North Carolina ›Black Mountain
Mountain Ridge Rehabilitation and Healthcare Cente
611 Old Us Highway 70 East, Black Mountain, NC 28711 · Buncombe County · 97 certified beds · avg 85 residents/day · certified since Sep 1, 1978
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 · Oct 21, 2025 · 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: Oct 30, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Oct 21, 2025 · 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: Oct 30, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (11)
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 |
|---|---|---|
| Oct 21, 2025 | ▲ 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 |
| Oct 21, 2025 | ▲ 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 30, 2025 | E · Potential for harm, repeated | 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 30, 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 30, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. |
| May 30, 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 2, 2024 | E · Potential for harm, repeated | 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. · from a complaint |
| May 2, 2024 | 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. · from a complaint |
| Jan 12, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jan 12, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jan 12, 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 2 | 0 | E |
| 2025 | 6 | 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)
2 fines totaling $16,152.
| Date | Type | Amount / length |
|---|---|---|
| Oct 21, 2025 | Fine | $8,076 |
| Oct 21, 2025 | Fine | $8,076 |
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) | 3.84 | 4.01 | 3.95 | top 38% in North Carolina; top 47% in the U.S. |
| Registered Nurse hours | 0.35 | 0.64 | 0.69 | bottom 17% in North Carolina; bottom 16% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.56 | 3.50 | bottom 48% in North Carolina; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.18 | 0.41 | 0.48 | bottom 14% in North Carolina; bottom 9% in the U.S. |
| Total nursing staff turnover (%) | 42.0 | 49.0 | 45.8 | top 34% in North Carolina; top 42% in the U.S. |
| RN turnover (%) | 63.6 | 45.7 | 42.9 | bottom 23% in North Carolina; bottom 17% 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 3.47, RN 0.32, weekend 2.91. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ownership Data Not Available |
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?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "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 |
|---|---|---|---|---|---|
| Black Mountain Neuro-Medical Treatment Center | 0.0 mi | Black Mountain, NC | ★★★★★ | 5/5 | |
| Highland Farms | 2.2 mi | Black Mountain, NC | ★★★★★ | 4/5 | |
| NC State Veterans Home - Black Mountain | 3.4 mi | Black Mountain, NC | ★★★★★ | 3/5 | |
| Swannanoa Valley Health and Rehabilitation | 7.3 mi | Swannanoa, NC | ★★★☆☆ | 3/5 | |
| Fleshers Fairview Health Care | 9.1 mi | Fairview, NC | ★★☆☆☆ | 1/5 | |
| The Laurels of Summit Ridge | 9.8 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| Bear Mountain Health and Rehabilitation | 12.4 mi | Asheville, NC | ★★★☆☆ | 3/5 | |
| The Laurels of Greentree Ridge | 12.7 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Givens Health Center | 13.3 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Elevate Health and Rehabilitation | 13.7 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Deerfield Episcopal Retirement | 13.8 mi | Asheville, NC | ★★★★★ | 5/5 | |
| Stonecreek Health and Rehabilitation | 14.0 mi | Asheville, NC | ★★★☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345048.