River Bend Health and Rehabilitation: Staffing, Turnover, and Inspection Record
River Bend Health and Rehabilitation is a 100-bed for-profit nursing home in Asheville, North Carolina, part of Brighton Healthcare. In the CMS August 2026 release it reported 1.60 nurse aide hours per resident per day, 32% below the North Carolina average of 2.34, and 86.4% nursing staff turnover (North Carolina average 49.0%).
River Bend Health and Rehabilitation
213 Richmond Hill DriveAsheville, NC 28806
Buncombe County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At River Bend Health and Rehabilitation, nurse aides logged 1.60 hours per resident per day, 32% below the North Carolina average. With about 87 residents a day, that works out to roughly 139 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 9% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.60 | 2.34 | 2.32 |
| Licensed practical nurses | 0.90 | 0.89 | 0.86 |
| Registered nurses | 0.63 | 0.61 | 0.69 |
| All nursing staff | 3.13 | 3.83 | 3.86 |
| All nursing staff, weekends | 2.85 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
86.4% of nursing staff at River Bend Health and Rehabilitation left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 71.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 13, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 25 health deficiencies (North Carolina average 4.8). CMS lists 6 fines totaling $147,579 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 30, 2026 | Fine | $4,254 |
| Jan 30, 2026 | Fine | $4,254 |
| Apr 25, 2025 | Payment Denial | 48 days from May 23, 2025 |
| Apr 25, 2025 | Fine | $104,670 |
| Apr 23, 2024 | Fine | $5,346 |
| Apr 23, 2024 | Fine | $22,620 |
| Sep 15, 2023 | Fine | $6,435 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. River Bend Health and Rehabilitation holds 1 of 5 overall; the North Carolina average is 2.9.
About River Bend Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Brighton Healthcare, 8 homes
- Legal name: Asheville Health and Rehabilitation SNF LLC
- Medicare and Medicaid certified since: Feb 24, 1993
- Councils: resident council
- Area: urban
Nursing homes near River Bend Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Emerald Ridge Health and Rehabilitation Asheville | 2.3 | 100 | 2.00 | 3.06 | 35.8% | 1 | $73,475 |
| Elevate Health and Rehabilitation Asheville | 3.1 | 120 | 2.28 | 3.25 | 72.8% | 1 | $174,346 |
| Aston Park Health Care Center Asheville | 3.6 | 120 | 2.01 | 3.67 | 39.5% | 5 | None |
| StoneCreek Health and Rehabilitation Asheville | 3.6 | 120 | 2.29 | 3.30 | 47.6% | 3 | $38,431 |
| Bear Mountain Health and Rehabilitation Asheville | 3.7 | 77 | 2.21 | 3.28 | 60.5% | 3 | None |
| The Laurels Of Greentree Ridge Asheville | 4.5 | 90 | 2.12 | 3.72 | 40.8% | 5 | None |
| The Laurels of Summit Ridge Asheville | 5.7 | 68 | 2.34 | 4.17 | 38.2% | 4 | None |
| Pisgah Manor Health Care Center Candler | 5.9 | 118 | 1.65 | 2.86 | 59.1% | 2 | $59,391 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.