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
1 of 5 overall
River Bend Health and Rehabilitation in Asheville has a 1-star overall rating, with a 1-star health inspection rating and a 2-star staffing rating; reported nurse staffing is 3.33 hours per resident per day versus the 4.1 federal benchmark. It also has $117,760 in fines in the last 24 months, a recent abuse citation, and recent inspection issues involving treatment/care orders, pain management, and timely tests/results reporting.
Facility ratings
Health inspections
Staffing
3.3262 hrs/resident/day
Quality measures
Last inspection: February 26, 2026Penalties, last 24 months: $117,760recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3262.
Staffing detail
- Registered nurses
- 0.53
- Licensed practical nurses
- 1.10
- Nurse aides
- 1.69
- Weekend nursing
- 3.03
Hours per resident per day.
Total staff turnover: 90%
Registered nurse turnover: 86%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
24.1%Improving
Residents with a fall causing major injury
10.4%Worsening
Residents with pressure ulcers (bedsores)
3.6%Worsening
Residents with a urinary tract infection
3.6%Worsening
Residents who lost too much weight
14.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
25.7%Improving
Residents whose ability to walk got worse
37.2%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
14.1%Worsening
Short-stay residents newly given an antipsychotic
5.8%Worsening
Residents with a long-term catheter
0.5%Steady
Residents with new or worsening incontinence
33.2%Improving
Residents with depressive symptoms
3.1%Improving
Long-stay residents given the seasonal flu vaccine
61.2%Steady
Long-stay residents given the pneumonia vaccine
59.8%Improving
Short-stay residents given the seasonal flu vaccine
43.1%Steady
Short-stay residents given the pneumonia vaccine
40.7%Improving
What the inspectors found
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
The nursing home failed to get ordered tests or X-rays and failed to promptly tell the doctor the results. Cited June 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 777 — 42 CFR §483.50 — S/S: G
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
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 $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 · $152,161 in total fines · 1 payment denial.
- $6,545
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BRIGHTON HEALTHCARE · 8 homes · 1.4 stars avg
- Occupancy
- 80.5 residents on an average day (80% 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.