SNF

River Bend Health and Rehabilitation

CCN: 345432 · Asheville, NC 28806 · Buncombe County

⚠ Abuse citation flag

Overview

Address
213 Richmond Hill Drive, Asheville, NC 28806
Phone
8282549675
Certified beds
100
Avg daily residents
74 (74% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1993-02-24
Setting
Urban
1 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 3/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 3/5
Short-Stay Quality Measures ★★★★★ 2/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 3.62 3.60 3.88 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.50 0.63 0.54 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.14 0.80 1.22 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.98 2.17 2.12 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.64 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.06 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.35
hrs / resident / day
RN (weekend)
0.34
hrs / resident / day
Total nurse (adjusted, weekend)
3.59
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
83.1%
annual
RN turnover
80.0%
annual
Administrators departed
2
last 12 months

Resident acuity

Nursing Case-Mix Index
1.28
higher acuity than avg
Case-Mix Index Ratio
0.93
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-06-13 25 21 15 216 1 216
Cycle 2/3 (prior) 2024-06-27 25 16 24 144 1 144
Total weighted health score
198.0
lower is better

Deficiencies (50)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

3 A/B/C No actual harm — minor
40 D/E/F Actual harm — potential for minor
7 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2026-01-30 —
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2026-01-30 —
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2025-06-13 2025-07-10
0558 Reasonably accommodate the needs and preferences of each resident. D 2025-06-13 2025-07-10
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2025-06-13 2025-07-10
0641 Ensure each resident receives an accurate assessment. E 2025-06-13 2025-07-10
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2025-06-13 2025-07-10
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2025-06-13 2025-07-10
0700 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. D 2025-06-13 2025-07-10
0777 Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. G 2025-06-13 2025-07-10
0808 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. D 2025-06-13 2025-07-10
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-06-13 2025-07-10
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. G 2025-06-13 2025-07-10
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-06-13 2025-07-10
0627 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. D 2025-06-13 2025-07-10
0628 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. D 2025-06-13 2025-07-10
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-06-13 2025-07-10
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-06-13 2025-07-10
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-06-13 2025-07-10
0745 Provide medically-related social services to help each resident achieve the highest possible quality of life. D 2025-06-13 2025-07-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-06-13 2025-07-10
0760 Ensure that residents are free from significant medication errors. D 2025-06-13 2025-07-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-06-13 2025-07-10
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2025-04-25 2025-07-10
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2025-04-25 2025-06-13
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2024-06-27 2024-07-23
0583 Keep residents' personal and medical records private and confidential. D 2024-06-27 2024-07-23
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2024-06-27 2024-07-23
0602 Protect each resident from the wrongful use of the resident's belongings or money. E 2024-06-27 2024-07-23
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. D 2024-06-27 2024-07-23
0655 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted B 2024-06-27 2024-07-23
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-06-27 2024-07-23
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-06-27 2024-07-23
0692 Provide enough food/fluids to maintain a resident's health. E 2024-06-27 2024-07-23
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. E 2024-06-27 2024-07-23
0727 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. E 2024-06-27 2024-07-23
0732 Post nurse staffing information every day. C 2024-06-27 2024-07-23
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-06-27 2024-07-23
0761 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. E 2024-06-27 2024-07-23
0880 Provide and implement an infection prevention and control program. E 2024-06-27 2024-07-23
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-06-27 2024-07-23
0692 Provide enough food/fluids to maintain a resident's health. E 2024-05-21 2024-07-23
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2024-04-23 2024-06-27
0610 Respond appropriately to all alleged violations. D 2024-04-23 2024-06-27
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-09-15 2023-10-17
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2023-09-15 2023-10-17
0607 Develop and implement policies and procedures to prevent abuse, neglect, and theft. F 2023-09-15 2023-10-17
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-09-15 2023-10-17
0867 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. E 2023-09-15 2023-10-17
0880 Provide and implement an infection prevention and control program. D 2023-09-15 2023-10-17

Penalties (5)

Fines issued
4
last 3 years
Total fines
$139,071
Payment denials
1
Date Type Fine amount
2024-04-23 Fine $5,346
2023-09-15 Fine $6,435
2024-04-23 Fine $22,620
2025-04-25 Fine $104,670
2025-04-25 Payment Denial —

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 7.9% Medicaid 28.8% Other 63.3%

Operating performance

Operating Margin
0.0%
Total Margin
0.3%
Occupancy Rate
68.5%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$9.2M
Total Costs
$875K
Net Income
$25K

Balance sheet

Total Assets
$2.0M
Total Liabilities
$1.9M
Fund Balance
$101K
Current Ratio
0.76

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager organizations (2)

Organization Role Association
ASHEVILLE HEALTH AND REHABILITATION SNF HOLDING LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 09/08/2023
ASHEVILLE NC PROPERTY HOLDINGS, LLC 5% OR GREATER MORTGAGE INTEREST since 09/08/2023

Owner / manager individuals (4)

Name Role Association
FISCHER, DOVID 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/08/2023
LEFKOWITZ, ZEV 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 09/08/2023
FISCHER, DOVID OPERATIONAL/MANAGERIAL CONTROL since 09/08/2023
NORMAN, ANGELITA OPERATIONAL/MANAGERIAL CONTROL since 09/09/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
Yes — last 2 cycles
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 0.76 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 28.8% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 7.9% metrics.medicare_day_share
Cost Report Net Income ($) $25,490 metrics.net_income
Cost Report Net Patient Revenue ($) $9,209,451 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 68.5% metrics.occupancy_rate
Cost Report Operating Margin (%) 0.0% metrics.operating_margin
Cost Report Total Assets ($) $2,008,551 metrics.total_assets
Cost Report Total Costs ($) $875,397 metrics.total_costs
Cost Report Total Fund Balances ($) $101,310 metrics.fund_balance
Cost Report Total Liabilities ($) $1,907,241 metrics.total_liabilities
Cost Report Total Margin (%) 0.3% metrics.total_margin
Provider Information Abuse Icon Y Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.21827 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.12404 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.54118 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.88349 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.59415 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 73.7 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.79903 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.17160 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.62981 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.60044 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.17341 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating — Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating — Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating — Chain Average QM Rating
Provider Information Chain Average Staffing Rating — Chain Average Staffing Rating
Provider Information Chain ID — Chain ID
Provider Information Chain Name — Chain Name
Provider Information City/Town Asheville City/Town
Provider Information CMS Certification Number (CCN) 345432 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Buncombe County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1993-02-24 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 35.6133 Latitude
Provider Information Legal Business Name ASHEVILLE HEALTH AND REHABILITATION SNF LLC Legal Business Name
Provider Information Location 213 Richmond Hill Drive,Asheville,NC,28806 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -82.584 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 2 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 100 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain — Number of Facilities in Chain
Provider Information Number of Fines 4 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.27548 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.92584 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 213 Richmond Hill Drive Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name River Bend Health and Rehabilitation Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 100 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 3 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 216 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 15 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 21 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-06-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 216 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 25 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-06-27 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 144 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 24 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 144 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 25 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.34242 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 80.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.64074 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.13608 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.98074 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.06272 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.50467 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.62148 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 2 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State NC State
Provider Information Telephone Number 8282549675 Telephone Number
Provider Information Total Amount of Fines in Dollars 139071.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.35166 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 5 Total Number of Penalties
Provider Information Total nursing staff turnover 83.1 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 198.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 28806 ZIP Code