Emerald Ridge Health and Rehabilitation
A nursing home in Asheville, North Carolina 28804
25 Reynolds Mountain Boulevard, Asheville, North Carolina 28804. (828) 645-6619.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 11 health citations at the latest inspection cycle North Carolina average: 4.6
- 3.18 nurse hours per resident per day North Carolina average: 3.87
- 2 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- 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.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- 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?
11 health citations at the latest inspection cycle
The North Carolina average is 4.6.
Last standard inspection Apr 9, 2026.
Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Apr 9, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
20 citations in 3 months of the last 36. Last cited Apr 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 20 citations in the last three years
Grouped by inspection, newest first. Each carries 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)., from A, the least serious, to L, the most. 8 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Apr 9, 2026: standard inspection5 citations
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Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Honor the resident’s right to organize and participate in resident/family groups in the facility.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Provide and implement an infection prevention and control program.
Apr 9, 2026: standard and complaint inspection5 citations
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Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Make sure that a working call system is available in each resident’s bathroom and bathing area.
Nov 7, 2025: complaint inspection1 citation
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Ensure each resident receives an accurate assessment.
Mar 6, 2025: standard inspection7 citations
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Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide safe and appropriate respiratory care for a resident when needed.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
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Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 6, 2025: standard and complaint inspection2 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Sep 20, 1993.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 100 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 2 fines in the last three years, $73,475 in all.
- No Medicare payment denials in the last three years.
- 8 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Apr 9, 2026 | Fine | $62,607 |
| Mar 6, 2025 | Fine | $10,868 |
Who does the caring?
3.18 nurse hours per resident per day
The North Carolina average is 3.87.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | North Carolina average |
|---|---|---|
| Nurse hours per resident per day | 3.18 | 3.87 |
| Of which registered nurses | 0.69 | 0.62 |
| At weekends | 2.74 | 3.40 |
| Nursing staff turnover | 40.5% | 48.7% |
| Registered nurse turnover | 16.7% | 45.7% |
| Administrators who left | 0 | Not given |
Who owns it?
- Asheville Parentco LLC owns 100% directly since Jun 1, 2025.
- SNF Mgr LLC runs it.
- 14 owners or officers are people: Katherine Grimes Crum (runs it (operational or managerial control)); Katherine Grimes Crum (additional disclosable party (controls, leases property to, or provides services to the home)); Brandi H Semones (runs it (operational or managerial control)); Brandi H Semones (on the governing body (managing control)); Brandi H Semones (additional disclosable party (controls, leases property to, or provides services to the home)); Candace Fisher (runs it (operational or managerial control)); Candace Fisher (additional disclosable party (controls, leases property to, or provides services to the home)); Tiffany Hoback (runs it (operational or managerial control)); Tiffany Hoback (on the governing body (managing control)); Tiffany Hoback (additional disclosable party (controls, leases property to, or provides services to the home)); Tequilla Jones (runs it (operational or managerial control)); Tequilla Jones (additional disclosable party (controls, leases property to, or provides services to the home)); Rebecca Ramsey (runs it (operational or managerial control)); Rebecca Ramsey (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Avardis Health (38 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- A real-estate investment trust is among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Asheville Parentco LLC | Owns a share directly | 100% | Jun 1, 2025 |
| Ncop Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Rmb Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| SNF Care Centers LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Zenith Holdco II LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Zenith Holdco LLC | Owns a share through other companies | 100% | Jun 1, 2025 |
| Cse Woodfin LP | Holds 5% or more security interest | 100% | Jun 1, 2025 |
| Nu C II Irrevocable Trust | Owns a share through other companies | 50% | Jun 1, 2025 |
| Nu C Irrevocable Trust | Owns a share through other companies | 50% | Jun 1, 2025 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| SNF Mgr LLC | Runs it (operational or managerial control) | May 1, 2025 | |
| SNF Mgr LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 24, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Apr 15, 2025 | |
| Cse Woodfin LP | Additional disclosable party (controls, leases property to, or provides services to the home) | Jun 1, 2025 |
How do residents fare?
- CMS rates its quality measures 3 of 5 (North Carolina average 3.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 4 of 5 |
| Quality measures | 3 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.8 miles, this one had the 2nd most health citations at the latest inspection cycle (11; the middle value was 4).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Emerald Ridge Health and Rehabilitation This nursing home | 11 | |
| River Bend Health and Rehabilitation | 2.3 | 25 |
| Bear Mountain Health and Rehabilitation | 2.8 | 5 |
| The Greens at Weaverville | 4.1 | 7 |
| Elevate Health and Rehabilitation | 5.0 | 4 |
| Stonecreek Health and Rehabilitation | 5.7 | 4 |
| Aston Park Health Care Center | 5.8 | 2 |
| Greentree Ridge Health & Rehab Center | 6.3 | 1 |
| The Laurels of Summit Ridge | 6.5 | 2 |
| Pisgah Manor Health Care Center | 7.5 | 3 |
| Swannanoa Valley Health and Rehabilitation | 8.6 | 4 |
| Deerfield Episcopal Retirement | 9.8 | 1 |
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).
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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).
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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.
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.