Brevard, NC · Transylvania County
★★☆☆☆CMS 2/5147 bedsFor-profitMedicaid
- Nurse hours
- 3.47 /day
- Staff turnover
- 43%
- Serious cites
- 0
Sapphire Ridge runs about 10% thinner on nurse staffing than the national average, 3.47 hours per resident day against 3.86, and weekends dip roughly 9% below its own weekday levels, so coverage is lightest exactly when families tend to visit. Turnover sits at 43%, a touch better than the 45.8% national figure, and the 29 deficiencies on record include one abuse-related citation but nothing flagged at harm or jeopardy level, with a single $22,568 fine. The two-star inspection and quality ratings, paired with for-profit LLC ownership and 147 beds, describe a home that isn't failing outright but has consistent room to improve.
Asheville, NC · Buncombe County
★★★☆☆CMS 3/577 bedsFor-profitMedicaid
- Nurse hours
- 3.28 /day
- Staff turnover
- 61%
- Serious cites
- 0
Bear Mountain runs 77 certified beds under for-profit LLC ownership, and the staffing numbers are the first thing worth noticing. At 3.28 nurse hours per resident day, it sits about 15% under the national average of 3.86, and weekends drop roughly 14% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is the other flag: 60.5% annually against a national 45.8%, meaning most of the people caring for your relative are relatively new. The inspection history shows 31 deficiencies, three at harm or jeopardy level and one abuse-related, with a single fine of $11,170 and a survey completed in May 2025. Ownership is for-profit, and the record reflects it.
Swannanoa, NC · Buncombe County
★★★☆☆CMS 3/5106 bedsFor-profitMedicaid
- Nurse hours
- 3.22 /day
- Staff turnover
- 58%
- Serious cites
- 0
Swannanoa Valley Health and Rehabilitation runs 106 beds under for-profit LLC ownership, and its staffing is the number that stands out: 3.22 nurse hours per resident day, about 16 percent under the national average of 3.86. Weekends dip roughly 8 percent below the home's own weekday coverage, and annual turnover sits at 57.8 percent against a national 45.8 percent, meaning the aides and nurses your family member sees are cycling through faster than average. The inspection record is comparatively solid: 12 deficiencies, none at harm or jeopardy level, though one is abuse-related, and the most recent inspection was October 2025. Quality and staffing measures each land mid-range.
Rutherfordton, NC · Rutherford County
★★★☆☆CMS 3/580 bedsFor-profitMedicaid
- Nurse hours
- 3.05 /day
- Staff turnover
- 61%
- Serious cites
- 0
Hilltop runs lean on nurses, 3.05 hours per resident per day against a national average of 3.86, and weekends drop another 11% below its own weekday pace. Turnover sits at 61% when the national figure is 45.8%, meaning most of the people caring for your relative this year likely won't be there next year. The inspection record shows a recent visit, a four-star health inspection and quality measure rating, but also 12 deficiencies with two at harm or jeopardy level, plus one $7,530 fine. It's a for-profit LLC. The care scores look decent on paper; the staffing numbers behind them don't hold up the same way.
Asheville, NC · Buncombe County
★☆☆☆☆CMS 1/5120 bedsFor-profitMedicaid
- Nurse hours
- 3.25 /day
- Staff turnover
- 73%
- Serious cites
- 0
Elevate Health and Rehabilitation runs 3.25 nursing hours per resident per day, roughly 16% under the national average, and weekends drop about 10% below its own weekday levels. Turnover sits at 72.8% against a national 45.8%, so the people providing care keep changing. Inspection history is the harder problem: 30 deficiencies on the current record, six at harm or jeopardy level and one abuse-related, plus three fines totaling $174,346. The September 2025 inspection is recent, and the one-star inspection and staffing ratings reflect what surveyors found. Quality measures score well, but that's a narrow slice of the picture.
Hendersonville, NC · Henderson County
★☆☆☆☆CMS 1/5134 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 74%
- Serious cites
- 0
Orchard Valley runs lean on nurses: 3.11 hours per resident day against a national average of 3.86, and weekends drop about 10% below its own weekday level. The bigger concern is continuity, 73.5% annual turnover means most of the people caring for your relative likely won't be there in a year. Its record shows 46 deficiencies, including one at the harm level and three tied to abuse, along with a $16,452 fine, and the most recent inspection was February 2026. All three CMS star ratings, health inspections, quality measures, and staffing, sit at the low end.