ElderGrade
F

24/100

Poor

Biltmore Haven Nursing And Rehabilitation

3864 Sweeten Creek Road, Arden, NC 28704

CMS 1/5 stars #19 of 19 in Buncombe County (828) 681-0904
Certified beds
100
Occupancy
76%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 7 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $189,174 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Nursing staff turnover of 71%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 0/30 Staffing 15/30 Stability 0/15 Outcomes 9/15 Enforcement 0/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 5 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -8.1 for 40 total citations against a national median of 17

Staffing

15/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.32 total nurse hours per resident per day (national median 3.77)
  • 0.68 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 71% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

0/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $189,174 in federal fines across 3 action(s)
  • -2 for 1 denial(s) of Medicare payment for new admissions

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.93 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.69 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 71.40%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 50 citations

Last standard health inspection: May 1, 2025 (1 year ago).

J May 12, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediate jeopardy to resident health or safety

J May 12, 2026 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Immediate jeopardy to resident health or safety

F May 1, 2025 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

E May 1, 2025 F0602 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

No actual harm, potential for more than minimal harm

E May 1, 2025 F0761

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled...

No actual harm, potential for more than minimal harm

E May 1, 2025 F0803

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

No actual harm, potential for more than minimal harm

E May 1, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 1, 2025 F0553

Resident Rights Deficiencies

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVARDIS HEALTH, which operates 38 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ARDEN PARENTCO LLC Organization DIRECT OWNERSHIP INTEREST
NCOP HOLDCO LLC Organization INDIRECT OWNERSHIP INTEREST
NU C II IRREVOCABLE TRUST Organization INDIRECT OWNERSHIP INTEREST
NU C IRREVOCABLE TRUST Organization INDIRECT OWNERSHIP INTEREST
SCR HOLDCO LLC Organization INDIRECT OWNERSHIP INTEREST
SNF CARE CENTERS LLC Organization INDIRECT OWNERSHIP INTEREST
ZENITH HOLDCO II LLC Organization INDIRECT OWNERSHIP INTEREST
ZENITH HOLDCO LLC Organization INDIRECT OWNERSHIP INTEREST
CSE ARDEN LP Organization 5% OR GREATER SECURITY INTEREST
HOBACK, TIFFANY Individual MANAGING CONTROL - GOVERNING BODY
SEMONES, BRANDI Individual MANAGING CONTROL - GOVERNING BODY
SNF MGR LLC Organization OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Biltmore Haven Nursing And Rehabilitation

What is the ElderGrade for Biltmore Haven Nursing And Rehabilitation? +

Biltmore Haven Nursing And Rehabilitation holds an ElderGrade of F (24 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Biltmore Haven Nursing And Rehabilitation? +

Residents receive an average of 2.93 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Biltmore Haven Nursing And Rehabilitation been cited for harming residents? +

Yes. 7 of the 50 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Biltmore Haven Nursing And Rehabilitation accept Medicaid? +

Yes, Biltmore Haven Nursing And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.