F
28/100

Elevate Health and Rehabilitation Inspection Report, Violations & Safety Grade (Asheville, North Carolina)

91 Victoria Road, Asheville, North Carolina 28801

Phone: 8282550076

CMS Overall:1/5

Overview & Bed Count

Certified Beds
120
Avg Residents/Day
100.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
County
Buncombe
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall1/5
Health1/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.280.62-0.34
Total Nurse Hours per Resident per Day3.333.87-0.54
CMS Staffing Rating1/52.7/5-
Nursing Staff Turnover79.5%48.7%-

Health Citation History

28 health citations on record

DateCategoryDescriptionSeverity
2025-12-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-09-02Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2025-09-02Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2025-09-02Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.D – Moderate Harm Potential
2024-08-07Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K – Immediate Jeopardy
2024-08-07Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.K – Immediate Jeopardy
2024-08-07Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.J – Immediate Jeopardy
2024-08-07Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.E – Moderate Harm Potential
2024-08-07Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-08-07Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E – Moderate Harm Potential
2024-08-07Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2024-08-07Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-08-07Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2024-08-07Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.D – Moderate Harm Potential
2024-08-07Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D – Moderate Harm Potential
2024-04-10Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2024-04-10Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2023-04-14Resident Rights DeficienciesReasonably accommodate the needs and preferences of each resident.E – Moderate Harm Potential
2023-04-14Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2023-04-14Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.E – Moderate Harm Potential
2023-04-14Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2023-04-14Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.E – Moderate Harm Potential
2023-04-14Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-04-14Resident Rights DeficienciesHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D – Moderate Harm Potential
2023-04-14Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D – Moderate Harm Potential
2023-04-14Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2023-04-14Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.D – Moderate Harm Potential
2023-04-14Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.D – Moderate Harm Potential

Fire Safety Citation History

30 fire safety citations on record

DateCategoryDescriptionSeverity
2024-08-07Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2024-08-07Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-08-07Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2024-08-07Egress DeficienciesInstall proper backup exit lighting.D – Moderate Harm Potential
2024-08-07Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2024-08-07Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2024-08-07Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2024-08-07Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2024-08-07Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-08-07Miscellaneous DeficienciesMeet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.D – Moderate Harm Potential
2024-08-07Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2023-04-14Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-04-14Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2023-04-14Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2022-06-01Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesProperly install and monitor supervisory attachments on automatic sprinkler systems.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesInstall corridor and hallway doors that block smoke.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2022-06-01Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2022-06-01Services DeficienciesHave properly installed electrical wiring and gas equipment.F – Moderate Harm Potential
2022-06-01Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2022-06-01Miscellaneous DeficienciesHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.F – Moderate Harm Potential
2022-06-01Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2022-06-01Construction DeficienciesMeet other general requirements.D – Moderate Harm Potential
2022-06-01Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.D – Moderate Harm Potential
2022-06-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.D – Moderate Harm Potential
2022-06-01Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential

Total Penalties & Fines

$174,346
Total Fine Amount (CMS)
3
Number of Fines
3
Total Penalties
DateTypeFine AmountPayment Denial
2025-09-02Fine$17,345-
2024-08-07Fine$139,932-
2024-04-10Fine$17,069-

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