Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road · Arden, NC · 28704 · 8286810904
100 certified beds For profit - Limited Liability company Chain: Avardis Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | 1 · $162,364 |
Inspection citations (48 in the current record)
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Potential for harm · D May 1, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D May 1, 2025
Ensure each resident receives an accurate assessment.
Corrected June 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected June 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 1, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · E May 1, 2025
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 drugs.
Corrected June 17, 2025 · Pharmacy Service
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Potential for harm · E May 1, 2025
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.
Corrected June 17, 2025 · Nutrition and Dietary
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Potential for harm · E May 1, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 17, 2025 · Nutrition and Dietary
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Potential for harm · F May 1, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected June 17, 2025 · Administration
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Potential for harm · D May 1, 2025
Provide and implement an infection prevention and control program.
Corrected June 17, 2025 · Infection Control
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Potential for harm · E May 1, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 1, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 1, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 17, 2025 · Quality of Life and Care
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Potential for harm · D May 1, 2025 · found via complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected June 17, 2025 · Nursing and Physician Services
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Potential for harm · D May 1, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 17, 2025 · Resident Assessment and Care Planning
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No harm found · B May 1, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 17, 2025 · Resident Rights
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Potential for harm · D February 27, 2024 · found via complaint
Provide appropriate foot care.
Corrected March 12, 2024 · Quality of Life and Care
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Potential for harm · D February 27, 2024 · found via complaint
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 drugs.
Corrected March 12, 2024 · Pharmacy Service
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Potential for harm · F February 27, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 12, 2024 · Nutrition and Dietary
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Potential for harm · D February 27, 2024 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected March 12, 2024 · Administration
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No harm found · B February 27, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 12, 2024 · Resident Rights
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Immediate jeopardy · K January 16, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 27, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K January 16, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 27, 2024 · Quality of Life and Care
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Immediate jeopardy · K January 16, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected February 27, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 28, 2023 | Fine | $162,364 |
| December 28, 2023 | Payment Denial | 26 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345477 · certified since July 2, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.