Stonecreek Health and Rehabilitation
455 Victoria Road, Asheville, NC 28801 (opens Google Maps) · Buncombe County · (828) 252-0099· 120 certified beds · avg 100 residents/day · certified since Jun 17, 1981 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: SANSTONE HEALTH & REHABILITATION (18 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 · Apr 14, 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: Apr 15, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 14, 2025 · F-0825
The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Why it matters: Without needed therapy, a resident may fail to recover strength or skills they could have regained.
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: Apr 15, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Jun 17, 2026 | 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. |
| Jun 17, 2026 | D · Potential for 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 17, 2026 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Jun 17, 2026 | 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. |
| Apr 14, 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 |
| Apr 14, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Apr 14, 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. |
| Apr 14, 2025 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 14, 2025 | 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. |
| Dec 22, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Dec 22, 2023 | 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 |
| Dec 22, 2023 | 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. |
| Dec 22, 2023 | 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. |
| Dec 22, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Dec 22, 2023 | D · Potential for harm, one-off | 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. · from a complaint |
| Dec 22, 2023 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | E |
| 2025 | 5 | 2 | J ▲ |
| 2026 | 4 | 0 | E |
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)
How to file a complaint about care →
1 fine totaling $38,431.
| Date | Type | Amount / length |
|---|---|---|
| Apr 14, 2025 | Fine | $38,431 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.01 | 4.01 | 3.95 | bottom 7% in North Carolina; bottom 14% in the U.S. |
| Registered Nurse hours | 0.47 | 0.64 | 0.69 | bottom 39% in North Carolina; bottom 34% in the U.S. |
| Weekend total nurse staffing | 2.62 | 3.56 | 3.50 | bottom 6% in North Carolina; bottom 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.41 | 0.48 | top 25% in North Carolina; top 35% in the U.S. |
| Total nursing staff turnover (%) | 47.6 | 49.0 | 45.8 | top 47% in North Carolina; bottom 43% in the U.S. |
| RN turnover (%) | 41.2 | 45.7 | 42.9 | top 42% in North Carolina; top 49% 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 3.30, RN 0.52, weekend 2.88. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
How to read ownership records →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sprenger, Christopher | Individual | 5% or Greater Direct Ownership Interest | — | 02/14/2010 |
| Ardent Health and Rehabilitation Co | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/14/2010 |
| Asheville-Courtyard Healthcare Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/14/2010 |
| Flat Rock Healthcare Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/14/2010 |
| Franklin, Holly | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/02/2020 |
| Sprenger, Christopher | Individual | Corporate Director | NOT APPLICABLE | 02/14/2010 |
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?"
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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 |
|---|---|---|---|---|---|
| Elevate Health and Rehabilitation | 0.8 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| The Laurels of Greentree Ridge | 1.4 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Aston Park Health Care Center | 2.2 mi | Asheville, NC | ★★★★★ | 4/5 | |
| River Bend Health and Rehabilitation | 3.6 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | abuse |
| Deerfield Episcopal Retirement | 4.2 mi | Asheville, NC | ★★★★★ | 5/5 | |
| The Laurels of Summit Ridge | 4.3 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| Givens Health Center | 5.0 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Bear Mountain Health and Rehabilitation | 5.5 mi | Asheville, NC | ★★★☆☆ | 3/5 | |
| Emerald Ridge Health and Rehabilitation | 5.7 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Pisgah Manor Health Care Center | 6.6 mi | Candler, NC | ★★☆☆☆ | 2/5 | |
| Swannanoa Valley Health and Rehabilitation | 6.7 mi | Swannanoa, NC | ★★★☆☆ | 3/5 | |
| Biltmore Haven Nursing and Rehabilitation | 7.2 mi | Arden, NC | ★☆☆☆☆ | 1/5 | SFF |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345204.