Every one of the 19 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
6 of these hold the top CMS rating of five. 5 sit at one. Registered nurse cover averages 0.85 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Deerfield Episcopal Retirement | Asheville | 5 | 5 | 5 | 1.60 | 62 | $0 |
| Highland Farms | Black Mountain | 5 | 4 | 5 | 1.33 | 60 | $4,271 |
| Givens Health Center | Asheville | 5 | 4 | 5 | 1.14 | 70 | $0 |
| Aston Park Health Care Center | Asheville | 5 | 4 | 5 | 1.11 | 120 | $0 |
| The Laurels Of Greentree Ridge | Asheville | 5 | 4 | 3 | 0.86 | 90 | $0 |
| Black Mountain Neuro-Medical Treatment Center | Black Mountain | 5 | 5 | - | 0.00 | 163 | $0 |
| The Greens at Weaverville | Weaverville | 4 | 4 | 3 | 0.93 | 122 | $0 |
| Swannanoa Valley Health and Rehabilitation | Swannanoa | 4 | 4 | 3 | 0.49 | 106 | $0 |
| The Laurels of Summit Ridge | Asheville | 3 | 2 | 4 | 1.14 | 68 | $0 |
| Bear Mountain Health and Rehabilitation | Asheville | 3 | 3 | 3 | 0.49 | 77 | $11,170 |
| NC State Veterans Home - Black Mountain | Black Mountain | 2 | 1 | 5 | 1.46 | 100 | $12,759 |
| Fleshers Fairview Health Care | Fairview | 2 | 1 | 5 | 0.95 | 106 | $61,321 |
| Pisgah Manor Health Care Center | Candler | 2 | 2 | 2 | 0.76 | 118 | $59,391 |
| StoneCreek Health and Rehabilitation | Asheville | 2 | 1 | 2 | 0.52 | 120 | $38,431 |
| Biltmore Haven Nursing and Rehabilitation | Arden | 1 | 1 | 2 | 0.68 | 100 | $189,174 |
| Emerald Ridge Health and Rehabilitation | Asheville | 1 | 1 | 4 | 0.63 | 100 | $73,475 |
| River Bend Health and Rehabilitation ⚑ | Asheville | 1 | 1 | 2 | 0.63 | 100 | $147,579 |
| Mountain Ridge Rehabilitation and Healthcare Cente | Black Mountain | 1 | 1 | 2 | 0.32 | 97 | $16,152 |
| Elevate Health and Rehabilitation | Asheville | 1 | 1 | 1 | 0.26 | 120 | $174,346 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| For profit - Limited Liability company | 7 |
| For profit - Corporation | 7 |
| Non profit - Corporation | 4 |
| Government - State | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.