Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 345477

Biltmore Haven Nursing And Rehabilitation

53 federal citations on record , including 3 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $172,134.

Special Focus Status 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
53
Total citations
43
Last 3 years
6
Actual harm+
3
Federal penalties
$172,134
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care11 Resident Rights9 Care Planning7 Administration7 Medication & Pharmacy6

Most common F-tags at this facility

F8804 F8674 F7613 F6893 F8122

Citation history

53 on record
SurveyF-TagViolationSeveritySource
May 1, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
May 1, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint
May 1, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
May 1, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint
May 1, 2025F584Honor 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.BComplaint
May 1, 2025F880Provide and implement an infection prevention and control program.DStandard
May 1, 2025F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
May 1, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
May 1, 2025F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
May 1, 2025F761Ensure 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.EStandard
May 1, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
May 1, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 1, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
May 1, 2025F641Ensure each resident receives an accurate assessment.DStandard
May 1, 2025F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DStandard
May 1, 2025F554Allow residents to self-administer drugs if determined clinically appropriate.DStandard
May 1, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.DStandard
Feb 27, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Feb 27, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Feb 27, 2024F761Ensure 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.DComplaint
Feb 27, 2024F687Provide appropriate foot care.DComplaint
Feb 27, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.BComplaint
Jan 16, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.EComplaint
Jan 16, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Jan 16, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.KComplaint
Jan 16, 2024F791Provide or obtain dental services for each resident.GComplaint
Jan 16, 2024F761Ensure 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.EComplaint
Jan 16, 2024F760Ensure that residents are free from significant medication errors.EComplaint
Jan 16, 2024F758Implement 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.EComplaint
Jan 16, 2024F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.EComplaint
Jan 16, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint
Jan 16, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jan 16, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.KComplaint
Jan 16, 2024F809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.EStandard
Jan 16, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Jan 16, 2024F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard
Dec 28, 2023F880Provide and implement an infection prevention and control program.DComplaint
Dec 28, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
May 3, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 3, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
May 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 3, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.BComplaint
May 3, 2023F638Assure that each resident’s assessment is updated at least once every 3 months.DComplaint
Jun 24, 2022F880Provide and implement an infection prevention and control program.FStandard
Jun 24, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.BStandard
Jun 24, 2022F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Jun 24, 2022F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.GStandard
Jun 24, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jun 24, 2022F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jun 24, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.EStandard
Jun 24, 2022F584Honor 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.EStandard
Jun 24, 2022F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard
Jun 24, 2022F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $172,134 and 1 payment-denial actions spanning 26 days.

DateTypeFinePayment denial
Dec 28, 2023Fine$162,364—
Dec 28, 2023Payment Denial—Feb 15, 2024 · 26 days
May 3, 2023Fine$9,770—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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