Hearth Record

River Bend Health and Rehabilitation

A nursing home in Asheville, North Carolina 28806

213 Richmond Hill Drive, Asheville, North Carolina 28806. (828) 254-9675.

  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 46 citations in 7 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

25 health citations at the latest inspection cycle

The North Carolina average is 4.6.

Last standard inspection Jun 13, 2025.

Most serious in three years: actual harm (G), at a standard and complaint inspection on Jun 13, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

46 citations in 7 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

46 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 46 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 35 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Feb 26, 2026: complaint inspection2 citations

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 25, 2026.

Jan 30, 2026: complaint inspection2 citations

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2026.

Jun 13, 2025: standard inspection10 citations

  • Provide safe, appropriate pain management for a resident who requires such services.

    Rule F0697. G: actual harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    Rule F0777. G: actual harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Rule F0553. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • 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.

    Rule F0700. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Rule F0808. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

  • Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

    Rule F0577. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 10, 2025.

Jun 13, 2025: standard and complaint inspection11 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Rule F0627. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.

    Rule F0628. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Provide medically-related social services to help each resident achieve the highest possible quality of life.

    Rule F0745. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

Apr 25, 2025: complaint inspection2 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2025.

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 13, 2025.

Jun 27, 2024: standard inspection1 citation

  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Rule F0553. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 23, 2024.

Jun 27, 2024: standard and complaint inspection15 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Ensure that the resident and his/her doctor meet face-to-face at all required visits.

    Rule F0712. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Rule F0727. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

    Rule F0655. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

May 21, 2024: complaint inspection1 citation

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 23, 2024.

Apr 23, 2024: complaint inspection2 citations

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 27, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 27, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Feb 24, 1993.
  • Not on CMS’s special focus list.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 100 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 5 fines in the last three years, $141,144 in all.
  • 1 Medicare payment denial in the last three years.
  • 35 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jan 30, 2026Fine$4,254
Jan 30, 2026Fine$4,254
Apr 25, 2025Medicare payment denialNot given
Apr 25, 2025Fine$104,670
Apr 23, 2024Fine$22,620
Apr 23, 2024Fine$5,346

Who does the caring?

3.36 nurse hours per resident per day

The North Carolina average is 3.87.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeNorth Carolina average
Nurse hours per resident per day3.363.87
Of which registered nurses0.660.62
At weekends3.013.40
Nursing staff turnover81.6%48.7%
Registered nurse turnover71.4%45.7%
Administrators who left0Not given

Who owns it?

  • Asheville Health and Rehabilitation SNF Holding LLC owns 100% directly since Sep 8, 2023.
  • 10 owners or officers are people: Zev Lefkowitz (owns 5% or more through other companies, 50%); David Fischer (owns 5% or more through other companies, 50%); Zev Lefkowitz (on the governing body (managing control)); Zev Lefkowitz (additional disclosable party (controls, leases property to, or provides services to the home)); Timothy J Turbett (additional disclosable party (controls, leases property to, or provides services to the home)); David Fischer (runs it (operational or managerial control)); David Fischer (on the governing body (managing control)); David Fischer (additional disclosable party (controls, leases property to, or provides services to the home)); Angelita Norman (runs it (operational or managerial control)); Angelita Norman (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Brighton Healthcare (8 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Asheville Health and Rehabilitation SNF Holding LLCOwns 5% or more directly100%Sep 8, 2023
Asheville NC Property Holdings, LLCHolds 5% or more of the mortgage100%Sep 8, 2023
Brand Sonnenschine LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 8, 2023
Brighton Management Two LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 8, 2023
An organisation CMS lists without a nameAdditional disclosable party (controls, leases property to, or provides services to the home)Dec 18, 2025
Forvis Mazars LLPAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 8, 2023
Asheville NC Property Holdings, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 8, 2023

How do residents fare?

  • CMS rates its quality measures 1 of 5 (North Carolina average 3.5).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing2 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 8.2 miles, this one had the 1st most health citations at the latest inspection cycle (25; the middle value was 4).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
River Bend Health and Rehabilitation This nursing home25
Emerald Ridge Health and Rehabilitation2.311
Elevate Health and Rehabilitation3.14
Aston Park Health Care Center3.62
Stonecreek Health and Rehabilitation3.64
Bear Mountain Health and Rehabilitation3.75
Greentree Ridge Health & Rehab Center4.51
The Laurels of Summit Ridge5.72
Pisgah Manor Health Care Center5.93
The Greens at Weaverville6.37
Deerfield Episcopal Retirement7.81
Swannanoa Valley Health and Rehabilitation8.24

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

Sign in

A free account keeps your watch list, shortlists, comparisons and saved searches on every device, and can email you when something you watch changes. Browsing never needs one.