Stonecreek Health and Rehabilitation

455 Victoria Road · Asheville, NC · 28801 · 8282520099

120 certified beds For profit - Corporation Chain: Sanstone Health & Rehabilitation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

2 immediate-jeopardy citations in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 40
Staffing 20% 61
Federal penalties 15% 67
Trend 10% 23
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.333.48 min · 4.1 strong
RN hours / resident-day0.500.55–0.75
Weekend hours / resident-day2.77≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)1 · $38,431

Inspection citations (15 in the current record)

  • Immediate jeopardy · J April 14, 2025

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected April 15, 2025 · Quality of Life and Care

  • Immediate jeopardy · J April 14, 2025 · found via complaint

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

    Corrected April 15, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 17, 2025 · Quality of Life and Care

  • Potential for harm · D April 14, 2025

    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.

    Corrected April 17, 2025 · Pharmacy Service

  • Potential for harm · E April 14, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 17, 2025 · Nutrition and Dietary

  • Potential for harm · D December 22, 2023

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected January 18, 2024 · Nutrition and Dietary

  • Potential for harm · E December 22, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 18, 2024 · Nutrition and Dietary

  • Potential for harm · E December 22, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 18, 2024 · Administration

  • Potential for harm · D December 22, 2023 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected January 18, 2024 · Resident Rights

  • Potential for harm · D December 22, 2023 · found via complaint

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E December 22, 2023 · found via complaint

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected January 18, 2024 · Pharmacy Service

  • Potential for harm · E December 22, 2023 · found via complaint

    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.

    Corrected January 18, 2024 · Pharmacy Service

  • Potential for harm · D June 29, 2022

    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 6, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D June 29, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 8, 2022 · Pharmacy Service

  • Potential for harm · E June 29, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 5, 2022 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
April 14, 2025Fine$38,431

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345204 · certified since June 17, 1981. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.