GoodStanding

Nursing home report

The Oaks at Sweeten Creek Healthcare

Registered name: Biltmore Haven Nursing and Rehabilitation

Arden, NC · Medicare-certified · 100 beds

Needs attention
Special Focus candidateFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

The Oaks at Sweeten Creek Healthcare in Arden, NC has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating, 2-star staffing rating, and 3-star quality measures rating. It is a special focus candidate/facility, had $26,810 in fines in the last 24 months, and reported nurse staffing of 2.93 hours per resident day versus the 4.1 federal benchmark.

Facility ratings

Health inspections

Staffing

2.9296 hrs/resident/day

Quality measures

Last inspection: May 12, 2026Penalties, last 24 months: $26,810special focus facility

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9296.

Staffing detail

Registered nurses
0.68
Licensed practical nurses
0.30
Nurse aides
1.95
Weekend nursing
2.69

Hours per resident per day.

Total staff turnover: 71%
Registered nurse turnover: 89%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

24.4%6.7%Improving

Residents with a fall causing major injury

6.2%3.1%Improving

Residents with pressure ulcers (bedsores)

6.5%3.1%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

18.6%7.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

1.8%9.4%Worsening

Residents whose ability to walk got worse

4.1%12.2%Worsening

Long-stay residents on antianxiety or sleep medication

30.5%21.4%Improving

Short-stay residents newly given an antipsychotic

0%5.4%Worsening

Residents with a long-term catheter

0%1.4%Worsening

Residents with new or worsening incontinence

21.4%34.5%Worsening

Residents with depressive symptoms

0%3.7%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.2%

Long-stay residents given the pneumonia vaccine

54.7%95.4%Improving

Short-stay residents given the seasonal flu vaccine

15.2%

Short-stay residents given the pneumonia vaccine

10.7%71.8%Improving

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: K

The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited January 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 607 — 42 CFR §483.12 — S/S: K

The home failed to run its operations effectively and efficiently using its available resources. Cited January 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 835 — 42 CFR §483.70 — S/S: K

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The home failed to ensure each resident got needed dental services. Cited January 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 791 — 42 CFR §483.55 — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $13,405 was recorded.

  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 17 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $189,174 in total fines · 1 payment denial.

  • Federal fine

    May 12, 2026

    $13,405
  • Medicare/Medicaid payment denial

    Dec 28, 2023

    26 days
  • Federal fine

    Dec 28, 2023

    $162,364

Operator & ownership

Recent ownership change · Jun 1, 2025

Now operated by Biltmore Haven Nursing and Rehabilitation, previously The Oaks at Sweeten Creek.

Ownership
For profit - Limited Liability company
Chain
Part of AVARDIS HEALTH · 38 homes · 2 stars avg
Occupancy
75.7 residents on an average day (76% of 100 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.