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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Nestled in Asheville, North Carolina, Givens Estates is a senior life plan community where residents are empowered to lead extraordinary lives filled with purpose, passion, and possibility. Their mission is to offer assisted living, skilled nursing, and home care that fosters personal growth, meaningful connections, and spiritual development. Rooted in compassion and respect, Givens Estates values each individual’s journey, providing a safe and nurturing space where seniors can thrive and pursue their dreams.
At Givens Estates, residents enjoy a wealth of assisted living and nursing home amenities and facilities designed to enhance their quality of life. From spacious retirement homes to restaurant-style dining experiences, the community offers a range of options tailored to meet diverse needs and preferences. Residents benefit from daily housekeeping, personal transportation services, and access to a fully equipped therapy gym. With breathtaking mountain views and serene garden beds, Givens Estates provides a tranquil setting for residents to relax and rejuvenate. Whether participating in on-site activities or exploring the surrounding nature trails, residents find endless opportunities for enrichment and enjoyment at Givens Estates.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
53% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Key information about the people who lead and staff this community.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicare services.
State average 4
Last Health inspection on Feb 2025
State average 20.9
State average 4.99
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
0
100% better than State average
State average: 1.3
0
100% better than State average
State average: 0.9
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 06, 2025
Corrected
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 06, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
6.5 miles from city center — 0.47 miles to nearest hospital (Publix Pharmacy at Pinnacle Point)
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
51% better than North Carolina average
North Carolina average ratio: 1.85:1
0% compared with North Carolina average
North Carolina average: 8 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
This role is partially covered by contractors.
Total hours from contractors
4,544 contractor hours this quarter
| Certified Nursing Assistant | 53 | 32 | 85 | 14,930 | 91 | 100% | 9.1 |
| Registered Nurse | 14 | 0 | 14 | 4,440 | 91 | 100% | 8.9 |
| Licensed Practical Nurse | 9 | 19 | 28 | 3,552 | 91 | 100% | 10.1 |
| Medication Aide/Technician | 4 | 0 | 4 | 1,603 | 85 | 93% | 10.4 |
| Physical Therapy Aide | 1 | 2 | 3 | 1,298 | 67 | 74% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 992 | 65 | 71% | 8 |
| Dietitian | 2 | 0 | 2 | 941 | 74 | 81% | 8 |
| Mental Health Service Worker | 2 | 0 | 2 | 810 | 62 | 68% | 8.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 640 | 75 | 82% | 3.8 |
| Physical Therapy Assistant | 0 | 4 | 4 | 591 | 74 | 81% | 4.6 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 492 | 73 | 80% | 3.8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 340 | 60 | 66% | 5.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 94 | 22 | 24% | 3.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 37 | 12 | 13% | 3 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
46% worse than North Carolina average
North Carolina average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
55% worse than North Carolina average
North Carolina average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
54% worse than North Carolina average
North Carolina average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
30.3%
30% worse than North Carolina average
North Carolina average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.4%
79% worse than North Carolina average
North Carolina average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
13.8%
280% worse than North Carolina average
North Carolina average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.1%
19% better than North Carolina average
North Carolina average: 6.3%
Percent of long-stay residents with a urinary tract infection
4.5%
70% worse than North Carolina average
North Carolina average: 2.6%
Percent of long-stay residents who lose too much weight
7.4%
In line with North Carolina average
North Carolina average: 7.4%
Percent of long-stay residents who have depressive symptoms
1.7%
61% better than North Carolina average
North Carolina average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
12.0%
11% better than North Carolina average
North Carolina average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
7% better than North Carolina average
North Carolina average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
6% worse than North Carolina average
North Carolina average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
19% better than North Carolina average
North Carolina average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
43% better than North Carolina average
North Carolina average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
5% worse than North Carolina average
North Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Historical financial and operational data for Given Estates based on CMS SNF Cost Reports.
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