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D
Poor

Elevate Health and Rehabilitation

91 Victoria Road · Asheville, NC 28801

8282550076 · For profit - Limited Liability company

120 beds97.9 residents219 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

Elevate Health and Rehabilitation receives an overall staffing grade of D (Poor). With 3.2106 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3972 HPRD, below the recommended 0.75. It is 0.69 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.12% compared to weekdays. The facility relies heavily on temporary agency staff (62.61% 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: 3.2106 HPRD — needs 0.27 more hours per resident per day.
⚠️RN staffing (0.3972 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️62.61% 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
3.2106hrs/resident/day▼ 0.69
CMS benchmark: 3.48
RN HPRD
0.3972hrs/resident/day▼ 0.29
Recommended: 0.75
Weekend Drop-off
15.12%
3.3539 weekday → 2.8469 weekend
Agency Staff
62.61%
54.51% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9977hrs/resident/day
Direct care aides
LPN HPRD
0.651hrs/resident/day
Licensed practical nurses
Consistency
0.3736std 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-0.53 HPRD
3.74
03.21 HPRD
vs. North Carolina State Average-0.56 HPRD
3.77
03.21 HPRD
vs. National Average-0.69 HPRD
3.90
03.21 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
Elevate Health and Rehabilitation ★
Asheville · This facility
—
D
3.21060.3972★☆☆☆☆
StoneCreek Health and Rehabilitation
Asheville
0.8 mi
C
3.11990.4557★★☆☆☆
The Laurels Of Greentree Ridge
Asheville
1.4 mi
B
3.79221.0043★★★★★
Aston Park Health Care Center
Asheville
2.6 mi
B
3.83131.1893★★★★★
Bear Mountain Health and Rehabilitation
Asheville
4.7 mi
D
3.02560.3762★★★☆☆
The Greens at Weaverville
Weaverville
8.8 mi
B
3.84311.0505★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
30
Total Deficiencies
$228,900
Fines Assessed
Dec 22, 2025Health
1 deficiency cited
▼
Sep 2, 2025Health
3 deficiencies cited· Includes actual harm
▼
Aug 7, 2024Health
11 deficiencies cited· Includes actual harm
▼
Apr 10, 2024Health
2 deficiencies cited· Includes actual harm
▼
Jul 25, 2023Health
2 deficiencies cited· Includes actual harm
▼
Apr 14, 2023Health
11 deficiencies cited
▼

Penalty History

Sep 2, 2025Fine
$26,685
Aug 7, 2024Fine
$139,932
Apr 10, 2024Fine
$17,069
Apr 14, 2023Fine
$45,214
Apr 14, 2023Payment Denial
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.