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Asheville Nursing & Rehabilitation Center

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About Asheville Nursing & Rehabilitation Center

General Information

Legal Business NameHealthtique Asheville LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareFebruary 1, 1979 (38 years)
Capacity120
Residents66
Percent Occupied55%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityYes
Auto Sprinkler System In Required AreasYes

Ratings for Asheville Nursing & Rehabilitation Center

Asheville Nursing & Rehabilitation Center
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of North Carolina Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Note that this facility has changed ownership within the past 12 months.

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 1, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
FManyPotential for HarmHealth InspectionHire sufficient dietary support personnel.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.

September 25, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionProvide housekeeping and maintenance services.
ESomePotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth Inspection1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

March 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$228,443 fine
---Payment DenialPayment denial for 30 days
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintProvide housekeeping and maintenance services.

September 12, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmComplaintKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaintEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmComplaintEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
DFewPotential for HarmComplaintProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

July 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$121,065 fine
---Payment DenialPayment denial for 53 days
JFewImmediate JeopardyComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
JFewImmediate JeopardyComplaintSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
HSomeActual HarmComplaintProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
HSomeActual HarmComplaintProtect each resident from mistreatment, neglect and misappropriation of personal property.
GFewActual HarmComplaintProvide necessary care and services to maintain or improve the highest well being of each resident .
GFewActual HarmComplaintImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmComplaintGive or get specialized rehabilitative services per the patient's assessment or plan of care.
ESomePotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmComplaintReasonably accommodate the needs and preferences of each resident.
ESomePotential for HarmComplaintTry to resolve each resident's complaints quickly.
ESomePotential for HarmComplaintListen to the resident groups and act on their complaints and suggestions that affect resident care and life.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaintEmploy staff that are licensed, certified, or registered in accordance with state laws.
DFewPotential for HarmComplaintProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmComplaintProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Asheville Nursing & Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

1hr 55min
2hr 25min
ReportedExpected
CNA
35min
40min
ReportedExpected
LPN
55min
1hr 5min
ReportedExpected
RN
3hr 30min
4hr 10min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

93.5%
100.0%
100.0%
100.0%
93.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
100.0%
100.0%
100.0%
92.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
-
50.0%
60.0%
40.0%
55.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
* The data for this facility for some quarters is unavailable.
Percentage of low risk long-stay residents who lose control of their bowels or bladder
36.1%
38.6%
51.8%
51.7%
30.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antianxiety or hypnotic medication
19.6%
30.3%
11.5%
19.3%
23.2%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose ability to move independently worsened
23.6%
32.1%
30.9%
26.4%
14.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who received an antipsychotic medication
16.9%
18.9%
17.9%
13.8%
18.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents whose need for help with daily activities has increased
19.7%
6.7%
14.1%
12.9%
8.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who self-report moderate to severe pain
6.2%
3.3%
14.5%
9.5%
8.6%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who lose too much weight
10.2%
9.1%
8.9%
13.7%
7.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of high risk long-stay residents with pressure ulcers
0.0%
3.4%
1.8%
3.4%
3.0%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who have depressive symptoms
3.1%
8.2%
4.8%
4.8%
4.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a urinary tract infection
3.1%
4.9%
8.1%
6.3%
3.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents experiencing one or more falls with major injury
3.7%
3.0%
4.4%
1.2%
2.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents with a catheter inserted and left in their bladder
3.1%
0.0%
0.0%
0.0%
0.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

94.9%
96.4%
98.4%
95.3%
82.5%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
84.9%
95.2%
95.2%
95.2%
81.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
64.1%
65.3%
70.9%
-
63.3%
Q4 2015Q1 2016Q2 2016Q3 2016NC
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
36.1%
20.0%
25.0%
18.2%
16.4%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who self-report moderate to severe pain
3.7%
2.3%
8.1%
3.3%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents who newly received an antipsychotic medication
0.9%
1.9%
2.6%
0.0%
1.1%
Q4 2015Q1 2016Q2 2016Q3 2016NC
Percentage of short-stay residents with pressure ulcers that are new or worsened