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Given Estates
Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Asheville, NC
CMS overall rating Info 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.
Exterior view of a senior living facility with mountains in the background Exterior view of a senior living facility at sunset Aerial view of a senior living facility with parking Beautiful outdoor area with seating and a pond view

Given Estates

Nursing Home, Assisted Living, Respite Care & Skilled Nursing · Asheville, NC
CMS overall rating Info 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.
2360 Sweeten Creek Rd, Asheville, NC 28803 View map
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Given Estates accepts Medicare, Medicaid, and private pay.
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Given Estates accepts Medicare, Medicaid, and private pay.

Overview of Given Estates

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Given Estates provides nursing home, nursing care, assisted living, respite care, and skilled nursing in Asheville, North Carolina. Assisted living offers help with daily tasks while a resident keeps an apartment, while nursing home and skilled nursing provide licensed nursing support. Respite care is a short-term stay for a family caregiver who needs to travel or recover. The range of care levels can suit a resident whose needs may grow over time without requiring a move to another community.

Given Estates has 70 beds and opened in 1979. Medicare, Medicaid, and private pay are accepted. Medicare can apply to short-term skilled care after a hospital stay, while Medicaid can help when savings may not cover a long stay. Total nurse staffing is 5h 58m per resident per day, representing the daily hands-on nursing time assigned to each resident.

The Wellness Center and rehabilitation services give residents access to wellness and therapy services. Scheduled transportation is available for planned trips. A salon and spa provide personal grooming services, and pets are allowed, so a resident can bring a pet when moving in. Kirsten Cone serves as director.

Facility Direct Line (828) 274-4800
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 71.2% Above NC avg. ▲ 71.2% Above NC avg.NC average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 37.8% Above NC avg. ▲ 37.8% Above NC avg.NC average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 84.3% Above NC avg. ▲ 84.3% Above NC avg.NC average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 7.9% Below NC avg. ▼ 7.9% Below NC avg.NC average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs North Carolina averages

Rank #15 / 82Nurse hours — State benchmarked This nursing home is ranked 15th out of 82 nursing homes we track in North Carolina for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the North Carolina average, with a ranking across 82 North Carolina facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Total nursing care Info This nursing home is ranked 15th out of 82 nursing homes we track in North Carolina for nurse hours. 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 58m

48% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
1h 18m
+101% State avg: 39m per day · National avg: 42m per day
LPN / LVN Info 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.
57m
+4% State avg: 55m per day · National avg: 52m per day
Nurse Aide Info 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 43m
+52% State avg: 2h 27m per day · National avg: 2h 24m per day
Weekend Total Nursing Info 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 52m
+36% State avg: 3h 34m per day · National avg: 3h 31m per day
Physical Therapist Info 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
+49% State avg: 5m per day · National avg: 4m per day
Weekend RN Info 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.
47m
+90% State avg: 24m per day · National avg: 29m per day

All 6 underlying metrics are above the state average

Standout metric: Registered Nurse (RN) is +101% above North Carolina average

By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 70 Rank #51 / 81Bed count — State benchmarked This nursing home is ranked 51st out of 81 nursing homes we track in North Carolina for bed count. Shows this facility's certified or reported bed count compared to other North Carolina facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

Smaller home · May offer a more intimate, personalized care environment.

Walk Score Info Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation. Rank #57 / 111Walk Score — State benchmarked This nursing home is ranked 57th out of 111 nursing homes we track in North Carolina for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across North Carolina facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
29 / 100
Occupancy rate Info Occupancy lower than 85% suggests more openings may be available. Rank #52 / 70Occupancy rate — State benchmarked This nursing home is ranked 52nd out of 70 nursing homes we track in North Carolina for occupancy. Shows this facility's occupancy rate versus the North Carolina average, with its Statewide rank out of 70. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
78.1% This home usually has availability

Based on residents per day and 70 beds.

Lower than the North Carolina average: 82.2%
Residents per day (avg) Info The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
55

Source: CMS Provider Information, average daily residents (data as of Aug 2026)

Avg. Length of Stay Info 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.
116 days

About This Community

License Details

CMS Certification Number345328
AccreditationsCARF accredited since 1993
Inspection RatingA- rating by Fitch Ratings

Safety & Compliance

Emergency Systems24-hour security and an urgent call system.
Safety FeaturesEmergency call system in each residence.

Payment & Insurance

1 service
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

2 services
24-Hour Staffing
Pharmacy

Additional Services

4 services
Respite Care
Housekeeping
Maintenance
TransportationListed as: Scheduled transportation

Additional Policies & Features

Pets Allowed

Amenities & Lifestyle

Salon
Fitness Center
Internet Access
Cable Tv
Guest Rooms for Visitors

Contact Given Estates

CMS Health Inspection History

Inspections Since 2023 · 3 years of data

Includes all CMS health inspection records for this property, which could include management/ownership changes.

Total health inspections 3

North Carolina average 3.9

Last Health inspection on Mar 2026

Total health citations
19 Rank #57 / 82Health citations — State benchmarked This nursing home is ranked 57th out of 82 nursing homes we track in North Carolina for health citations. Shows this facility's total health deficiency citations benchmarked to the North Carolina State average, with a ranking across all 82 NC facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

North Carolina average 19

Citations per inspection
6.33 Rank #69 / 82Citations per inspection — State benchmarked This nursing home is ranked 69th out of 82 nursing homes we track in North Carolina for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the North Carolina mean across 82 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

North Carolina average 4.64

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

All 19 citations resulted from standard inspections.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than North Carolina average

North Carolina average: 1

Serious health citations
0
100% better than North Carolina average

North Carolina average: 0.8

0 critical citations North Carolina average: 1
0 serious citations North Carolina average: 0.8
17 moderate citations North Carolina average: 15.7
2 minor citations North Carolina average: 1.4
Citations history (last 3 years)
Care Planning moderate citation Mar 18, 2026
Corrected
Infection Control moderate citation Feb 06, 2025
Corrected
Nutrition moderate citation Feb 06, 2025
Corrected
Quality of Care moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 174
Employees 82
Contractors 92
Staff to resident ratio 3.22 : 1

174 total staff / 54 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).

83% more staff per resident than North Carolina average
North Carolina average ratio: 1.76 : 1 North Carolina average ratio: 1.76 : 1See full North Carolina ranking
Avg staff/day 39
Average shift 8.5 hours
6% better than North Carolina average
North Carolina average: 8 hours North Carolina average shift: 8 hoursSee full North Carolina ranking
Total staff hours (quarter) 30,451

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 9 total: 8 full-time employees and 1 contractor. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 40 total: 10 full-time employees and 30 contractors. 40
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 89 total: 52 full-time employees and 37 contractors. 89
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.2 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

15.4%

4,694 contractor hours this quarter

Certified Nursing Assistant: 37 Licensed Practical Nurse: 30 Respiratory Therapy Technician: 7 Speech Language Pathologist: 5 Physical Therapy Assistant: 5 Physical Therapy Aide: 3 Occupational Therapy Aide: 2 Registered Nurse: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant52378916,62992100%9.2
Licensed Practical Nurse1030404,12392100%10.3
Registered Nurse8192,81992100%8.7
Clinical Nurse Specialist4041,8588693%8.7
Mental Health Service Worker3037556571%8
Physical Therapy Aide1347106672%6.8
Respiratory Therapy Technician0776797177%4.1
Speech Language Pathologist0555326672%4.1
Nurse Practitioner1015206571%8
Physical Therapy Assistant0554946571%5.9
Administrator1014485661%8
Dietitian1013854953%7.9
Qualified Social Worker0113395964%5.7
Occupational Therapy Aide022931921%3.7
Occupational Therapy Assistant01136910%4
Other Social Services Staff1013144%7.8
89 Certified Nursing Assistant
% of Days 100%
40 Licensed Practical Nurse
% of Days 100%
9 Registered Nurse
% of Days 100%
4 Clinical Nurse Specialist
% of Days 93%
View All Staffing Data in Asheville

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 16.9
71% worse than North Carolina average

North Carolina average: 9.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 31.1
71% worse than North Carolina average

North Carolina average: 18.2

Long-stay resident measures
Significantly below average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.3%
82% worse than North Carolina average

North Carolina average: 15.6%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 37.6%
105% worse than North Carolina average

North Carolina average: 18.3%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.2%
31% worse than North Carolina average

North Carolina average: 20.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 9.6%
172% worse than North Carolina average

North Carolina average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 4.3%
22% better than North Carolina average

North Carolina average: 5.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.4%
In line with North Carolina average

North Carolina average: 2.3%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.8%
32% better than North Carolina average

North Carolina average: 7.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 7.2%
22% worse than North Carolina average

North Carolina average: 5.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.6%
40% worse than North Carolina average

North Carolina average: 14.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.3%
7% better than North Carolina average

North Carolina average: 92.0%

Influenza Vaccine Info 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%

Short-stay resident measures
Significantly above average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.5%
20% better than North Carolina average

North Carolina average: 80.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than North Carolina average

North Carolina average: 1.4%

Influenza Vaccine Info 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.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)

Total residents 54
Medicare
15
27.8% of residents
Medicaid
8
14.8% of residents
Private pay or other
31
57.4% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Operated by a nonprofit corporation.
Net patient revenue Info 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."
$60.9M
Net patient income Info 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."
$9.3M
Nonprofit Operated by a nonprofit corporation.
Net patient revenue Info 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."
$60.9M Rank #1 / 83Net patient revenue — State benchmarked This nursing home is ranked 1st out of 83 nursing homes we track in North Carolina. Shows this facility's net patient revenue compared to the North Carolina average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info 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."
$9.3M
Other income Info 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.
$7.5M
Payroll costs Info 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 / 83Payroll costs — State benchmarked This nursing home is ranked 1st out of 83 nursing homes we track in North Carolina. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the North Carolina average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
$21.6M 35.6% of net patient revenue Info 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 #74 / 83Payroll % of net patient revenue — State benchmarked This nursing home is ranked 74th out of 83 nursing homes we track in North Carolina. Shows payroll as a percentage of net patient revenue versus the North Carolina average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in North Carolina that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info 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).
$29.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$51.5M
How we calculate these figures

This home is owned by John Cowan

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 345328

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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.

Admissions
174 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 45%
Medicaid 2%
Discharges
180 total

Coverage residents most often leave under.

Medicare 36%
Private pay 60%
Medicaid 4%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Given Estates

Address 6.5 miles from city center Info Estimated distance in miles from Asheville's city center to Given Estates's address, calculated via Google Maps.

Calculate Travel Distance to Given Estates

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Address

Compare Assisted Living around Asheville

Info below is compiled from CMS reports & the NC Dept. of Health & Human Services (NCDHHS), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest-ranked to lowest-ranked based on our methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. RC (Respite Care): Short-term temporary care that gives family caregivers a break.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The North Carolina average is: 58.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Given Estates ★ ★ ★ ★ ★
AL
NH
RC
SNF
Asheville (Stockwood)
70
Facility 70
NC AVG 92
Rank #51 / 81
78.1%
Facility 78.1%
NC AVG 82.2%
Rank #52 / 70
-5%
5.96
Facility 5.96
NC AVG 4.02
Rank #15 / 82
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ -43%+48%
$0
Facility $0
NC AVG $66.6k
Rank #1 / 88
19
Facility 19
NC AVG 19.0
Rank #57 / 82
6.3
Facility 6.3
NC AVG 4.6
Rank #69 / 82
-55-
29
Facility 29
NC AVG 33
Rank #57 / 111
John Cowan
$60.9MFiscal year ending 12/2023
Facility $60.9MFiscal year ending 12/2023
NC AVG $15.4M
Rank #1 / 83
$21.6MFiscal year ending 12/2023
Facility $21.6MFiscal year ending 12/2023
NC AVG $8.1M
Rank #1 / 83
35.6%Fiscal year ending 12/2023
Facility 35.6%Fiscal year ending 12/2023
NC AVG 58.9%
Rank #74 / 83
345328
Flesher’s Fairview Rest Home ★ ★ ☆ ☆ ☆
AL
NH
SNF
Fairview
64
Facility 64
NC AVG 92
Rank #57 / 81
--
4.63
Facility 4.63
NC AVG 4.02
Rank #29 / 82
 ★ ☆ ☆ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ☆ ☆ +21%+15%
$61.3k
Facility $61.3k
NC AVG $66.6k
Rank #76 / 88
38
Facility 38
NC AVG 19.0
Rank #75 / 82
12.7
Facility 12.7
NC AVG 4.6
Rank #82 / 82
647-
19
Facility 19
NC AVG 33
Rank #76 / 111
Susan Cole
$6.8MFiscal year ending 09/2023
Facility $6.8MFiscal year ending 09/2023
NC AVG $15.4M
Rank #79 / 83
$3.9MFiscal year ending 09/2023
Facility $3.9MFiscal year ending 09/2023
NC AVG $8.1M
Rank #72 / 83
57.1%Fiscal year ending 09/2023
Facility 57.1%Fiscal year ending 09/2023
NC AVG 58.9%
Rank #20 / 83
345413

Rank badges are statewide and care-type specific: each nursing home is ranked against every other NC nursing home we track that reports that metric, not just the 2 on this page. See how we rank facilities

Nursing Home Explorer

Financial Assistance for
Assisted Living in North Carolina

Given Estates is located in Asheville, North Carolina.
Here are the financial assistance programs available to residents in North Carolina.

Get Financial aid guidance

Community Alternatives Program for Disabled Adults

NC Medicaid CAP/DA

Age 65+ or disabled
General North Carolina resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
NC

High demand; waitlists common in urban areas.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($60/day) Home modifications ($1,500 avg.)

North Carolina Senior Care Options

NC SCO (via NFCSP)

Age Caregiver of someone 60+ (or with dementia)
General North Carolina resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
NC

Limited slots; rural/urban balance.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Program of All-Inclusive Care for the Elderly (PACE)

North Carolina PACE (e.g., PACE of the Triad)

Age 55+
General NC resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
NC

Available in 10+ counties (e.g., Guilford, Wake); multiple providers (e.g., PACE of the Southern Piedmont).

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

In-Home Aide Services

North Carolina In-Home Aide Services

Age 60+
General NC resident, unable to perform 1+ ADL, at risk of nursing home placement.
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
NC

Family can be aides; varies by county funding.

Benefits
Personal care (5-20 hours/week) Meal prep Respite (~5 days/year) Errands

Medicare Savings Program (MSP)

North Carolina Medicare Savings Program

Age 65+ or disabled
General NC resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
NC

Three tiers; no waitlist; includes Extra Help for Part D.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

VA Aid and Attendance (A&A) and Housebound Benefits

North Carolina VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General NC resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
NC

High veteran demand in rural/urban areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Urgent Repair Program (URP)

North Carolina Urgent Repair Program

Age 60+ prioritized
General NC resident, homeowner, low-income.
Income Limits (2025) ~$30,258/year 50% AMI, varies by county
Asset Limits Not strictly assessed; home value considered.
NC

Forgivable at $2,000/year; statewide via local partners.

Benefits
Repairs (~$8,000-$12,000 avg.) for safety (e.g., roofs, heating, accessibility)

State/County Special Assistance (SA)

North Carolina Special Assistance

Age 65+ (or disabled)
General NC resident, in licensed adult care home, low-income.
Income Limits (2025) ~$1,255/month (individual, 100% FPL); varies by facility rate.
Asset Limits $2,000 individual
NC

Covers assisted living; counties supplement state funds.

Benefits
Cash (~$1,200-$1,500/month) for room/board; Medicaid covers care services

Frequently Asked Questions about Given Estates

What neighborhood is Given Estates in?

Given Estates is in the Stockwood neighborhood of Asheville.

Is Given Estates in a walkable area?

Given Estates has a walk score of 29. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Given Estates?

Given Estates's occupancy is 78.1%.

Are pets allowed at Given Estates?

Yes, Given Estates allows residents to bring their pets.

Does Given Estates operate as a for-profit or non-profit?

Given Estates is registered as a non-profit in NC.

What is the overall rating for Given Estates?

Given Estates received a 5-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.

How many beds does Given Estates have?

Given Estates has 70 beds.

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