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Nursing home report

Carolina Pines at Asheville

Registered name: Elevate Health and Rehabilitation

Asheville, NC · Medicare-certified · 120 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Carolina Pines at Asheville has a 1-out-of-5 overall rating, with 1-star health inspection and staffing scores, nurse staffing below the federal benchmark (3.25 vs 4.1 hours per resident per day), $157,277 in fines over the last 24 months, and a recent federal penalty. Quality measures are higher at 4 stars, but recent inspection citations included communication, continence/catheter care and UTI prevention, and medication errors.

Facility ratings

Health inspections

Staffing

3.2516 hrs/resident/day

Quality measures

Last inspection: December 22, 2025Penalties, last 24 months: $157,277recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2516.

Staffing detail

Registered nurses
0.26
Licensed practical nurses
0.71
Nurse aides
2.28
Weekend nursing
2.92

Hours per resident per day.

Total staff turnover: 73%
Registered nurse turnover: 77%

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

17.4%15.5%Improving

Residents with a fall causing major injury

5.1%2.2%Improving

Residents with pressure ulcers (bedsores)

5%8.5%Worsening

Residents with a urinary tract infection

3.8%0%Improving

Residents who lost too much weight

9.6%13.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

7.5%5.1%Improving

Residents whose ability to walk got worse

0%0%No change

Long-stay residents on antianxiety or sleep medication

23.3%32.9%Worsening

Short-stay residents newly given an antipsychotic

2.9%3%No change

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

11.7%24.9%Worsening

Residents with depressive symptoms

0%10.7%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

91.5%

Long-stay residents given the pneumonia vaccine

89.9%49.4%Worsening

Short-stay residents given the seasonal flu vaccine

56.3%

Short-stay residents given the pneumonia vaccine

50%23.6%Worsening

What the inspectors found

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited August 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: K

The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 690 — 42 CFR §483.25(e) — S/S: K

The nursing home failed to ensure residents were free from significant medication errors. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: J

Recent history

  1. STAFFING

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

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. PENALTY

    A federal fine of $17,345 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $139,932 was recorded.

  6. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 3 fines · $174,346 in total fines.

  • Federal fine

    Sep 2, 2025

    $17,345
  • Federal fine

    Aug 7, 2024

    $139,932
  • Federal fine

    Apr 10, 2024

    $17,069

Operator & ownership

Recent ownership change · Jan 1, 2024

Now operated by Asheville Victoria Nc Opco LLC, previously Carolina Pines at Asheville LLC.

Ownership
For profit - Limited Liability company
Chain
Part of ASCENT HEALTHCARE MANAGEMENT · 6 homes · 2.3 stars avg
Occupancy
98.3 residents on an average day (82% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 47 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.