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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J7 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D20 | E17 | F4 |
| Minimal | A· | B1 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 6, 2026 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Aug 14, 2025 | Health | Health Complaint | 3 | Immediate jeopardy | — | Open → |
| Jun 24, 2025 | Health | Health Complaint, Health Standard | 17 | Immediate jeopardy | — | Open → |
| Aug 16, 2024 | Health | Health Complaint | 1 | Immediate jeopardy | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | 1 | Open → |
| Apr 25, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 25, 2024 | Health | Health Complaint, Health Standard | 14 | Immediate jeopardy | — | Open → |
| Dec 1, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Apr 12, 2021 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 24, 2025 | Civil money penalty (fine) | $175,643 | — | 345233|Fine|135081 |
| Jun 24, 2025 | Civil money penalty (fine) | $8,673 | — | 345233|Fine|42778 |
| Jun 24, 2025 | Civil money penalty (fine) | $8,672 | — | 345233|Fine|135080 |
| Jul 2, 2024 | Civil money penalty (fine) | $16,801 | — | 345233|Fine|42482 |
| Apr 25, 2024 | Civil money penalty (fine) | $63,678 | — | 345233|Fine|42412 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J7 | K· | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D20 | E17 | F4 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 6, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 31, 2026 | Complaint |
| Aug 6, 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 | D · Potential harm Isolated | Corrected Aug 31, 2026 | Complaint |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
8 facilities in 2 states. CMS chain ID 848.
Chain average overall rating (CMS): 1.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ctnc Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| David Fischer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Mar 4, 2022 |
| Zev Lefkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Mar 4, 2022 |
| Etnc Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Cynthia Treff | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| Esther Treff | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ctnc Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| David Fischer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Mar 4, 2022 |
| Zev Lefkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Mar 4, 2022 |
| Etnc Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Cynthia Treff | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Glenbridge Health and Rehabilitation 211 Milton Brown Heirs Road, Boone, NC 28607 CCN 345163 | 134 | Mar 27, 2026 | 451 IJ2 open | $27k | |
| Smoky Ridge Health and Rehabilitation 310 Pensacola Road, Burnsville, NC 28714 CCN 345305 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Autumn Care of Marion 1264 Airport Road, Marion, NC 28752 CCN 345165 | 13.2 km | 110 | Mar 26, 2026 | 141 IJ | $10k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345233 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345233 | 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 |
| CMS Provider Information US-CMS | 345233 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Aug 6, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 31, 2026 |
| Aug 6, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 31, 2026 | Complaint |
| Aug 6, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 31, 2026 | Complaint |
| Aug 14, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 30, 2025 | Complaint |
| Aug 14, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 30, 2025 | Complaint |
| Aug 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 Aug 30, 2025 | Complaint |
| Jun 24, 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 Aug 30, 2025 | Complaint |
| Jun 24, 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 Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. Administration Deficiencies · Administration & records | G · Actual harm Isolated | Corrected Aug 14, 2025 |
| Jun 24, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jun 24, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jun 24, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jun 24, 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 Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 14, 2025 | Complaint |
| Jun 24, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 14, 2025 |
| Jun 24, 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 Aug 14, 2025 |
| Jun 24, 2025 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Jun 24, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Aug 14, 2025 | Complaint |
| Jun 24, 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 Aug 14, 2025 |
| Jun 24, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 14, 2025 |
| Aug 16, 2024 | 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 | Past non-compliance Aug 10, 2024 | Complaint |
| Jul 2, 2024 | 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 | E · Potential harm Pattern | Plan of correction, not yet verified Aug 10, 2024 | Complaint |
| Apr 25, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | 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 | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Apr 25, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Apr 25, 2024 | 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 | F · Potential harm Widespread | Corrected Jul 30, 2024 |
| Apr 25, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 30, 2024 |
| Apr 25, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2024 |
| Apr 25, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2024 |
| Apr 25, 2024 | 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 | Corrected Jul 30, 2024 |
| Apr 25, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2024 |
| Apr 25, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | F-0584 | Honor 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 Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | 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 May 21, 2024 | Complaint |
| Apr 25, 2024 | 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 May 21, 2024 | Complaint |
| Apr 25, 2024 | 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 | E · Potential harm Pattern | Corrected May 21, 2024 | Complaint |
| Apr 25, 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 21, 2024 | Complaint |
| Apr 25, 2024 | 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 May 21, 2024 | Complaint |
| Apr 25, 2024 | F-0908 | Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 21, 2024 | Complaint |
| Apr 25, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected May 21, 2024 |
| Dec 1, 2022 | 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 | Corrected Feb 2, 2023 |
| Dec 1, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 2, 2023 |
| Apr 12, 2021 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 10, 2021 |
| Apr 12, 2021 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2021 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.29 (case-mix index 1.41).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 38% |
| Jun 11, 2025 |
| Esther Treff | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| David Fischer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 4, 2022 |
| Zev Lefkowitz | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 4, 2022 |
| Melissa Cook | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 5, 2024 |
| David Fischer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2022 |
| 306 Deer Park Road LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 4, 2022 |
| 306 Deer Park Road LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Brand Sonnenschine LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Brighton Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Ctnc Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Melissa Cook | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 5, 2024 |
| David Fischer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Zev Lefkowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Cynthia Treff | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Timothy Turbett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 13, 2023 |
| 140 |
| Jun 26, 2026 |
301 harm |
| $60k |
| River Bend Health and Rehabilitation 213 Richmond Hill Drive, Asheville, NC 28806 CCN 345432Abuse icon | 100 | Feb 26, 2026 | 747 harm2 open | $141k |