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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D21 | E10 | F3 |
| Minimal | A· | B2 | C1 |
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 | |
|---|---|---|---|---|---|---|
| Sep 3, 2026 | Health | Health Standard | 2 | Potential harm | 2 | Open → |
| Mar 25, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 12, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 2, 2025 | Health | Health Complaint, Health Standard | 19 | Actual harm | 1 | Open → |
| Mar 27, 2025 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Feb 2, 2024 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Feb 2, 2024 | Health | Health Complaint, Health Standard | 7 | Potential harm | — | Open → |
| Jul 29, 2022 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Mar 19, 2021 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Dec 12, 2025 | Civil money penalty (fine) | $8,788 | — | 345522|Fine|136806 |
| Mar 27, 2025 | Civil money penalty (fine) | $54,080 | — | 345522|Fine|42777 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D21 | E10 | F3 |
| Minimal | A· | B2 | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Sep 3, 2026 | 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 | No plan of correction | |
| Sep 3, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | No plan of correction |
“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.
14 facilities in 3 states. CMS chain ID 640.
Chain average overall rating (CMS): 1.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fletcher Holdings I LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2024 |
| West Nc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Tzvi Alter | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Fletcher Holdings I LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jun 1, 2024 |
| West Nc Holdings LLC | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Tzvi Alter | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | not provided | Jun 1, 2024 |
| Timothy Lane | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Mountain Ridge Rehabilitation and Healthcare Cente 611 Old US Highway 70 East, Black Mountain, NC 28711 CCN 345048 | 97 | Jul 9, 2026 | 262 IJ1 harm | $32k | |
| Kenansville Rehabilitation and Healthcare Center 209 Beasley Street, Kenansville, NC 28349 CCN 345150 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Biltmore Haven Nursing and Rehabilitation 3864 Sweeten Creek Road, Arden, NC 28704 CCN 345477 | 3.2 km | 100 | Jul 31, 2026 | 605 IJ1 harm9 open | $180k | |
| The Lodge at Mills River 5593 Old Haywood Road, Mills River, NC 28759 CCN 345253 | 6.9 km | 50 | Sep 16, 2026 | 91 open | — | |
| Givens Health Center 600 Barrett Lane, Asheville, NC 28803 CCN 345328 | 7 km | 70 | Mar 18, 2026 | 32 | — | |
| Deerfield Episcopal Retirement 1617 Hendersonville Road, Asheville, NC 28803 CCN 345556 | 8 km | 62 | Jun 4, 2026 | 10 | — | |
| Orchard Valley Health and Rehabilitation 200 Heritage Circle, Hendersonville, NC 28791 CCN 345285 | 8.6 km | 134 | Feb 20, 2026 | 751 IJ3 open | $16k | |
| Fleshers Fairview Health Care 3016 Cane Creek Road, Fairview, NC 28730 CCN 345413 | 10.4 km | 106 | Sep 22, 2025 | 466 harm1 open | $61k | |
| The Laurels of Hendersonville 290 Clear Creek Road, Hendersonville, NC 28792 CCN 345322 | 11.5 km | 100 | Jun 5, 2026 | 272 IJ1 open | $36k | |
| Life Care Center of Hendersonville 400 Thompson Street, Hendersonville, NC 28792 CCN 345463 | 12.1 km | 80 | Aug 27, 2025 | 491 harm | $41k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345522 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345522 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Mar 25, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 3, 2026 | Complaint |
| Dec 12, 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 | G · Actual harm Isolated | Past non-compliance | Complaint |
| Jun 2, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 2025 | 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 Jun 20, 2025 |
| Jun 2, 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 | D · Potential harm Isolated | Corrected Jun 20, 2025 |
| Jun 2, 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 | D · Potential harm Isolated | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 2025 | 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 20, 2025 |
| Jun 2, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 2025 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 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 Jun 20, 2025 |
| Jun 2, 2025 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Jun 2, 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 Jun 20, 2025 | Complaint |
| Jun 2, 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 | F · Potential harm Widespread | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 20, 2025 |
| Jun 2, 2025 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Plan of correction, not yet verified Jun 9, 2025 |
| Mar 27, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 20, 2025 | Complaint |
| Mar 27, 2025 | 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 Jun 2, 2025 | Complaint |
| Mar 27, 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 2, 2025 | Complaint |
| Mar 27, 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 Jun 20, 2025 | Complaint |
| Feb 2, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 2, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 29, 2024 |
| Feb 2, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 29, 2024 |
| Feb 2, 2024 | 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 | E · Potential harm Pattern | Past non-compliance Dec 20, 2022 | Complaint |
| Feb 2, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 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 Feb 29, 2024 | Complaint |
| Feb 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 Feb 29, 2024 | Complaint |
| Feb 2, 2024 | F-0551 | Give the resident's representative the ability to exercise the resident's rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Feb 29, 2024 | Complaint |
| Feb 2, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Feb 29, 2024 | Complaint |
| Jul 29, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 16, 2022 |
| Jul 29, 2022 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 16, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.87 (case-mix index 1.35).
| 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 |
| 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 |