River Bend Health and Rehabilitation
213 Richmond Hill Drive · Asheville, NC · 28806 · 8282549675
100 certified beds For profit - Limited Liability company Chain: Brighton Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $117,760 in fines in the last 24 months.
- 7 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
6 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$117,760 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
90% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.33 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 3.03 | ≈ weekday level |
| Nursing turnover / year | 90% | median 45% |
| Fines (3-yr window) | 6 · $152,161 |
Inspection citations (52 in the current record)
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Potential for harm · D February 26, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 26, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2026 · Quality of Life and Care
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Potential for harm · E January 30, 2026 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 26, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2026 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected February 26, 2026 · Pharmacy Service
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Actual harm · G June 13, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected July 10, 2025 · Quality of Life and Care
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Actual harm · G June 13, 2025
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Corrected July 10, 2025 · Administration
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Actual harm · G June 13, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 10, 2025 · Resident Rights
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Actual harm · G June 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G June 13, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 10, 2025 · Quality of Life and Care
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Actual harm · G June 13, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 13, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · E June 13, 2025
Ensure each resident receives an accurate assessment.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 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.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 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.
Corrected July 10, 2025 · Nutrition and Dietary
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Potential for harm · D June 13, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected July 10, 2025 · Infection Control
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Potential for harm · D June 13, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 13, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected July 10, 2025 · Resident Rights
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Potential for harm · D June 13, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2025 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected July 10, 2025 · Quality of Life and Care
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Potential for harm · D June 13, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 10, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected July 10, 2025 · Pharmacy Service
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Potential for harm · D June 13, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2025 · Resident Assessment and Care Planning
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No harm found · C June 13, 2025
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected July 10, 2025 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2026 | Fine | $6,545 |
| January 30, 2026 | Fine | $6,545 |
| April 25, 2025 | Fine | $104,670 |
| April 25, 2025 | Payment Denial | 48 days |
| April 23, 2024 | Fine | $5,346 |
| April 23, 2024 | Fine | $22,620 |
| September 15, 2023 | Fine | $6,435 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345432 · certified since February 24, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.