Biltmore Haven Nursing and Rehabilitation
3864 Sweeten Creek Road, Arden, NC 28704
Biltmore Haven Nursing and Rehabilitation is a nursing home in Arden, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 1 of 5CMS overall star rating
- 1 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (828) 681-0904
- Last standard health inspection
- July 31, 2026 (3 months ago)
- Certified beds
- 100
- Residents per day, on average
- 80.9
- Ownership type
- For profit - Corporation
- Legal business name
- 3864 Sweeten Creek Road Opco LLC
- Chain
- Avardis Health
- Takes part in
- Medicare and Medicaid
More health citations than the North Carolina average (48 vs 18).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5.
Fine
CMS changed the fine from May 12, 2026 from $13,405 to $8,713.
Fine
CMS changed the fine from May 12, 2026 from $13,405 to $8,713.
CMS update of October 8, 2026
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
8 citations
Health inspection on July 31, 2026
CMS lists this as a standard inspection and a complaint inspection.
Citation F0641. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0641 2 times since 2025.
Citation F0636. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
CMS lists it as corrected on August 26, 2026.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0677 2 times since 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0684 2 times since 2026.
Citation F0685. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assist a resident in gaining access to vision and hearing services.
CMS lists it as corrected on August 26, 2026.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0687 2 times since 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0695 2 times since 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on August 26, 2026.
CMS has cited this home for F0842 2 times since 2025.
CMS update of July 29, 2026
Star rating
The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
2 citations
Health inspection on May 12, 2026
CMS lists this as a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
26 of 419 North Carolina homes (6%) got a citation at the immediate jeopardy level in 2026.
Citation F0684. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on March 5, 2026.
Citation F0689. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on March 5, 2026.
CMS has cited this home for F0689 2 times since 2024.
Fine
May 12, 2026 (5 months ago)
CMS fine of $8,713 on May 12, 2026.
Fine
May 12, 2026 (5 months ago)
CMS fine of $8,713 on May 12, 2026.
CMS update of April 29, 2026
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
Ownership
CMS lists this home under a new chain.
CMS update of February 25, 2026
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of November 20, 2025
Star rating
The CMS quality measures star rating changed from 4 of 5 to 3 of 5.
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
Name
CMS lists a new name for this home. It was THE OAKS AT SWEETEN CREEK.
Name
CMS lists a new legal business name for this home.
Ownership
CMS ownership records list new owners for this home.
CMS update of May 28, 2025
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
17 citations
Health inspection on May 1, 2025
CMS lists this as a standard inspection and a complaint inspection.
Citation F0851. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS lists it as corrected on June 17, 2025.
Citation F0602. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Protect each resident from the wrongful use of the resident's belongings or money.
CMS lists it as corrected on May 1, 2025.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 17, 2025.
CMS has cited this home for F0761 3 times since 2024.
Citation F0803. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 17, 2025.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on June 17, 2025.
CMS has cited this home for F0812 2 times since 2024.
Citation F0553. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
CMS lists it as corrected on June 17, 2025.
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on June 17, 2025.
Citation F0627. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
CMS lists it as corrected on June 17, 2025.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on June 17, 2025.
Citation F0655. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS lists it as corrected on June 17, 2025.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on June 17, 2025.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on June 17, 2025.
Citation F0700. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 17, 2025.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on June 17, 2025.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on June 17, 2025.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on June 17, 2025.
CMS has cited this home for F0880 2 times since 2023.
Citation F0584. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on June 17, 2025.
2 citations
Fire safety inspection on May 1, 2025
CMS lists this as a standard inspection.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on July 9, 2025.
CMS has cited this home for K0321 2 times since 2024.
Citation K0923. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on July 9, 2025.
CMS update of April 30, 2025
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of February 26, 2025
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of August 29, 2024
Fine
CMS changed the fine from December 28, 2023 from $249,790 to $162,364.
CMS update of July 31, 2024
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of June 26, 2024
Special Focus Facility
CMS no longer lists this home as a Special Focus Facility candidate.
CMS update of May 29, 2024
Special Focus Facility
CMS now lists this home as a Special Focus Facility candidate.
CMS update of March 28, 2024
Star rating
The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
5 citations
Health inspection on February 27, 2024
CMS lists this as a complaint inspection.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on March 12, 2024.
Citation F0687. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate foot care.
CMS lists it as corrected on March 12, 2024.
Citation F0761. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on March 12, 2024.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 12, 2024.
CMS has cited this home for F0867 3 times since 2023.
Citation F0580. Severity B: potential for minimal harm, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on March 12, 2024.
Payment stopped
February 15, 2024 (2 years ago)
CMS stopped payment for new admissions from February 15, 2024, for 26 days.
14 citations
Health inspection on January 16, 2024
CMS lists this as a standard inspection and a complaint inspection.
Severity K is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
88 of 419 North Carolina homes (21%) got a citation at the immediate jeopardy level in 2024.
Citation F0607. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on February 27, 2024.
Citation F0689. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on February 27, 2024.
Citation F0835. Severity K: immediate jeopardy, pattern.
The rule CMS cited:
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS lists it as corrected on February 27, 2024.
Citation F0791. Severity G: actual harm, isolated.
The rule CMS cited:
Provide or obtain dental services for each resident.
CMS lists it as corrected on February 27, 2024.
Citation F0740. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
CMS lists it as corrected on February 27, 2024.
Citation F0758. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 27, 2024.
Citation F0760. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that residents are free from significant medication errors.
CMS lists it as corrected on February 27, 2024.
Citation F0761. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on March 12, 2024.
Citation F0809. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure 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.
CMS lists it as corrected on February 27, 2024.
Citation F0867. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 12, 2024.
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on February 27, 2024.
Citation F0578. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor 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.
CMS lists it as corrected on February 27, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on February 27, 2024.
Citation F0756. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
CMS lists it as corrected on February 27, 2024.
6 citations
Fire safety inspection on January 16, 2024
CMS lists this as a standard inspection.
Citation K0321. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on April 19, 2024.
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on April 19, 2024.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on April 19, 2024.
CMS has cited this home for K0521 2 times since 2022.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on April 19, 2024.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on April 19, 2024.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on April 19, 2024.
CMS has cited this home for K0353 2 times since 2022.
2 citations
Health inspection on December 28, 2023
CMS lists this as a complaint inspection.
Citation F0867. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on March 12, 2024.
Citation F0880. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on January 16, 2024.
Fine
December 28, 2023 (2 years ago)
CMS fine of $162,364 on December 28, 2023.
CMS update of December 21, 2023
Fine
CMS changed the fine from May 3, 2023 from $15,030 to $9,770.
4 citations
Fire safety inspection on June 24, 2022
CMS lists this as a standard inspection.
Citation K0222. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on August 30, 2022.
Citation K0271. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have exits that are accessible at all times.
CMS lists it as corrected on August 30, 2022.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on August 30, 2022.
Citation K0521. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on August 30, 2022.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- ARDEN PARENTCO LLCDirect ownership interest · not applicable · since 06/01/2025
- NCOP HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- NU C II IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
- NU C IRREVOCABLE TRUSTIndirect ownership interest · not applicable · since 06/01/2025
- SCR HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- SNF CARE CENTERS LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO II LLCIndirect ownership interest · not applicable · since 06/01/2025
- ZENITH HOLDCO LLCIndirect ownership interest · not applicable · since 06/01/2025
- SNF MGR LLCOperational/managerial control · not applicable · since 06/01/2025
- HOBACK, TIFFANYOperational/managerial control · not applicable · since 06/01/2025
- JONES, TEQUILLAOperational/managerial control · not applicable · since 06/01/2025
- NELSON, JOHNOperational/managerial control · not applicable · since 11/01/2025
- PAYNE, PATRICKOperational/managerial control · not applicable · since 08/04/2025
- RUSSELL, ALEXOperational/managerial control · not applicable · since 07/01/2025
Questions
When was Biltmore Haven Nursing and Rehabilitation last inspected?
CMS lists July 31, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Biltmore Haven Nursing and Rehabilitation have?
CMS lists 48 health citations since December 28, 2023. CMS also calls these deficiencies.
Has Biltmore Haven Nursing and Rehabilitation been fined?
CMS lists 3 fines in the past three years, $179,790 in total.
What is the CMS star rating of Biltmore Haven Nursing and Rehabilitation?
Its CMS overall star rating is 1 of 5.
Is Biltmore Haven Nursing and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.