Biltmore Haven Nursing and Rehabilitation

Nursing Home · Arden, NC

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number345477
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

3864 Sweeten Creek Road
Arden, NC 28704
Buncombe County
Phone
(828) 681-0904
ZIP code
28704 – all care providers

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Facility details

Certified beds
100
Residents per day
75.7 (76% occupied)
Ownership
For profit - Limited Liability company
Legal name
3864 Sweeten Creek Road Opco LLC
Chain
Avardis Health (38 facilities, avg 2.0★)
Medicare certified since
July 2, 1996
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★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 2/5

Staffing

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

Total nurse staffing
2.93 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.68 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.30 (state 0.89 · U.S. 0.86)
Nurse aides
1.95 (state 2.34 · U.S. 2.32)
Weekend total
2.69 (state 3.40 · U.S. 3.42)
Nursing staff turnover
71.4 (state 49.0 · U.S. 45.8)%
RN turnover
88.9 (state 45.7 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 1, 2025
Health deficiencies (last cycle)
19.0 (state 4.8 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
50 health · 12 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2026-03-05
2026-05-12 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
J
Immediate jeopardy to resident health or safety
Corrected 2026-03-05
2025-05-01 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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 2025-05-01
2025-05-01 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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
E
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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 2025-06-17
2025-05-01 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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 2025-06-17
2025-05-01 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.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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 2025-06-17
2025-05-01 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-06-17
2025-05-01 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.
F0584 · Resident Rights Deficiencies · complaint inspection
B
No actual harm, potential for minimal harm
Corrected 2025-06-17
2024-02-27 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
F
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-27 Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-27 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
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-27 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2024-02-27 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
B
No actual harm, potential for minimal harm
Corrected 2024-03-12
2024-01-16 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2024-02-27
2024-01-16 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
K
Immediate jeopardy to resident health or safety
Corrected 2024-02-27
2024-01-16 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection
K
Immediate jeopardy to resident health or safety
Corrected 2024-02-27
2024-01-16 Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-02-27
2024-01-16 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 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 2024-03-12
2024-01-16 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.
F0809 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 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 2024-03-12
2024-01-16 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 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.
F0578 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2024-01-16 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 2024-02-27
2024-01-16 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
F0756 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-02-27
2023-12-28 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
F0867 · Administration Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-12
2023-12-28 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-01-16
2022-06-24 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2022-07-25
2022-06-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 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.
F0584 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 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
D
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2022-07-25
2022-06-24 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies
B
No actual harm, potential for minimal harm
Corrected 2022-07-25

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

4 penalties in the last three years, including $189,174 in fines.

DateTypeAmount
2026-05-12Fine$13,405
2026-05-12Fine$13,405
2023-12-28Payment Denial26 days payment denial
2023-12-28Fine$162,364

Ownership & management

NameRoleSince
Cse Arden LP (organization)5%+ Security Interest · NOT APPLICABLE
Carson, Briana (individual)Administrator · NOT APPLICABLE
Cse Arden LP (organization)Administrator · NOT APPLICABLE
Hoback, Tiffany (individual)Administrator · NOT APPLICABLE
Jones, Tequilla (individual)Administrator · NOT APPLICABLE
Payne, Patrick (individual)Administrator · NOT APPLICABLE
Semones, Brandi (individual)Administrator · NOT APPLICABLE
SNF MGR LLC (organization)Administrator · NOT APPLICABLE
Turbett, Timothy (individual)Administrator · NOT APPLICABLE
Arden Parentco LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Ncop Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Nu C II Irrevocable Trust (organization)Indirect Ownership Interest · NOT APPLICABLE
Nu C Irrevocable Trust (organization)Indirect Ownership Interest · NOT APPLICABLE
SCR Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
SNF Care Centers LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Zenith Holdco II LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Zenith Holdco LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Hoback, Tiffany (individual)Managing Control - Governing Body · NOT APPLICABLE
Semones, Brandi (individual)Managing Control - Governing Body · NOT APPLICABLE
Carson, Briana (individual)Operational/managerial Control · NOT APPLICABLE
Davis, Nita (individual)Operational/managerial Control · NOT APPLICABLE
Hoback, Tiffany (individual)Operational/managerial Control · NOT APPLICABLE
Jones, Tequilla (individual)Operational/managerial Control · NOT APPLICABLE
Payne, Patrick (individual)Operational/managerial Control · NOT APPLICABLE
Semones, Brandi (individual)Operational/managerial Control · NOT APPLICABLE
SNF MGR LLC (organization)Operational/managerial Control · NOT APPLICABLE
Turbett, Timothy (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Biltmore Haven Nursing and Rehabilitation?

Biltmore Haven Nursing 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 Biltmore Haven Nursing and Rehabilitation have?

It has 100 certified beds and cares for about 76 residents per day.

Has Biltmore Haven Nursing and Rehabilitation been fined?

Yes. CMS lists 4 penalties totaling $189,174 in the last three years.

Who owns Biltmore Haven Nursing and Rehabilitation?

It is part of Avardis Health 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 Biltmore Haven Nursing and Rehabilitation?

(828) 681-0904. The facility is located at 3864 Sweeten Creek Road, Arden, NC 28704.

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