River Bend Health and Rehabilitation

Nursing Home · Asheville, NC

CMS overall rating 1/5 Abuse citation For profit - Limited Liability company

CMS certification number345432
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

213 Richmond Hill Drive
Asheville, NC 28806
Buncombe County
Phone
(828) 254-9675
ZIP code
28806 – all care providers

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Facility details

Certified beds
100
Residents per day
86.6 (87% occupied)
Ownership
For profit - Limited Liability company
Legal name
Asheville Health and Rehabilitation SNF LLC
Chain
Brighton Healthcare (8 facilities, avg 1.5★)
Medicare certified since
February 24, 1993
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.9
Staffing★★★★★ 2/5
State avg 2.7
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.13 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.63 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.90 (state 0.89 · U.S. 0.86)
Nurse aides
1.60 (state 2.34 · U.S. 2.32)
Weekend total
2.85 (state 3.40 · U.S. 3.42)
Nursing staff turnover
86.4 (state 49.0 · U.S. 45.8)%
RN turnover
71.4 (state 45.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
June 13, 2025
Health deficiencies (last cycle)
25.0 (state 4.8 · U.S. 9.3)
From complaints
15
Citations on record (3 years)
52 health · 22 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-26 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-25
2026-02-26 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-25
2026-01-30 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-02-26
2026-01-30 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-02-26
2025-06-13 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
F0777 · Administration Deficiencies		 G
Actual harm		 Corrected 2025-07-10
2025-06-13 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Provide medically-related social services to help each resident achieve the highest possible quality of life.
F0745 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 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.
F0808 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-07-10
2025-06-13 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2025-07-10
2025-04-25 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-07-10
2025-04-25 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-13
2024-06-27 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Ensure that the resident and his/her doctor meet face-to-face at all required visits.
F0712 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
F0727 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-06-27 Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · complaint inspection		 C
No actual harm, potential for minimal harm		 Corrected 2024-07-23
2024-06-27 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 B
No actual harm, potential for minimal harm		 Corrected 2024-07-23
2024-05-21 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-07-23
2024-04-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-27
2024-04-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-27
2023-09-15 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-10-17
2023-09-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-17
2023-09-15 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-10-17
2023-09-15 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-17

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

7 penalties in the last three years, including $147,579 in fines.

DateTypeAmount
2026-01-30Fine$4,254
2026-01-30Fine$4,254
2025-04-25Payment Denial48 days payment denial
2025-04-25Fine$104,670
2024-04-23Fine$22,620
2024-04-23Fine$5,346
2023-09-15Fine$6,435

Ownership & management

NameRoleSince
Asheville Health and Rehabilitation SNF Holding LLC (organization)5%+ Direct Ownership Interest · 100%
Asheville NC Property Holdings, LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Asheville NC Property Holdings, LLC (organization)Administrator · NOT APPLICABLE
Brand Sonnenschine LLP (organization)Administrator · NOT APPLICABLE
Brighton Management Two LLC (organization)Administrator · NOT APPLICABLE
Fischer, David (individual)Administrator · NOT APPLICABLE
Forvis Mazars LLP (organization)Administrator · NOT APPLICABLE
Lefkowitz, Zev (individual)Administrator · NOT APPLICABLE
Norman, Angelita (individual)Administrator · NOT APPLICABLE
Turbett, Timothy (individual)Administrator · NOT APPLICABLE
Fischer, David (individual)Managing Control - Governing Body · NOT APPLICABLE
Lefkowitz, Zev (individual)Managing Control - Governing Body · NOT APPLICABLE
Fischer, David (individual)Operational/managerial Control · NOT APPLICABLE
Norman, Angelita (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of River Bend Health and Rehabilitation?

River Bend Health and Rehabilitation has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does River Bend Health and Rehabilitation have?

It has 100 certified beds and cares for about 87 residents per day.

Has River Bend Health and Rehabilitation been fined?

Yes. CMS lists 7 penalties totaling $147,579 in the last three years.

Who owns River Bend Health and Rehabilitation?

It is part of Brighton Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of River Bend Health and Rehabilitation?

(828) 254-9675. The facility is located at 213 Richmond Hill Drive, Asheville, NC 28806.

Other nursing homes in Asheville

Compare all nursing homes in Asheville, NC →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.