The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
River Bend Health and Rehabilitation
Asheville, NC · Medicare-certified · 100 beds
Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall
River Bend Health and Rehabilitation has an overall 1 out of 5 stars, with a 1-star health inspection rating, 2-star staffing and quality ratings, and nurse staffing below the federal benchmark (3.13 vs. 4.1 hours per resident per day). It also has $113,178 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.1299 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $113,178recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1299.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.90
- Nurse aides
- 1.60
- Weekend nursing
- 2.85
Hours per resident per day.
Total staff turnover: 86%
Registered nurse turnover: 71%
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
21.7%22.4%Worsening
Residents with a fall causing major injury
9.8%5.7%Improving
Residents with pressure ulcers (bedsores)
3.4%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
15.8%21.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
14.5%35.4%Worsening
Residents whose ability to walk got worse
15.8%10.6%Improving
Long-stay residents on antianxiety or sleep medication
13.6%15.9%Worsening
Short-stay residents newly given an antipsychotic
4.7%4.1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
19.3%28.6%Worsening
Residents with depressive symptoms
5.3%3.6%Improving
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
—61.2%—
Long-stay residents given the pneumonia vaccine
21.3%100%Improving
Short-stay residents given the seasonal flu vaccine
—43.1%—
Short-stay residents given the pneumonia vaccine
35.8%52.6%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $4,254 was recorded.
- PENALTY
A federal fine of $6,545 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 21 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $104,670 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $147,579 in total fines · 1 payment denial.
- $4,254
Federal fine
Jan 30, 2026
- 48 days
Medicare/Medicaid payment denial
Apr 25, 2025
- $104,670
Federal fine
Apr 25, 2025
- $22,620
Federal fine
Apr 23, 2024
- $5,346
Federal fine
Apr 23, 2024
- $6,435
Federal fine
Sep 15, 2023
Operator & ownership
Recent ownership change · Sep 8, 2023
Now operated by River Bend Health and Rehabilitation, previously Western North Carolina Baptist Home.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BRIGHTON HEALTHCARE · 8 homes · 1.5 stars avg
- Occupancy
- 86.6 residents on an average day (87% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.