01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-06-13 | 25 | 2025-06-13 | 4 |
| Cycle 2 | 2024-06-27 | 18 | 2024-06-27 | 8 |
| Cycle 3 | 2023-09-15 | 9 | 2023-09-15 | 10 |
CMS CCN 3454322026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
River Bend Health And Rehabilitation
213 Richmond Hill Drive · Asheville, NC 28806 · Buncombe County
Certified beds100CMS provider file
Recent citation rows74current CMS citation release
Penalty rows7current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
74 rows in the current release
7 rows carry G–L scope/severity codes; 0 carry J–L. 15 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-26 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2026-03-25 · complaint2026-02-26 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2026-03-25 · complaint2026-01-30 · HEALTHF0602Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint2026-01-30 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-02-26 · complaint2025-06-13 · HEALTHF0553Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0577Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0580Severity G · isolated actual harm
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0600Severity G · isolated actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0627Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0628Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0641Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0697Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0745Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint2025-06-13 · HEALTHF0777Severity G · isolated actual harm
Administration Deficiencies
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0808Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-07-102025-06-13 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2025-07-10 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-01-30 | Fine | $4,254 | 0 |
| 2026-01-30 | Fine | $4,254 | 0 |
| 2025-04-25 | Fine | $104,670 | 0 |
| 2025-04-25 | Payment Denial | $0 | 48 |
| 2024-04-23 | Fine | $5,346 | 0 |
| 2024-04-23 | Fine | $22,620 | 0 |
| 2023-09-15 | Fine | $6,435 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ASHEVILLE HEALTH AND REHABILITATION SNF HOLDING LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/08/2023
- ASHEVILLE NC PROPERTY HOLDINGS, LLCOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 09/08/2023
- FISCHER, DAVIDIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/08/2023
- LEFKOWITZ, ZEVIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/08/2023
- FISCHER, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/08/2023
- NORMAN, ANGELITAIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/09/2024
- ASHEVILLE NC PROPERTY HOLDINGS, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- BRAND SONNENSCHINE LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- BRIGHTON MANAGEMENT TWO LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- FORVIS MAZARS LLPOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- FISCHER, DAVIDIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- LEFKOWITZ, ZEVIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
- NORMAN, ANGELITAIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/09/2024
- TURBETT, TIMOTHYIndividual · ADP OF THE SNFNOT APPLICABLE · since 09/08/2023
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.13per resident day
RN hours0.63per resident day
Weekend nurse hours2.85per resident day
Staff turnover86.4%CMS reported field
06 / LOCAL RECORDS
Open the Asheville ledger →Other published facilities nearby
Aston Park Health Care Center120 beds · CMS overall 5/527 citation rowsBear Mountain Health And Rehabilitation77 beds · CMS overall 3/551 citation rowsDeerfield Episcopal Retirement62 beds · CMS overall 5/59 citation rowsElevate Health And Rehabilitation120 beds · CMS overall 1/558 citation rowsEmerald Ridge Health And Rehabilitation100 beds · CMS overall 1/543 citation rowsGivens Health Center70 beds · CMS overall 5/532 citation rowsStonecreek Health And Rehabilitation120 beds · CMS overall 3/528 citation rowsThe Laurels Of Greentree Ridge90 beds · CMS overall 5/529 citation rows