Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704 · Buncombe County · 100 certified beds · avg 76 residents/day · certified since Jul 2, 1996
SFF Candidate
Part of chain: AVARDIS HEALTH (38 facilities, chain avg rating 2.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · May 12, 2026 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 5, 2026 (Past Non-Compliance)
▲ Immediate jeopardy, one-off · May 12, 2026 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Mar 5, 2026 (Past Non-Compliance)
▲ Immediate jeopardy, repeated · Jan 16, 2024 · F-0607 · triggered by a complaint
The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Why it matters: Without working prevention policies, mistreatment is more likely to happen and less likely to be caught.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 27, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 16, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 27, 2024 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Jan 16, 2024 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Feb 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 16, 2024 · F-0791 · triggered by a complaint
The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care.
Why it matters: Dental problems left untreated cause pain, infection, and trouble eating, which can lead to weight loss.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 27, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jun 24, 2022 · F-0690
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 25, 2022 (Deficient, Provider has date of correction)
All citations in the current public record (50)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 12, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| May 12, 2026 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 1, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 1, 2025 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| May 1, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| May 1, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 1, 2025 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Feb 27, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Feb 27, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Feb 27, 2024 | B · Minimal risk, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jan 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Jan 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jan 16, 2024 | ▲ K · Immediate jeopardy, repeated | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Jan 16, 2024 | ▲ G · Actual harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Jan 16, 2024 | E · Potential for harm, repeated | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · from a complaint |
| Jan 16, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jan 16, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Jan 16, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Dec 28, 2023 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Dec 28, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Jun 24, 2022 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Jun 24, 2022 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jun 24, 2022 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 24, 2022 | E · Potential for harm, repeated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 24, 2022 | D · Potential for harm, one-off | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jun 24, 2022 | B · Minimal risk, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (14 → 17).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 10 | 1 | G ▲ |
| 2023 | 2 | 0 | D |
| 2024 | 19 | 4 | K ▲ |
| 2025 | 17 | 0 | F |
| 2026 | 2 | 2 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $189,174, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| May 12, 2026 | Fine | $13,405 |
| May 12, 2026 | Fine | $13,405 |
| Dec 28, 2023 | Fine | $162,364 |
| Dec 28, 2023 | Payment Denial | 26 days from Feb 15, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.32 | 4.01 | 3.95 | bottom 22% in North Carolina; bottom 27% in the U.S. |
| Registered Nurse hours | 0.77 | 0.64 | 0.69 | top 22% in North Carolina; top 30% in the U.S. |
| Weekend total nurse staffing | 3.05 | 3.56 | 3.50 | bottom 33% in North Carolina; bottom 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.41 | 0.48 | top 18% in North Carolina; top 26% in the U.S. |
| Total nursing staff turnover (%) | 71.4 | 49.0 | 45.8 | bottom 7% in North Carolina; bottom 5% in the U.S. |
| RN turnover (%) | 88.9 | 45.7 | 42.9 | bottom 2% in North Carolina; bottom 2% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.93, RN 0.68, weekend 2.69. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arden Parentco LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Ncop Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Nu C II Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Nu C Irrevocable Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| SCR Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| SNF Care Centers LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco II LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2025 |
| Carson, Briana | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Carson, Briana | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Cse Arden LP | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 06/01/2025 |
| Cse Arden LP | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
| Davis, Nita | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Hoback, Tiffany | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2025 |
| Jones, Tequilla | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2025 |
| Payne, Patrick | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/04/2025 |
| Payne, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 08/04/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "How do residents get dental care here — is there a dentist who visits, and how are appointments arranged?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fletcher Rehabilitation and Healthcare Center | 2.0 mi | Fletcher, NC | ★☆☆☆☆ | 1/5 | abuse |
| Givens Health Center | 2.5 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Deerfield Episcopal Retirement | 3.0 mi | Asheville, NC | ★★★★★ | 5/5 | |
| The Lodge at Mills River | 4.5 mi | Mills River, NC | ★★★★★ | 5/5 | |
| Fleshers Fairview Health Care | 6.1 mi | Fairview, NC | ★★☆☆☆ | 1/5 | |
| The Laurels of Greentree Ridge | 6.7 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Stonecreek Health and Rehabilitation | 7.2 mi | Asheville, NC | ★★★☆☆ | 2/5 | |
| Orchard Valley Health and Rehabilitation | 7.3 mi | Hendersonville, NC | ★☆☆☆☆ | 2/5 | |
| Elevate Health and Rehabilitation | 7.8 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Aston Park Health Care Center | 8.0 mi | Asheville, NC | ★★★★★ | 4/5 | |
| The Laurels of Summit Ridge | 8.6 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| The Laurels of Hendersonville | 9.2 mi | Hendersonville, NC | ★★★☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345477.