5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
5/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
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 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 59m per day | |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 47m per day | |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 3h 9m per day | |
|
Weekend Total Nursing
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 8m per day | |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 8m per day | |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 39m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
State average N/A
Last Health inspection on Feb 2025
State average N/A
State average N/A
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 20 citations resulted from standard inspections.
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursAssists with medical care and medications.
40 total: 10 full-time employees and 30 contractors.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.3 hoursHelps with daily care and mobility.
89 total: 52 full-time employees and 37 contractors.
89
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4,694 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 52 | 37 | 89 | 16,629 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 10 | 30 | 40 | 4,123 | 92 | 100% | 10.3 |
| Registered Nurse | 8 | 1 | 9 | 2,819 | 92 | 100% | 8.7 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,858 | 86 | 93% | 8.7 |
| Mental Health Service Worker | 3 | 0 | 3 | 755 | 65 | 71% | 8 |
| Physical Therapy Aide | 1 | 3 | 4 | 710 | 66 | 72% | 6.8 |
| Respiratory Therapy Technician | 0 | 7 | 7 | 679 | 71 | 77% | 4.1 |
| Speech Language Pathologist | 0 | 5 | 5 | 532 | 66 | 72% | 4.1 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Assistant | 0 | 5 | 5 | 494 | 65 | 71% | 5.9 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 385 | 49 | 53% | 7.9 |
| Qualified Social Worker | 0 | 1 | 1 | 339 | 59 | 64% | 5.7 |
| Occupational Therapy Aide | 0 | 2 | 2 | 93 | 19 | 21% | 3.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 36 | 9 | 10% | 4 |
| Other Social Services Staff | 1 | 0 | 1 | 31 | 4 | 4% | 7.8 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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 State averageState average: 11.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
31.9
55% worse than State averageState average: 20.6
Percent of long-stay residents whose need for help with daily activities has increased
27.1%
54% worse than State averageState average: 17.5%
Percent of long-stay residents whose ability to move independently worsened
30.3%
30% worse than State averageState average: 23.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
38.4%
79% worse than State averageState average: 21.4%
Percent of long-stay residents experiencing one or more falls with major injury
13.8%
280% worse than State averageState average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
5.1%
19% better than State averageState average: 6.3%
Percent of long-stay residents with a urinary tract infection
4.5%
70% worse than State averageState average: 2.6%
Percent of long-stay residents who lose too much weight
7.4%
In line with State averageState average: 7.4%
Percent of long-stay residents who have depressive symptoms
1.7%
61% better than State averageState average: 4.4%
Percent of long-stay residents who received an antipsychotic medication
12.0%
11% better than State averageState average: 13.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
7% better than State averageState average: 91.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
88.9%
6% worse than State averageState average: 94.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
94.8%
19% better than State averageState average: 79.9%
Percent of short-stay residents who newly received an antipsychotic medication
0.9%
43% better than State averageState average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
74.4%
5% worse than State averageState average: 78.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
58Residents 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.
Historical financial and operational data for Given Estates from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #1 / 104Payroll — State benchmarkedThis home is ranked 1st out of 104 homes in North Carolina for Payroll. 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.Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #91 / 104Payroll % — State benchmarkedThis home is ranked 91st out of 104 homes in North Carolina for Payroll %. Shows payroll as a percentage of revenue versus the North Carolina average. Well-run North Carolina facilities typically land around 49–62% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in North Carolina that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 29 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
6.5 miles from city center
Estimated distance in miles from Asheville's city center to Given Estates's address, calculated via Google Maps.
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The information below is reported by the North Carolina Department of Health and Human Services, Division of Health Service Regulation.
| St. Joseph of the Pines, a CCRC | NH AL IL MC SNF | Southern Pines | - | 176 | A+ | 2 | Private Rooms |
| Givens Highland Farms | NH HC IL RC SNF | Black Mountain | - | 60 | - | 12 | Studio / 1 Bed / 2 Bed / 3 Bed |
| Given Estates | NH AL RC SNF | Asheville (Stockwood) | - | 70 | - | 29 | - |
| Wesley Pines | NH AL IL MC SNF | Lumberton | - | 62 | A+ | 9 | 1 Bed / Cottage / Villa |
| Walnut Ridge | NH AL IL MC | Walnut Cove (Windmill Street) | - | 63 | A+ | 50 | Studio / Suite |
Given Estates is in the Stockwood neighborhood of Asheville.
Given Estates has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Given Estates's occupancy is 81.4%.
Given Estates is registered as a non-profit in NC.
Yes — there are 10 photos of Given Estates in the photo gallery on this page.
Given Estates is located at 2360 Sweeten Creek Rd, Asheville, NC 28803.
(828) 274-4800 will put you in contact with the team at Given Estates.
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