Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704 · (828) 681-0904
For profit - Corporation · 100 certified beds
Biltmore Haven Nursing and Rehabilitation has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 8 citations (the North Carolina average is 4.7). It was fined 3 times in the last three years, $189,174 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 31, 2026 found 8 citations. What an inspection citation means
- Ensure each resident receives an accurate assessment.July 31, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.July 31, 2026 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 31, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 31, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assist a resident in gaining access to vision and hearing services.July 31, 2026 · F0685 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate foot care.July 31, 2026 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.July 31, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 31, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 27 citations.
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 31, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 31, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 12, 2026 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 12, 2026 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- 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.May 1, 2025 · F0584 · Level of harm: Potential for minimal harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.May 1, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 1, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.May 1, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 1, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.February 27, 2024 · F0580 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide appropriate foot care.February 27, 2024 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 27, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 27, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.February 27, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 16, 2024 · F0607 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.January 16, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 16, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.January 16, 2024 · F0740 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 16, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.January 16, 2024 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.January 16, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide or obtain dental services for each resident.January 16, 2024 · F0791 · Level of harm: Actual harm · Residents affected: Few
- Administer the facility in a manner that enables it to use its resources effectively and efficiently.January 16, 2024 · F0835 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.January 16, 2024 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide behavior health training consistent with the requirements and as determined by a facility assessment.January 16, 2024 · F0949 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.December 28, 2023 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.December 28, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $13,405May 12, 2026
- Fine of $13,405May 12, 2026
- Fine of $162,364December 28, 2023
- Medicare payment denial for 26 daysStarting February 15, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.93 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.68 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.30 | 0.89 | 0.86 |
| Nurse aides | 1.95 | 2.34 | 2.32 |
| Total nursing staff turnover | 71.4% | 49% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 100 |
| Average residents per day | 75.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Deerfield Episcopal Retirement Asheville · ★★★★★ 5 out of 5 stars
- Aston Park Health Care Center Asheville · ★★★★★ 5 out of 5 stars
- Black Mountain Neuro-Medical Treatment Center Black Mountain · ★★★★★ 5 out of 5 stars
- Highland Farms Black Mountain · ★★★★★ 5 out of 5 stars
- Pisgah Manor Health Care Center Candler · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Biltmore Haven Nursing and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.