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D
Poor

Bear Mountain Health and Rehabilitation

500 Beaverdam Road · Asheville, NC 28804

8282548833 · For profit - Limited Liability company

77 beds68.7 residents128 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Bear Mountain Health and Rehabilitation receives an overall staffing grade of D (Poor). With 3.0256 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3762 HPRD, below the recommended 0.75. It is 0.87 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.96% compared to weekdays. The facility relies heavily on temporary agency staff (43.31% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0256 HPRD — needs 0.45 more hours per resident per day.
⚠️RN staffing (0.3762 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️43.31% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.0256hrs/resident/day▼ 0.87
CMS benchmark: 3.48
RN HPRD
0.3762hrs/resident/day▼ 0.31
Recommended: 0.75
Weekend Drop-off
17.96%
3.1873 weekday → 2.6149 weekend
Agency Staff
43.31%
30.26% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5861hrs/resident/day
Direct care aides
LPN HPRD
0.6076hrs/resident/day
Licensed practical nurses
Consistency
0.3204std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Buncombe County Average-0.71 HPRD
3.74
03.03 HPRD
vs. North Carolina State Average-0.74 HPRD
3.77
03.03 HPRD
vs. National Average-0.87 HPRD
3.90
03.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Bear Mountain Health and Rehabilitation ★
Asheville · This facility
—
D
3.02560.3762★★★☆☆
Elevate Health and Rehabilitation
Asheville
4.7 mi
D
3.21060.3972★☆☆☆☆
The Greens at Weaverville
Weaverville
4.8 mi
B
3.84311.0505★★★★☆
The Laurels Of Greentree Ridge
Asheville
5.4 mi
B
3.79221.0043★★★★★
StoneCreek Health and Rehabilitation
Asheville
5.5 mi
C
3.11990.4557★★☆☆☆
Aston Park Health Care Center
Asheville
6.6 mi
B
3.83131.1893★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
31
Total Deficiencies
$11,170
Fines Assessed
Dec 30, 2025Health
2 deficiencies cited
▼
May 9, 2025Health
6 deficiencies cited
▼
Mar 7, 2024Health
5 deficiencies cited
▼
Aug 10, 2023Health
1 deficiency cited· Includes actual harm
▼
Jul 27, 2023Health
2 deficiencies cited
▼
Dec 16, 2022Health
15 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 27, 2023Fine
$11,170
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.