Buncombe County, North Carolina · Nursing home
River Bend Health and Rehabilitation
1 of 5 overall from CMS
213 Richmond Hill Drive, Asheville, NC 28806
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.13 hours Below the state average of 3.85
- Nursing staff who left in a year 86.4% Above the state average of 49.0%
- Health citations, last 3 inspection cycles 52 7 at the harm level or above
- Fines in 3 years $141,144 5 fines
- Certified beds in use 86.6% of 100 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
River Bend Health and Rehabilitation is a 100-bed nursing home in Asheville, North Carolina (Buncombe County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.13 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists 5 fines totaling $141,144 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 86.6
- Certified since
- 1993 (33 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Brighton Healthcare (8 homes)CMS abuse citation icon: Yes
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask River Bend Health and Rehabilitation
Chosen from this home's public data.
- CMS lists 5 fines totaling $141,144 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 25 health deficiencies in the latest inspection cycle (the standard inspection on Jun 13, 2025 plus complaint and infection-control inspections); the North Carolina average is 4.7. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 86.4%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 North Carolina average 2.9
- Health inspections 1 of 5 North Carolina average 2.9
- Staffing 2 of 5 North Carolina average 2.7
- Quality measures 2 of 5 North Carolina average 3.3
The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.13 h North Carolina average 3.85
- Nurse aides 1.60 h North Carolina average 2.34
- Licensed practical nurses 0.90 h North Carolina average 0.89
- Registered nurses 0.63 h North Carolina average 0.62
- All staff, weekends 2.85 h North Carolina average 3.42
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover86.4%
- North Carolina average49.0%
- Registered nurse turnover71.4%
- North Carolina average45.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 27.1% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 17.3% | 7.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.0% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.1% | 5.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 10.0% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.0% | 92.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 28.9% | 18.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.2% | 21.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 61.2% | 94.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.2% | 5.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 23.0% | 14.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.38 | 1.78 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.04 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 44.5% | 80.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 6.0% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 43.1% | 78.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.8% | 22.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 6.5% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 52 health deficiencies in the three most recent inspection cycles. Of these, 7 involved actual harm; the rest were graded as no actual harm. 41 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 13, 2025: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 13, 2025 | 25 | 4 |
| Jun 27, 2024 | 18 | 8 |
| Sep 15, 2023 | 9 | 10 |
North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (52)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 25, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Mar 25, 2026)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 26, 2026)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 26, 2026)
-
GActual harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
Show 25 more
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 10, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
GActual harm, isolated
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
GActual harm, isolated
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration · Deficient, Provider has date of correction (Jul 10, 2025)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Reasonably accommodate the needs and preferences of each resident.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jul 10, 2025)
-
CPotential for minimal harm, widespread
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2025)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 10, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jun 13, 2025)
-
EPotential for more than minimal harm, pattern
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 23, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough food/fluids to maintain a resident's health.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Jul 23, 2024)
-
EPotential for more than minimal harm, pattern
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Jul 23, 2024)
Showing the 30 most recent of 52.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Jan 30, 2026 | Fine | $4,254 |
| Jan 30, 2026 | Fine | $4,254 |
| Apr 25, 2025 | Fine | $104,670 |
| Apr 25, 2025 | Payment Denial | 48 days |
| Apr 23, 2024 | Fine | $5,346 |
| Apr 23, 2024 | Fine | $22,620 |
North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Carolina
- Size229 of 419 by certified beds
- North Carolina average residents per day86.9
- ChainBrighton Healthcare
- Chain average overall rating1.4 of 5
- Resident or family councilResident
- Homes in Asheville10
- Homes in Buncombe County19
Common questions
What is the CMS star rating for River Bend Health and Rehabilitation?
River Bend Health and Rehabilitation has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 2 and quality measures is 2.
How many beds does River Bend Health and Rehabilitation have?
River Bend Health and Rehabilitation has 100 certified beds. It averages 86.6 residents per day, about 86.6% of its certified beds.
How much nursing care do residents get at River Bend Health and Rehabilitation?
The home reports 3.13 hours of nurse staffing per resident per day, including 0.63 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.
Has River Bend Health and Rehabilitation been fined?
Yes. CMS lists 5 fines totaling $141,144 in the past three years. It also lists 1 payment denial.
Does River Bend Health and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 1 of 5 Emerald Ridge Health and Rehabilitation 100beds 89.7%in use 3.06nurse hours a day
- 1 of 5 Elevate Health and Rehabilitation 120beds 81.9%in use 3.25nurse hours a day
- 5 of 5 Aston Park Health Care Center 120beds 88.2%in use 3.67nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Buncombe County
Who to call in North Carolina
These offices serve residents of every nursing home in North Carolina.
- Long-term care ombudsman North Carolina Long-Term Care Ombudsman Program 919-855-3400 (Office of the State Long-Term Care Ombudsman, Raleigh. Regional ombudsmen (16 offices in Area Agencies on Aging) are listed by county in a document linked from the program page.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 1-800-624-3004 (Within N.C.; or 919-855-4500. Hours: 9 a.m.-12 p.m. and 1-4 p.m. weekdays, except holidays. Also by fax (919-715-7724), mail (Complaint Intake Unit, 2711 Mail Service Center, Raleigh, NC 27699-2711) or email; a printable complaint form is on the page.) The state agency that inspects nursing homes.
North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345432. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.