—	345048\|Fine\|136425

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G1	H·	I·
Potential harm	D15	E5	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jul 9, 2026	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 · Clinical care	G · Actual harm Isolated	Past non-compliance Mar 7, 2026	Complaint
Jul 9, 2026	F-0554	Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 28, 2026
Jul 9, 2026	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 11, 2026
Jul 9, 2026	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jul 10, 2026
Jul 9, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 28, 2026
Oct 21, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Oct 30, 2025	Complaint
Oct 21, 2025	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 · Clinical care	J · Immediate jeopardy Isolated	Corrected Oct 30, 2025	Complaint
May 30, 2025	F-0605	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 17, 2025
May 30, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jun 17, 2025
May 30, 2025	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Jun 17, 2025
May 30, 2025	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jun 17, 2025
May 2, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2024
May 2, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 4, 2024
May 2, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected May 23, 2024	Complaint
May 2, 2024	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 · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 23, 2024	Complaint
Jan 12, 2023	K-0100	Meet other general requirements. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
Jan 12, 2023	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
Jan 12, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 23, 2023
Jan 12, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
Jan 12, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
Jan 12, 2023	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
Jan 12, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 23, 2023
Jan 12, 2023	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 23, 2023
Jan 12, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 23, 2023
May 6, 2021	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 18, 2021
May 6, 2021	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 18, 2021

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.35

State avg 3.87US avg 3.90

Registered nurse (RN)0.28

State avg 0.62US avg 0.69

Licensed practical nurse1.05

State avg 0.88US avg 0.86

Nurse aide2.02

State avg 2.37US avg 2.35

Weekend total nurse2.73

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.56 (case-mix index 1.32).

Staff turnover

Total nursing staff turnoverNot reported

State avg 48.7%US avg 45.3%

Registered nurse turnoverNot reported

State avg 45.7%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jul 9, 2026
Cycle 1 health score: 190
Total weighted score: 152.5

Operating entity

Mountain Ridge Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Yad Healthcare

14 facilities in 3 states. CMS chain ID 640.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 1.5

Ownership disclosures

Disclosures

7

Organizations

1

Individuals

6

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mountain Ridge Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2026
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	80%	Feb 1, 2026
Joseph Braun	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Feb 1, 2026

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Mountain Ridge Holdco LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Feb 1, 2026
Tzvi Alter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	80%	Feb 1, 2026
Joseph Braun	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	20%	Feb 1, 2026
David Hunt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2026
Rabi Kutob	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 1, 2026
David Hunt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 9, 2026
Rabi Kutob	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 9, 2026

Same chain in North Carolina

All 13 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Kenansville Rehabilitation and Healthcare Center 209 Beasley Street, Kenansville, NC 28349 CCN 345150	92		Aug 27, 2026	213 open	—
Laurel Park Rehabilitation and Healthcare Center 901 Halstead Boulevard, Elizabeth City, NC 27909 CCN 345184	108		May 21, 2025	421 harm5 open	$11k
Warsaw Rehabilitation and Healthcare Center 214 Lanefield Road, Warsaw, NC 28398 CCN 345252	100		Jun 22, 2026	302 IJ1 harm7 open	$44k
Asheboro Rehabilitation and Healthcare Center 400 Vision Drive, Asheboro, NC 27203 CCN 345277	100		Aug 13, 2025	351 harm1 open	—
Rockwell Park Rehabilitation and Healthcare Center 1930 West Sugar Creek Road, Charlotte, NC 28262 CCN 345489SFF	120	Not rated	Sep 17, 2026	397 IJ1 harm3 open	$339k
Fletcher Rehabilitation and Healthcare Center 86 Old Airport Road, Fletcher, NC 28732 CCN 345522	90		Sep 3, 2026	392 harm3 open	$63k
Ramseur Rehabilitation and Healthcare Center 7166 Jordon Road, Ramseur, NC 27316 CCN 345523	90		Aug 1, 2025	342 IJ2 harm7 open	$103k
Bolivia Rehabilitation and Healthcare Center 1070 Old Ocean Highway, Bolivia, NC 28422 CCN 345549	90		May 5, 2026	472 IJ2 open	$94k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS (geocoding footnote 22).

Address: 611 Old US Highway 70 East, Black Mountain, NC 28711
ZIP: 28711
County: Buncombe County FIPS 37021
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Black Mountain Neuro-Medical Treatment Center 932 Old US Highway 70, Black Mountain, NC 28711 CCN 34A001	0 km	163	Sep 25, 2025	121 IJ	—
Highland Farms 200 Tabernacle Road, Black Mountain, NC 28711 CCN 345078	3.6 km	60	Jul 31, 2026	10	$4,271
Nc State Veterans Home - Black Mountain 62 Lake Eden Road, Black Mountain, NC 28711 CCN 345558	5.5 km	100	Dec 4, 2025	171 harm1 open	$13k
Fleshers Fairview Health Care 3016 Cane Creek Road, Fairview, NC 28730 CCN 345413	14.7 km	106	Sep 22, 2025	466 harm1 open	$61k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345048	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345048	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345048

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction