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Nursing HomeMedicaid Investigative

Emerald Ridge Health and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

25 Reynolds Mountain Boulevard, Asheville, NC 28804100 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.7/5

based on 32 Google reviews

5
4
3
2
1
Emerald Ridge Health and Rehabilitation Nursing Home in Asheville, NC — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (10 vs median 4.0)
  • High RN turnover (62%)

Below average in NC · Below recommended RN staffing · $10,868 in fines

Source: Medicare data

What this means for your family

While some families report positive experiences with the therapy and nursing staff, the recent, consistent reports of neglect, poor food quality, and unprofessional behavior are deeply concerning. If you are considering this facility, we strongly recommend conducting an unannounced visit during a weekend or evening shift to observe staffing levels and cleanliness firsthand.

Google Reviews

Google Reviews

32 reviews on Google
Emerald Ridge Health and Rehabilitation receives highly polarized feedback, with some families praising the dedicated nursing and therapy staff, while others report severe neglect and unprofessionalism. Common complaints include chronic understaffing, poor food quality, and significant lapses in basic patient care and hygiene. Families considering this facility should be aware of the stark contrast between positive experiences in rehabilitation and critical reports regarding long-term and dementia care.

Quality Themes

Tap a score for details
Food1.0Staff5.0Clean2.0Activities7.0Meds2.0Memory5.0Comms3.0ValueN/A

Strengths

  • Dedicated rehabilitation therapy team
  • Some long-term staff members provide compassionate care
  • Active and engaging activities department
  • Supportive admissions and administrative orientation

Concerns

  • Chronic understaffing leading to slow response times (mentioned by 4 reviewers)
  • Poor food quality, lack of nutrition, and failure to accommodate dietary needs (mentioned by 4 reviewers)
  • Unsanitary conditions and persistent unpleasant odors (mentioned by 3 reviewers)
  • Inadequate medication management and communication (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'17(2)'19(4)'21(2)'23(3)'26(4)

Distribution · 36 analyzed

5
12
4
2
3
1
2
3
1
18

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1It is wonderful to see how much the administration engages with the community through review responses; how do you typically communicate important clinical updates or changes in care to family members?
  • 2We are looking for a place with a vibrant social life, so could you tell us more about the specific types of activities the activities department plans each week?
  • 3With the focus on rehabilitation here, how does the therapy team work alongside the nursing staff to ensure a smooth transition from therapy sessions back to daily room activities?
  • 4How does the dining team manage specific dietary restrictions and ensure that meals are both nutritious and appetizing for all residents?
  • 5What specific protocols are in place to ensure the facility remains clean, fresh, and well-maintained for the residents' comfort?
  • 6How does the nursing team manage medication schedules and what steps are taken to prevent any errors in administration?

Personalized based on this facility's data


Key Review Excerpts

I spent one week there recently after 3 major lung surgeries. It says skilled nursing, but that's not true. I received minimal care, with the exception of the physical and occupational therapists.

Rehab patient · 2020☆☆☆☆

The cook staff is too lazy to puree the food. I mean really, who gives spaghetti and meatballs to dementia patients that are unable to use a fork and knife?

Memory care family member · 2021☆☆☆☆

My one huge complaint is the food. While I was there I had to spend hundreds on doordash because the food that's served is absolutely disgusting and if it was something edible you got a very small portion.

Rehab patient · 2025★★★☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.57hrs
76%
Registered nurses for medical care
Total Nursing
3.10hrs
76%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
39%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
NC
5.4%
Buncombe
2.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.5%
Worse than Avg
Here
31.5%
US
19.4%
NC
21.0%
Buncombe
24.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
15.4%
NC
14.1%
Buncombe
17.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.3%
NC
20.2%
Buncombe
19.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.1%
Worse than Avg
Here
29.1%
US
19.5%
NC
21.5%
Buncombe
22.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
14.4%
NC
16.4%
Buncombe
17.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.4%
Better than Avg
Here
93.4%
US
79.7%
NC
78.1%
Buncombe
74.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.1%
Better than Avg
Here
93.1%
US
81.8%
NC
80.1%
Buncombe
77.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.0%
Better than Avg
Here
1.0%
US
1.6%
NC
1.5%
Buncombe
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
2penalties
Well above state avg (5.6)
7 complaint-triggered
$10,868 in fines

Families reported concerns triggering 7 deficiencies, including issues with pressure ulcer care, treatment quality, resident assessments, and protection of belongings. The facility shows recurring problems with care planning and assessments, medication management, and building safety that span multiple surveys from 2023 to 2025, though all violations have reported correction dates.

Nov 7, 2025Complaint
1
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Mar 6, 2025Complaint
2
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Mar 6, 2025Routine
12
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0655Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0807Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0100Potential for harm · IsolatedCorrected

Construction Deficiencies

Meet other general requirements.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0751Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of flammable curtains.

Oct 26, 2023Routine
14
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0552Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0641Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Oct 26, 2023Complaint
4
0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

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

0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Federal Penalties

Fine

Apr 9, 2026

$84,427

Fine

Mar 6, 2025

$10,868

Ownership & Operations

Who Operates This Facility

Owner / Operator

Emerald Ridge Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Avardis Health

Chain Size

38 facilities nationwide

Chain avg rating: 2.3/5 · Rank 20 of 35

Ownership & Management

Owners

Asheville Parentco LLC

Owner · Organization

Ncop Holdco LLC

Owner (parent company) · Organization

Nu C II Irrevocable Trust

Owner (parent company) · Organization

Nu C Irrevocable Trust

Owner (parent company) · Organization

Rmb Holdco LLC

Owner (parent company) · Organization

Snf Care Centers LLC

Owner (parent company) · Organization

Zenith Holdco II LLC

Owner (parent company) · Organization

Zenith Holdco LLC

Owner (parent company) · Organization

Key personnel

Cse Woodfin Lp5% or Greater Security InterestHoback, TiffanyManaging Control - Governing BodySemones, BrandiManaging Control - Governing BodySnf Mgr LLCManagerCrum, KatherineManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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