Deficiency Index

Elevate Health and Rehabilitation

Asheville, North Carolina · CCN 345174

21 surveys since 2011, 23 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
145
Surveys
21
Harm or worse
23
Immediate jeopardy
14
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy14

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file15/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Limited Liability company
Chain
ASCENT HEALTHCARE MANAGEMENT
County
Buncombe
Medicare-certified since
1979

CMS ratings

Overall
1
Health inspection
1
Staffing
1
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 125 for-profit facilities of 100–127 beds in North Carolina.

Last survey on record

Dec 22, 2025

322 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.253.47
Registered-nurse hours per resident day0.26—
Annual nurse turnover72.8%49.8%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$174,346 across 3 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ413.3%K26.7%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1033.3%E1446.7%F—
No harm, potential for minimalA—B—C—
CMS’s current file: 30 of the 145 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8673×

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6842×

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

  • F6952×

    Provide safe and appropriate respiratory care for a resident when needed.

  • F7602×

    Ensure that residents are free from significant medication errors.

In the surveyor’s words

From the most serious findings on record at Elevate Health and Rehabilitation, in the surveyor’s own words.

  • Immediate jeopardy, patternF580Aug 7, 2024

    Based on record reviews, staff, and Medical Director (MD) interviews, the facility failed to notify the physician of a Urologist appointment on 5/16/24 for Resident #53 that resulted in an order for a CT (computed tomography) scan for renal stones (small, hard deposit that forms in kidneys) and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of renal stones and right ureteral (tubes composed of smooth muscle that transport urine from the kidneys to the urinary bladder) stent exchange (procedure that replaces an existing stent with a new one) not being completed. Resident #53 experienced and was treated for urinary tract infections (UTI) and on-going hematuria (blood in urine) while waiting to see the urologist. […]

  • Immediate jeopardy, patternF690Aug 7, 2024

    Based on record review, and interviews with staff, Nurse Practitioner (NP), Medical Director, urology office staff, and the Urologist the facility failed to follow an order from a Urologist appointment on 5/16/24 for a CT (computed tomography) scan for ureteral stones and a follow-up appointment following the CT scan to determine treatment which included surgery for removal of ureteral stones and right ureteral stent exchange for Resident #53. Resident #53 was previously hospitalized for obstructing ureteral stones (kidney stones that get stuck in tubes composed of smooth muscle that transport the urine from the kidneys to the bladder) with hydronephrosis (swelling of one or both kidneys due to urine build up), urinary tract infection (UTI), and sepsis (a serious condition in which the… […]

  • Immediate jeopardy, patternF600Mar 3, 2022

    Based on record review and staff, Medical Director and Nurse Practitioner interviews, the facility neglected to implement effective interventions to protect a resident from an unintentional overdose. There was a total of three incidents with Resident #1, the first incident occurred when staff found narcotic pain medication that was not prescribed by the facility Physician. Interventions were not implemented following the initial incident. On 1/27/22 a second incident occurred; Resident #1 was found with 16 bottles of medications not prescribed by the attending physician. […]

  • Immediate jeopardy, patternF835Mar 3, 2022

    Based on record review and staff, Medical Director and Nurse Practitioner (NP) interviews, the facility failed to provide leadership and oversight to ensure effective systems were in place to prevent a resident from acquiring and taking medications that were not prescribed by the attending physician at the nursing home which resulted in an unintentional overdose. This deficient practice affected 1 out of 3 residents (Resident #1) reviewed for neglect. The facility also failed to provide a wheelchair that was the correct size for 1 of 2 residents reviewed for accomodation of needs (Resident #2) and transport a resident in a wheelchair without causing injury to 1 of 3 residents reviewed for accidents (Resident #2). […]

  • Immediate jeopardy, isolatedF760Sep 2, 2025

    Based on record review, observations, and interviews with family, staff, Nurse Practitioner (NP), and Medical Director, the facility failed to prevent significant medication errors when required seizure medication (lacosamide) was not administered during the timeframe of 1/10/25 to 1/14/25 as a result of the medication not being available from the pharmacy. Resident #98 was ordered lacosamide twice daily. The medication supply was depleted and it was not administered as ordered on 1/10/25, 1/11/25, and the morning dose on 1/12/25. On the afternoon of 1/12/25 the lacosamide order was put on hold for two days for the documented reason of hold until pharmacy arrival. […]

Read 37 findings in full →The most serious and the most recent: 37 of 145 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 22, 2025Complaint1 finding
  • Sep 2, 2025Standard3 findings · 1 harm
  • Aug 7, 2024Standard and complaint11 findings · 3 harm
  • Apr 10, 2024Complaint2 findings · 1 harm
  • Jul 25, 2023Complaint2 findings · 1 harm
  • Apr 14, 2023Standard and complaint11 findings
  • Jun 1, 2022Standard20 findings · 2 harm
  • Mar 3, 2022Complaint11 findings · 4 harm
Show the 13 earlier surveys
  • Dec 5, 2019Standard2 findings
  • Nov 2, 2018Standard and complaint12 findings
  • Oct 5, 2017Standard and complaint4 findings
  • Feb 17, 2017Standard1 finding
  • Apr 1, 2016Standard4 findings
  • Sep 25, 2015Standard and complaint4 findings
  • Mar 28, 2015Standard and complaint13 findings · 3 harm
  • Sep 12, 2014Standard and complaint7 findings
  • Jul 11, 2014Complaint22 findings · 8 harm
  • Jun 27, 2013—5 findings
  • Feb 20, 2013—1 finding
  • Apr 12, 2012—5 findings
  • Mar 10, 2011—4 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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