Stonecreek Health and Rehabilitation — nursing home in Asheville, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 120 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: 99.8 CMS, MDS-derived
CMS Certification Number: 345204
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 17, 1981
Ownership type: For profit - Limited Liability company
Operator (legal business name): Stonecreek Health and Rehabilitation, LLC
CMS chain: Sanstone Health & Rehabilitation 18 facilities
Phone: (828) 252-0099
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Jun 17, 2026

Citations

28

16 health · 12 fire

Harm or worse

2

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E7	F·
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

1

$38,431

Payment denials

0

Latest

Apr 14, 2025

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345204
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 120
First approved: Jun 17, 1981
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
Jun 17, 2026	Fire safety	Fire Safety Standard	6	Potential harm	6	Open →
Jun 17, 2026	Health	Health Complaint, Health Standard	4	Potential harm	—	Open →
Apr 14, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 14, 2025	Health	Health Complaint, Health Standard	5	Immediate jeopardy	—	Open →
Feb 28, 2024	Health	Infection Control	0	No citations	—	Open →
Dec 22, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 22, 2023	Health	Health Complaint, Health Standard	7	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
Apr 14, 2025	Civil money penalty (fine)	$38,431	—	345204\|Fine\|42744

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D19	E7	F·
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 17, 2026	K-0100	Meet other general requirements. Construction Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Jun 17, 2026	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Jun 17, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Jun 17, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	No plan of correction
Jun 17, 2026	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Jun 17, 2026	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	No plan of correction
Jun 17, 2026	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	D · Potential harm Isolated	Corrected Jun 19, 2026
Jun 17, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 19, 2026	Complaint
Jun 17, 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 Jun 18, 2026
Jun 17, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jun 19, 2026
Apr 14, 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 Apr 15, 2025	Complaint
Apr 14, 2025	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Apr 15, 2025
Apr 14, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 5, 2025
Apr 14, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 17, 2025
Apr 14, 2025	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Apr 17, 2025
Apr 14, 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 Apr 17, 2025
Dec 22, 2023	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 15, 2024
Dec 22, 2023	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 15, 2024
Dec 22, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 15, 2024
Dec 22, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 15, 2024
Dec 22, 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 Mar 15, 2024
Dec 22, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 18, 2024	Complaint
Dec 22, 2023	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 18, 2024	Complaint
Dec 22, 2023	F-0756	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 18, 2024	Complaint
Dec 22, 2023	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jan 18, 2024	Complaint
Dec 22, 2023	F-0810	Provide special eating equipment and utensils for residents who need them and appropriate assistance. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jan 18, 2024
Dec 22, 2023	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 Jan 18, 2024
Dec 22, 2023	F-0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Jan 18, 2024

“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 staffing3.21

State avg 3.87US avg 3.90

Registered nurse (RN)0.55

State avg 0.62US avg 0.69

Licensed practical nurse0.57

State avg 0.88US avg 0.86

Nurse aide2.09

State avg 2.37US avg 2.35

Weekend total nurse2.69

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.06 (case-mix index 1.47).

Staff turnover

Total nursing staff turnover56.6%

State avg 48.7%US avg 45.3%

Registered nurse turnover43.8%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jun 17, 2026
Cycle 1 health score: 20
Total weighted score: 56.25
Infection-control citations: 0

Operating entity

Stonecreek Health and Rehabilitation, LLC

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

VerifiedLinked by exact legal name

CMS chain

Sanstone Health & Rehabilitation

18 facilities in 1 states. CMS chain ID 465.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.3

Ownership disclosures

Disclosures

6

Organizations

3

Individuals

3

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Christopher Sprenger	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 14, 2010

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
Christopher Sprenger	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Feb 14, 2010
Ardent Health and Rehabilitation Co	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 14, 2010
Christopher Sprenger	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 14, 2010
Holly Franklin	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Dec 2, 2020
Asheville-Courtyard Healthcare Properties LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Dec 14, 2010
Flat Rock Healthcare Properties LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Dec 14, 2010

Same chain in North Carolina

All 17 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Elizabeth City Health and Rehabilitation 1075 US Highway 17 South, Elizabeth City, NC 27909 CCN 345036	170	Jun 19, 2025	253 IJ2 harm6 open	$78k
Anson Health and Rehabilitation 405 South Greene Street, Wadesboro, NC 28170 CCN 345051	95	Feb 12, 2026	26	—
The Lodge at Rocky Mount Health and Rehabilitation 3322 Village Road, Rocky Mount, NC 27804 CCN 345137	100	Apr 10, 2026	282 IJ1 open	$17k
Grace Heights Health & Rehabilitation 109 Foothills Drive, Morganton, NC 28655 CCN 345187	120	Jan 23, 2026	12	—
Madison Health and Rehabilitation 345 Manor Road, Mars Hill, NC 28754 CCN 345206	100	Feb 11, 2026	181 harm	$9,110
Hickory Falls Health and Rehabilitation 100 Sunset Street, Granite Falls, NC 28630 CCN 345246	120	Jun 10, 2026	181 IJ4 open	$51k
The Lodge at Mills River 5593 Old Haywood Road, Mills River, NC 28759 CCN 345253	50	Sep 16, 2026	91 open	—
Carolina Care Health and Rehabilitation 111 Harrelson Street, Cherryville, NC 28021 CCN 345255	107	Apr 16, 2026	141 open	—

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.

Address: 455 Victoria Road, Asheville, NC 28801
ZIP: 28801
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
Elevate Health and Rehabilitation 91 Victoria Road, Asheville, NC 28801 CCN 345174	1.2 km	120	Dec 22, 2025	585 IJ	$174k
Greentree Ridge Health & Rehab Center 70 Sweeten Creek Road, Asheville, NC 28803 CCN 345303	2.2 km	90	Aug 20, 2026	283 open	—
Aston Park Health Care Center 380 Brevard Road, Asheville, NC 28806 CCN 345198	3.5 km	120	Apr 16, 2026	279 open	—
River Bend Health and Rehabilitation 213 Richmond Hill Drive, Asheville, NC 28806 CCN 345432Abuse icon	5.8 km	100	Feb 26, 2026	747 harm2 open	$141k
Deerfield Episcopal Retirement 1617 Hendersonville Road, Asheville, NC 28803 CCN 345556	6.7 km	62	Jun 4, 2026	10	—
The Laurels of Summit Ridge 100 Riceville Road, Asheville, NC 28805 CCN 345438	6.9 km	68	Jul 2, 2026	341 harm	—
Givens Health Center 600 Barrett Lane, Asheville, NC 28803 CCN 345328	8 km	70	Mar 18, 2026	32	—
Bear Mountain Health and Rehabilitation 500 Beaverdam Road, Asheville, NC 28804 CCN 345010	8.8 km	77	Jul 15, 2026	382 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345204	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345204	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 345204

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