Emerald Ridge Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 32 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 36 analyzed
How They Respond to Reviews
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.”
“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?”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
10
measures
5
measures
2
measures
Residents with depression symptoms
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
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Mar 6, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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, 2025Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
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.
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.
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.
Construction Deficiencies
Meet other general requirements.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have restrictions on the use of flammable curtains.
Oct 26, 2023Routine14
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
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.
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.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Oct 26, 2023Complaint4
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
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
Emerald Ridge Health and Rehabilitation
for profit
Chain Affiliation
Avardis Health
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
32 reviews from families & visitors
Official Website
Visit emeraldridgerehabandcare.com
Medicare data downloads
Original nursing home datasets
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