Emerald Ridge Health and Rehabilitation

25 Reynolds Mountain Boulevard · Asheville, NC · 28804 · 8286456619

100 certified beds For profit - Limited Liability company Chain: Avardis Health

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: $95,295 in fines in the last 24 months.
  • Inspection results are getting worse cycle over cycle, not better.

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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.

$95,295 in federal fines in the last 24 months

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

Score breakdown

Inspection record 30% of score 38
Serious harm & abuse 20% 64
Staffing 20% 60
Federal penalties 15% 48
Trend 10% 41
Context 5% 75

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: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.103.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day2.72≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)2 · $95,295

Inspection citations (32 in the current record)

  • Immediate jeopardy · J April 9, 2026

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected May 5, 2026 · Quality of Life and Care

  • Potential for harm · E April 9, 2026

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected May 5, 2026 · Resident Rights

  • Potential for harm · D April 9, 2026

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected May 5, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E April 9, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 5, 2026 · Pharmacy Service

  • Potential for harm · E April 9, 2026

    Provide and implement an infection prevention and control program.

    Corrected May 5, 2026 · Infection Control

  • Potential for harm · D April 9, 2026 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 5, 2026 · Resident Rights

  • Potential for harm · D April 9, 2026 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 5, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 9, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected May 5, 2026 · Resident Rights

  • Potential for harm · D April 9, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected May 5, 2026 · Quality of Life and Care

  • Potential for harm · E April 9, 2026 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected May 5, 2026 · Environmental

  • Potential for harm · D November 7, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected November 26, 2025 · Resident Assessment and Care Planning

  • Actual harm · G March 6, 2025 · found via complaint

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

    Corrected March 29, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 29, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 6, 2025

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

    Corrected March 29, 2025 · Quality of Life and Care

  • Potential for harm · D March 6, 2025

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected March 29, 2025 · Pharmacy Service

  • Potential for harm · D March 6, 2025

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected March 29, 2025 · Pharmacy Service

  • Potential for harm · D March 6, 2025

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected April 2, 2025 · Nutrition and Dietary

  • Potential for harm · E March 6, 2025

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

    Corrected April 2, 2025 · Nutrition and Dietary

  • Potential for harm · D March 6, 2025 · 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 March 29, 2025 · Quality of Life and Care

  • Potential for harm · E October 26, 2023

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected November 29, 2023 · Resident Rights

  • Potential for harm · D October 26, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected November 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 26, 2023

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected November 29, 2023 · Quality of Life and Care

  • Potential for harm · D October 26, 2023

    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 November 29, 2023 · Pharmacy Service

  • Potential for harm · E October 26, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 29, 2023 · Infection Control

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

Federal penalties

DateTypeAmount / length
April 9, 2026Fine$84,427
March 6, 2025Fine$10,868

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 345447 · certified since September 20, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.