Total health inspections
3
State average 4
Last Health inspection on Feb 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Given Estates
Senior Communities in North Carolina
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Given Estates
Senior Communities in North Carolina
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
Given Estates accepts Medicare, Medicaid, and private pay.
Overview of Given Estates
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.
Quality ratings
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.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 14th out of 60 homes in North Carolina.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 14th out of 60 homes in North Carolina.Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
5h 36m per day
Rank #14 / 60Nurse hours — state benchmarkedThis home is ranked 14th out of 60 homes in North Carolina.Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 60 North Carolina SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs North Carolina avg
+14%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 12m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
81.4%
Rank #35 / 66Occupancy rate — state benchmarkedThis home is ranked 35th out of 66 homes in North Carolina.Shows this facility's occupancy rate versus the North Carolina average, with its statewide rank out of 66. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
116 days
Occupancy rate
81.4%
Rank #35 / 66Occupancy rate — state benchmarkedThis home is ranked 35th out of 66 homes in North Carolina.Shows this facility's occupancy rate versus the North Carolina average, with its statewide rank out of 66. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
116 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
53% of new residents, usually for short-term rehab.
Typical stay
29 days
Private pay
45% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
2% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$70.1M
Surplus of revenue
$16.9M
Voluntary non-profit community
Operated by a church.
Home revenue
$70.1M Rank #1 / 67Revenue — state benchmarkedThis home is ranked 1st out of 67 homes in North Carolina.Shows this facility's annual revenue compared to the North Carolina SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$16.9M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 67Payroll — state benchmarkedThis home is ranked 1st out of 67 homes in North Carolina.Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$19.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #1 / 67Payroll — state benchmarkedThis home is ranked 1st out of 67 homes in North Carolina.Shows total annual staff payroll benchmarked to the North Carolina average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$34.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$53.3M
Walk Score: 29 / 100 Rank #28 / 63Walk Score — state benchmarkedThis home is ranked 28th out of 63 homes in North Carolina.Shows how walkable this facility's neighborhood is compared to the average Walk Score across North Carolina SNFs. Higher scores benefit residents, families, and staff.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
CMS Certification Number345328
AccreditationsCARF accredited since 1993
Inspection RatingA- rating by Fitch Ratings
Emergency Systems24-hour security and an urgent call system.
Safety FeaturesEmergency call system in each residence.
Staffing
Key information about the people who lead and staff this community.
ContactKen Partin, Administrator
Accept Medicare
Rehabilitation Services
Respite Care
24-Hour Staffing
Housekeeping
Grounds Keeping
Maintenance Services
24-Hour Security
Urgent Call System
Beauty Salon
Physician’s Office
Daily Clinic
Pharmacy
Fitness Coaching
Outpatient Therapy Services
Home Care Services
Scheduled Transportation
Guest Rooms For Visitors
Telephone
Internet
Water
Sewer Service
Garbage Pickup
Fire Insurance
Specific ProgramsCommunity Life, Life Enrichment, Wellness Center, Dining Venues, Residences
Food DescriptionFlexible dining program available.
Access & Eligibility
Ways to qualify for care at this community, including accepted programs.
Medicare Accepted
This facility is certified for eligible Medicare services.
Health Inspection History
Inspections
Total health citations
20
Rank #44 / 65Health citations — state benchmarkedThis home is ranked 44th out of 65 homes in North Carolina.Shows this facility's total health deficiency citations benchmarked to the North Carolina state average, with a ranking across all 65 NC SNFs. Lower citation counts earn a better rank.
State average 20.9
Citations per inspection
6.67
Rank #57 / 65Citations per inspection — state benchmarkedThis home is ranked 57th out of 65 homes in North Carolina.Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 65 SNFs with citation data. Lower is better.
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.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than State averageState average: 1.3
Serious Health citations
0
0
100% better than State averageState average: 0.9
0 critical citations
0 serious citations
18 moderate citations
2 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Feb 06, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Feb 06, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 06, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Feb 06, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Feb 06, 2025
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.
Financial Assistance for
Senior Communities in North Carolina
Given Estates is located in Asheville, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.
Places of interest near Given Estates
6.5 miles from city center
Estimated distance in miles from Asheville's city center to Given Estates's address, calculated via Google Maps.
— 0.47 miles to nearest hospital (Publix Pharmacy at Pinnacle Point)
Calculate Travel Distance to Given Estates
Add your location
Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
162
Employees
89
Contractors
73
Staff to resident ratio
2.79:1
51% better than North Carolina averageNorth Carolina average ratio: 1.85:1
Avg staff/day
42
Average shift
8.3 hours
0% compared with North Carolina averageNorth Carolina average: 8 hours
Total staff hours (quarter)
31,758
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
28
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.1 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
85
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.3%
4,544 contractor hours this quarter
Certified Nursing Assistant: 32
Licensed Practical Nurse: 19
Respiratory Therapy Technician: 6
Speech Language Pathologist: 5
Physical Therapy Assistant: 4
Physical Therapy Aide: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
Staff by category
| 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 |
85 Certified Nursing Assistant
% of Days
100%
14 Registered Nurse
% of Days
100%
28 Licensed Practical Nurse
% of Days
100%
4 Medication Aide/Technician
% of Days
93%
3 Physical Therapy Aide
% of Days
74%
2 Clinical Nurse Specialist
% of Days
71%
2 Dietitian
% of Days
81%
2 Mental Health Service Worker
% of Days
68%
5 Speech Language Pathologist
% of Days
82%
4 Physical Therapy Assistant
% of Days
81%
1 Administrator
% of Days
70%
6 Respiratory Therapy Technician
% of Days
80%
1 Nurse Practitioner
% of Days
67%
2 Qualified Social Worker
% of Days
66%
2 Occupational Therapy Aide
% of Days
24%
1 Occupational Therapy Assistant
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58
Medicare
15
25.9% of residents
Medicaid
5
8.6% of residents
Private pay or other
38
65.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.8
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 averageNorth Carolina average: 11.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
55% worse than North Carolina averageNorth Carolina average: 20.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
54% worse than North Carolina averageNorth Carolina average: 17.5%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
30.3%
Percent of long-stay residents whose ability to move independently worsened
30.3%
30% worse than North Carolina averageNorth Carolina average: 23.3%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.4%
79% worse than North Carolina averageNorth Carolina average: 21.4%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
13.8%
Percent of long-stay residents experiencing one or more falls with major injury
13.8%
280% worse than North Carolina averageNorth Carolina average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
19% better than North Carolina averageNorth Carolina average: 6.3%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.5%
Percent of long-stay residents with a urinary tract infection
4.5%
70% worse than North Carolina averageNorth Carolina average: 2.6%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.4%
Percent of long-stay residents who lose too much weight
7.4%
In line with North Carolina averageNorth Carolina average: 7.4%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.7%
Percent of long-stay residents who have depressive symptoms
1.7%
61% better than North Carolina averageNorth Carolina average: 4.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.0%
Percent of long-stay residents who received an antipsychotic medication
12.0%
11% better than North Carolina averageNorth Carolina average: 13.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
7% better than North Carolina averageNorth Carolina average: 91.6%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
6% worse than North Carolina averageNorth Carolina average: 94.1%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
19% better than North Carolina averageNorth Carolina average: 79.9%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
43% better than North Carolina averageNorth Carolina average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
5% worse than North Carolina averageNorth Carolina average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Senior Communities around North Carolina The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
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| Cross Road Retirement Community |
SC Senior Communitie
AL 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.
IL 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.
MC 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. | - | 152 | No | 0 | 55.3% | - | 102.50/200 | 21 | 66.7% | - | |
| Given Estates |
SC Senior Communitie
NH 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).
AL 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. | Asheville (Stockwood) | 70 | No | 29 | 81.4% | - | - | - | 0 | 0% | - |
| TerraBella Marchbanks |
SC Senior Communitie
AL 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.
MC 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. | Anderson (Windsor Place) | 60 | No | 39 | - | - | - | - | 0 | 0% | - |
| Searstone Retirement Community |
NH 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).
AL 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.
MC 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. | Cary (Searstone Drive) | - | No | 49 | - | A+ | - | - | 0 | 0% | - |
Financial Trends
Historical financial and operational data for Given Estates based on CMS SNF Cost Reports.
Occupancy Rate
81.4%
↑ 1.7pp vs 2022
Net Income
$16.9M
↑ ~$10.4M vs 2022
Total Payroll
$24.0M
↑ ~$6.5M vs 2022
Profit Margin
26.9%
↑ 13.0pp vs 2022
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