Nursing home
Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704 · Map
For profit - Limited Liability company · Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities) · 100 certified beds
Biltmore Haven Nursing and Rehabilitation is a Medicare-certified nursing home in Arden, North Carolina. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 2.98 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on May 1, 2025 cited 17 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $172,134In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Biltmore Haven Nursing and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.98 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.45 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.25 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 68.3% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $172,134, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Biltmore Haven Nursing and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Ensure 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.
Nutrition and Dietary Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · May 1, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
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.
Nursing and Physician Services Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Try 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.
Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 1, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · May 1, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3864 Sweeten Creek Road
Arden, NC 28704 - CMS certification #
- 345477
- Ownership
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 76.7
- Provider type
- Medicare and Medicaid
- First certified
- 1996-07-02
- Chain
- Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care (36 facilities)
- Setting
- Urban
Part of Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care
Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care operates 36 nursing facilities across the United States. View all Consulate Health Care/Independence Living Centers/Nspire Healthcare/Raydiant Health Care facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Biltmore Haven Nursing and Rehabilitation using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2020
- Workplace safety 1 OSHA workplace safety inspection since 2024, 4 violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jul 26, 2020 to Jan 25, 2021. Violations found: Fair Labor Standards Act (pay and hours). Employer as DOL recorded it: The Oaks at Sweeten Creek (Consulate Management Company, LLC). Case 1931886.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 26, 2024: programmed (planned) inspection, complete (health). Case closed Sep 20, 2024. 4 violations cited (4 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 157207 - Oaks at Sweeten Creek Healthcare, LLC. Matched by street address; the name OSHA recorded differs from the community's.
Details
- Other than serious: Sanitation (1910.141(a)(4)(i)). Penalty $0 proposed, $0 now. To be fixed by Sep 9, 2024.
- Other than serious: Electrical wiring methods and equipment (1910.305(b)(2)(i)). Penalty $0 proposed, $0 now. To be fixed by Sep 9, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $0 proposed, $0 now. To be fixed by Sep 25, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(f)(6)(ii)). Penalty $0 proposed, $0 now. To be fixed by Sep 9, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Adventhealth Hendersonville, Hendersonville. 5.6 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Fletcher Rehabilitation and Healthcare Center, Fletcher. 2.0 miles away, straight line.
- Nearest home health agency office
- Adventhealth Home Health, Fletcher. 5.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28704 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Arden Dialysis Center, Arden, 1.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Biltmore Home Training, Asheville, 8.2 miles away, straight line
Davita Asheville Kidney Center, Asheville, 9.1 miles away, straight line (CMS rating 5 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 28704.
Carepartners Hospice & Palliative Care Services, office in Asheville, 6.5 miles away, straight line (CMS family survey rating 4 of 5 stars)
Four Seasons The Care You Trust, office in Flat Rock, 12.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of The Carolina Foothills, office in Saluda, 18.7 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Memorycare, Asheville. 2.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Biltmore Haven Nursing and Rehabilitation a good nursing home?
CMS gives Biltmore Haven Nursing and Rehabilitation an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Biltmore Haven Nursing and Rehabilitation staffed?
Biltmore Haven Nursing and Rehabilitation reports 2.98 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Biltmore Haven Nursing and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 17 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Biltmore Haven Nursing and Rehabilitation have?
Biltmore Haven Nursing and Rehabilitation is certified for 100 beds.