Swannanoa Valley Health and Rehabilitation
1984 Us Highway 70, Swannanoa, NC 28778 · Buncombe County · 106 certified beds · avg 103 residents/day · certified since Apr 23, 1992
Part of chain: ASCENT HEALTHCARE MANAGEMENT (6 facilities, chain avg rating 2.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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.
All citations in the current public record (12)
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 6, 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. |
| Oct 6, 2025 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Oct 6, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 6, 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. |
| Sep 18, 2024 | 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. · from a complaint |
| Sep 18, 2024 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint |
| Sep 18, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 18, 2024 | 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. · from a complaint |
| Jul 20, 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. |
| Jul 20, 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. |
| Jul 20, 2023 | 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. |
| Jul 20, 2023 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 4 | 0 | E |
| 2025 | 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)
No fines or payment denials in the published 3-year window.
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) | 3.69 | 4.01 | 3.95 | top 48% in North Carolina; bottom 46% in the U.S. |
| Registered Nurse hours | 0.57 | 0.64 | 0.69 | top 43% in North Carolina; bottom 47% in the U.S. |
| Weekend total nurse staffing | 3.41 | 3.56 | 3.50 | top 39% in North Carolina; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.41 | 0.48 | bottom 36% in North Carolina; bottom 24% in the U.S. |
| Total nursing staff turnover (%) | 57.8 | 49.0 | 45.8 | bottom 29% in North Carolina; bottom 20% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% 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 3.22, RN 0.49, weekend 2.98. Staffing rating: 3/5.
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: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Friedman, Yisroel | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Moye, Matthew | Individual | ADP of the SNF | NOT APPLICABLE | 07/31/2025 |
| Self, Holly | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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 |
|---|---|---|---|---|---|
| The Laurels of Summit Ridge | 2.5 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| NC State Veterans Home - Black Mountain | 4.3 mi | Black Mountain, NC | ★★★★★ | 3/5 | |
| Highland Farms | 5.3 mi | Black Mountain, NC | ★★★★★ | 4/5 | |
| The Laurels of Greentree Ridge | 5.5 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Bear Mountain Health and Rehabilitation | 6.0 mi | Asheville, NC | ★★★☆☆ | 3/5 | |
| Fleshers Fairview Health Care | 6.0 mi | Fairview, NC | ★★☆☆☆ | 1/5 | |
| Elevate Health and Rehabilitation | 6.3 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Stonecreek Health and Rehabilitation | 6.7 mi | Asheville, NC | ★★★☆☆ | 2/5 | |
| Givens Health Center | 7.2 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Mountain Ridge Rehabilitation and Healthcare Cente | 7.3 mi | Black Mountain, NC | ★☆☆☆☆ | 1/5 | |
| Black Mountain Neuro-Medical Treatment Center | 7.3 mi | Black Mountain, NC | ★★★★★ | 5/5 | |
| Deerfield Episcopal Retirement | 7.4 mi | Asheville, NC | ★★★★★ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345418.