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Nursing HomeMedicaid

Swannanoa Valley Health and Rehabilitation

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

1984 Us Highway 70, Swannanoa, NC 28778106 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 36 Google reviews

5
4
3
2
1
Swannanoa Valley Health and Rehabilitation Nursing Home in Swannanoa, NC — Street View
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What this means for your family

This facility has a strong rehabilitation therapy team that many families appreciate, but there are recurring, serious reports of understaffing and poor communication. When touring, ask specifically about nurse-to-patient ratios on weekends and how the facility ensures consistent care planning for long-term residents.

Google Reviews

Google Reviews

36 reviews on Google
Swannanoa Valley Health and Rehabilitation receives highly polarized feedback, with some families praising the dedicated therapy team and caring staff, while others report severe neglect and safety concerns. Critical reviews frequently cite issues with understaffing, poor communication, and failures in basic patient care, including fall prevention and hygiene. Potential families should be aware of the stark contrast between the positive experiences reported by some and the serious allegations of neglect from others.

Quality Themes

Tap a score for details
Food5.0Staff5.0Clean5.0Activities7.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Effective physical and occupational therapy
  • Some staff members described as deeply caring
  • Clean and well-maintained facility environment

Concerns

  • Chronic understaffing leading to neglect (mentioned by 5 reviewers)
  • Poor communication and lack of care plan meetings (mentioned by 2 reviewers)
  • Inadequate fall prevention and safety protocols (mentioned by 3 reviewers)
  • Hygiene issues and failure to provide basic needs (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.7'19(3)1.84.0'21(12)3.61.0'23(2)1.04.2'25(6)4.2'26(5)

Distribution · 40 analyzed

5
21
4
3
3
1
2
1
1
14

How They Respond to Reviews

23%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1I noticed the facility has a 3-star staffing rating; how do you manage daily care routines to ensure residents receive timely assistance during peak hours?
  • 2Could you walk me through your specific protocols for fall prevention and how you monitor residents who may be at a higher risk of injury?
  • 3What is your standard process for keeping families updated on changes in a resident's condition, and how often do you schedule formal care plan meetings?
  • 4I see that some residents have had concerns regarding hygiene and basic needs; what systems do you have in place to ensure consistent daily care and cleanliness for every resident?
  • 5What does a typical day look like for a resident here, and how do you encourage participation in activities to keep them engaged and active?
  • 6I appreciate that the leadership team has started responding to online feedback; how do you use that input from families to improve the quality of care at the facility?

Personalized based on this facility's data


Key Review Excerpts

Understaffed and supervisors lacking the ability to both discipline staff and take the necessary steps to watch residents lead to my grandmother falling and being left in the floor causing her another broke hip!

Memory care family member · 2021☆☆☆☆

The PT team helped my Father get his strength back in only a few weeks. They have fun activities for the patients and provide a Family atmosphere.

Long-term resident's family · 2025★★★★★

There is no social worker. They are not holding care plan meetings. Facility communication is very poor and your loved one will be cared for by different people most shift as they don't keep specific nurses on a floor longterm.

Long-term resident's family · 2023☆☆☆☆
Source: 36 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.45hrs
59%
Registered nurses for medical care
Total Nursing
3.40hrs
83%
All nurses + aides combined
Staff Turnover
51%
Lower is better (< 30% = good)
RN Turnover
30%
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

6

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility67.0%
Worse than Avg
Here
67.0%
US
95.5%
NC
94.1%
Buncombe
94.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
NC
5.4%
Buncombe
2.3%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
19.5%
NC
21.5%
Buncombe
22.6%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
19.4%
NC
21.0%
Buncombe
25.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.4%
Better than Avg
Here
11.4%
US
14.4%
NC
16.4%
Buncombe
17.1%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
15.3%
NC
20.2%
Buncombe
19.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility42.9%
Worse than Avg
Here
42.9%
US
81.8%
NC
80.1%
Buncombe
81.1%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility46.9%
Worse than Avg
Here
46.9%
US
79.7%
NC
78.1%
Buncombe
77.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
NC
1.5%
Buncombe
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Near state avg (5.6)
5 complaint-triggered

Families have filed multiple complaints against this facility, including serious concerns about abuse protection and accident prevention. The facility shows recurring problems with food safety and dietary services, safety and accident hazards, and building maintenance issues. While all deficiencies have been reportedly corrected, the pattern of repeated complaints and safety violations suggests families should carefully evaluate current conditions during a visit.

Oct 6, 2025Routine
4
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.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Sep 18, 2024Complaint
4
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor 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.

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 18, 2024Routine
1
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

Jul 20, 2023Routine
10
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.

0867Potential for harm · PatternCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0511Minimal · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Jul 20, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 23, 2021Routine
1
0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Swannanoa Valley Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Ascent Healthcare Management

Chain Size

6 facilities nationwide

Chain avg rating: 2.0/5 · Rank 1 of 6 (Best)

Ownership & Management

Key personnel

Friedman, YisroelOfficer / DirectorSelf, HollyManagerMoye, MatthewAdp of the Snf
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.

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