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Nursing homes in Buncombe County, North Carolina

Explore homes across the county, or narrow your search to a local community.

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North Carolina
Photo credits
19HomesThis site's facility dataset
1,899Certified bedsTotal capacity, not current availability
18Accept MedicarePer this site's payment data; confirm with the home
18Accept MedicaidPer this site's payment data; confirm with the home

Homes across Buncombe County

Homes and star ratings come from Medicare (CMS) and can be a few months old. Medicare doesn’t list which homes offer memory care, hospice or other programs: look for them in a home’s own profile, or ask the home.

19 homes

Bear Mountain Health and Rehabilitation

500 Beaverdam Road · Asheville, NC

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

77 certified bedsMedicareMedicaid

Mountain Ridge Rehabilitation and Healthcare Cente

611 Old Us Highway 70 East · Black Mountain, NC

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

97 certified bedsMedicareMedicaid

Highland Farms

200 Tabernacle Road · Black Mountain, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

60 certified bedsMedicareMedicaid

Elevate Health and Rehabilitation

91 Victoria Road · Asheville, NC

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

120 certified bedsMedicareMedicaid

Aston Park Health Care Center

380 Brevard Road · Asheville, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

120 certified bedsMedicareMedicaid

StoneCreek Health and Rehabilitation

455 Victoria Road · Asheville, NC

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

120 certified bedsMedicareMedicaid

The Greens at Weaverville

78 Weaver Boulevard · Weaverville, NC

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

122 certified bedsMedicareMedicaid

The Laurels of Greentree Ridge

70 Sweeten Creek Road · Asheville, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

90 certified bedsMedicareMedicaid

Givens Health Center

600 Barrett Lane · Asheville, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

70 certified bedsMedicareMedicaid

Pisgah Manor Health Care Center

104 Holcombe Cove Road · Candler, NC

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

118 certified bedsMedicareMedicaid

Fleshers Fairview Health Care

3016 Cane Creek Road · Fairview, NC

CMS overall rating★★☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

106 certified bedsMedicareMedicaid

Swannanoa Valley Health and Rehabilitation

1984 Us Highway 70 · Swannanoa, NC

CMS overall rating★★★☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

106 certified bedsMedicareMedicaid

River Bend Health and Rehabilitation

213 Richmond Hill Drive · Asheville, NC

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

100 certified bedsMedicareMedicaid

The Laurels of Summit Ridge

100 Riceville Road · Asheville, NC

CMS overall rating★★★★☆CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

68 certified bedsMedicareMedicaid

Emerald Ridge Health and Rehabilitation

25 Reynolds Mountain Boulevard · Asheville, NC

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

100 certified bedsMedicareMedicaid

Biltmore Haven Nursing and Rehabilitation

3864 Sweeten Creek Road · Arden, NC

CMS overall rating★☆☆☆☆CMS Care Compare
No photo on file

Ownership: For-profit (limited liability company)

100 certified bedsMedicareMedicaid

Deerfield Episcopal Retirement

1617 Hendersonville Road · Asheville, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Non-profit (corporation)

62 certified bedsMedicare

Nc State Veterans Home - Black Mountain

62 Lake Eden Road · Black Mountain, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: For-profit (corporation)

100 certified bedsMedicareMedicaid

Black Mountain Neuro-Medical Treatment Center

932 Old Us Highway 70 · Black Mountain, NC

CMS overall rating★★★★★CMS Care Compare
No photo on file

Ownership: Government (state)

163 certified bedsMedicaid

CMS ratings and family reviews are separate. Medicare data as of September 2026.

Understand the local picture

Nursing home care at a glance

Scope: all homes within Buncombe County, North Carolina. Filters do not change this comparison scope.

CMS overall rating

out of 5 · from this site's directory data

Buncombe County3.21
North Carolina2.93
United States2.98

Ratings offer a starting point. Review each home’s inspection, staffing and quality details.

Source: Medicare (CMS) Care Compare · scope: Buncombe County (19 facilities), North Carolina (419 facilities), United States (14,690 facilities) · Medicare data as of September 2026 · average of each facility's CMS overall star rating, each home counted equally

Nurse staffing time

hours of nursing care per resident per day · higher is better

Buncombe County3 hr 49 min
North Carolina3 hr 51 min
United States3 hr 52 min
Source: Medicare (CMS) payroll-based staffing data · Buncombe County: average of 18 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026

Nursing staff turnover

share of nursing staff who left in a year · lower is better

Buncombe County50%
North Carolina49%
United States46%
Source: Medicare (CMS) · Buncombe County: average of 18 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026
Explore more local data

Inspections and quality

Each home’s page shows its full Medicare inspection record, what Medicare found, fines, and short-stay and long-stay quality measures, compared with the state average.

How these comparisons work

Area figures are simple averages of the homes listed here that have Medicare data, with each home counted equally. State and national figures are Medicare’s own averages. An average does not describe any single home. Our methodology.

Understand your options

Choosing care in Buncombe County

This directory lists 19 nursing homes in Buncombe County, North Carolina, with 1,899 certified beds between them. Their average CMS overall rating is 3.2 stars, above the national average of 3.0 stars: 8 homes hold four or five stars and 7 have one or two.

Among the highest-rated homes are Deerfield Episcopal Retirement (5 stars), Black Mountain Neuro-Medical Treatment Center (5 stars) and Aston Park Health Care Center (5 stars).

By ownership, 74% are for-profit, 21% non-profit and 5% government-owned. None is currently a CMS Special Focus Facility. 1 home carries the CMS abuse icon, which flags recent inspection citations related to abuse; check the inspection details on each profile.

These figures come from the CMS data behind this directory. Ratings and inspections change, so confirm current details on each home’s profile and with the home itself.

Costs and payment

Contact your shortlisted homes for a current quote and to discuss accepted payment options.

Explore payment guides →
What should I ask before choosing a home?

Ask how the home will meet your loved one’s needs, how family members receive updates, what costs to expect, and whether you can visit before deciding.

How can I broaden my search?

Open the county map search, select a community below, or browse the North Carolina state directory.

A little guidance goes a long way

Planning your county-wide search

A county-wide search can help you see more options. Narrow the list to communities that make visits manageable for family and friends. Review each home’s information, then contact your shortlist about the care you need, payment options and next steps.

Need a hand narrowing it down?

Tell us what matters to your family and get help exploring your options.

Get help →

Feel prepared for the next step

Read practical guides about tours, coverage questions and care transitions.

Explore family guides →
Common questions

Planning your county search

How do I narrow the county-wide list?

Choose a community in the left panel, then use rating, payment and size filters. County results stay within the municipality.

What should I review beyond the overall rating?

Open each facility profile to review dated inspection, staffing and quality information, and keep family reviews separate from CMS ratings.

How do I check payment and admissions?

Contact the home to discuss accepted coverage, costs and current admissions. A directory listing does not confirm availability or individual insurance coverage.

Find care closer to you

Browse communities in Buncombe County

Explore nearby areas →

Questions about nursing homes in Buncombe County

How many nursing homes are in Buncombe County?

There are 19 Medicare-certified nursing homes in Buncombe County, with 1,899 certified beds in total. Bed counts show capacity, not current openings.

Which nursing homes in Buncombe County have the highest Medicare rating?

Black Mountain Neuro-Medical Treatment Center (5 stars), Deerfield Episcopal Retirement (5 stars), Aston Park Health Care Center (5 stars). See the full ranking.

What is the average Medicare rating of nursing homes in Buncombe County?

3.2 out of 5 across 19 rated homes, compared with 2.9 for North Carolina as a whole.

Do nursing homes in Buncombe County accept Medicaid?

18 of the 19 homes accept Medicaid, according to Medicare’s records. Confirm with each home, since Medicaid beds can be limited. How nursing home Medicaid works in North Carolina.

Are any nursing homes in Buncombe County on Medicare’s Special Focus list?

No. The Special Focus program follows homes with a history of serious quality problems. Data as of September 2026.