Elevate Health and Rehabilitation

91 Victoria Road · Asheville, NC · 28801 · 8282550076

120 certified beds For profit - Limited Liability company Chain: Ascent Healthcare Management

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $157,277 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

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.

$157,277 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

76% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 34
Serious harm & abuse 20% 40
Staffing 20% 43
Federal penalties 15% 32
Trend 10% 92
Context 5% 100

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: 1 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.023.48 min · 4.1 strong
RN hours / resident-day0.330.55–0.75
Weekend hours / resident-day2.69≈ weekday level
Nursing turnover / year76%median 45%
Fines (3-yr window)3 · $174,346

Inspection citations (30 in the current record)

  • Potential for harm · D December 22, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 9, 2026 · Infection Control

  • Immediate jeopardy · J September 2, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected January 22, 2025 · Pharmacy Service

  • Potential for harm · D September 2, 2025

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

    Corrected September 17, 2025 · Quality of Life and Care

  • Potential for harm · E September 2, 2025

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

    Corrected September 17, 2025 · Nutrition and Dietary

  • Immediate jeopardy · K August 7, 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 August 10, 2024 · Resident Rights

  • Immediate jeopardy · J August 7, 2024 · found via complaint

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

    Corrected August 10, 2024 · Quality of Life and Care

  • Immediate jeopardy · K August 7, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 7, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected August 10, 2024 · Resident Rights

  • Potential for harm · D August 7, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected August 10, 2024 · Quality of Life and Care

  • Potential for harm · D August 7, 2024 · found via complaint

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

    Corrected August 10, 2024 · Quality of Life and Care

  • Potential for harm · E August 7, 2024 · found via complaint

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

    Corrected August 10, 2024 · Quality of Life and Care

  • Potential for harm · E August 7, 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 August 10, 2024 · Pharmacy Service

  • Potential for harm · E August 7, 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 August 10, 2024 · Nutrition and Dietary

  • Potential for harm · E August 7, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected August 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E August 7, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 10, 2024 · Infection Control

  • Immediate jeopardy · J April 10, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected April 29, 2024 · Pharmacy Service

  • Potential for harm · E April 10, 2024 · found via complaint

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

    Corrected April 29, 2024 · Administration

  • Immediate jeopardy · J July 25, 2023 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected June 9, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 25, 2023 · found via complaint

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

    Corrected August 9, 2023 · Administration

  • Potential for harm · E April 14, 2023

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 25, 2023 · Resident Rights

  • Potential for harm · D April 14, 2023

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected July 25, 2023 · Resident Rights

  • Potential for harm · D April 14, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 25, 2023 · Resident Rights

  • Potential for harm · E April 14, 2023

    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 July 25, 2023 · Resident Rights

  • Potential for harm · D April 14, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E April 14, 2023

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected July 25, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
September 2, 2025Fine$17,345
August 7, 2024Fine$139,932
April 10, 2024Fine$17,069

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345174 · certified since February 1, 1979. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.