Swannanoa Valley Health and Rehabilitation

    1984 Us Hwy 70, Swannanoa, NC 28778
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Skilled rehab and family-like care

    I moved my dad here and am very pleased - the staff are genuinely caring and professional, nurses and CNAs go above and beyond, the facility is clean, activities are plentiful, and the food is consistently good. I have peace of mind knowing he's getting skilled rehab and hands-on, family-like care from a responsive, organized team.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.45·(38)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.8
    • Staff

      3.3
    • Meals

      3.2
    • Amenities

      1.0
    • Value

      3.4

    Pros

    • Compassionate, dedicated caregiving staff
    • Skilled physical and occupational therapy
    • Attentive certified nursing assistants
    • Positive short-term rehabilitation outcomes
    • Engaging activities and social programming
    • Varied dining options and capable kitchen staff
    • Secure, family-like community atmosphere
    • Clean and organized areas within the facility
    • Professional and knowledgeable nursing personnel
    • Support for both short-term and long-term stays
    • Staff willingness to go beyond assigned duties
    • Community-focused culture and helpful assistance

    Cons

    • Chronic understaffing
    • High staff turnover and inconsistent staffing assignments
    • Gaps in clinical escalation and emergency response
    • Inconsistent infection-control and PPE practices
    • Weak family communication and care-planning processes
    • Inadequate supervision and staff accountability
    • Sanitation and cleanliness issues in some areas
    • Inconsistent dining continuity and supply management
    • Poor personal-item management and inventory controls
    • Documentation and clinical follow-up gaps
    • Allegations of theft and financial misconduct

    Summary of reviews

    The reviews present a polarized picture of Swannanoa Valley Health and Rehabilitation. Many families and some former staff describe genuine strengths: compassionate, committed caregivers, strong physical and occupational therapy services, attentive CNAs, and an engaging activities program. Those positive accounts emphasize a family-like atmosphere, professional nursing in some units, varied dining options overseen by capable kitchen staff, and successful short-term rehabilitation outcomes for motivated residents.

    Conversely, a notable set of concerns centers on operational consistency. Chronic understaffing and high turnover appear to affect continuity of care and the ability of staff to form steady relationships with residents. Several reviewers described lapses that point to gaps in clinical escalation and emergency response, including delayed attention after adverse events and missed or delayed diagnostic follow-up. These issues are amplified by reported inconsistencies in infection-control practices and PPE use during the COVID-19 period, which reviewers identified as a safety concern.

    Communication and management practices are another recurring theme. Families described weak care-planning processes, limited social-work support, and difficulty obtaining timely updates or meaningful follow-through on administrative promises. Frequent leadership or name changes were said to create operational confusion. Reviewers also raised concerns about supervision and accountability when staff performance problems emerged, and some noted documentation and clinical follow-up gaps that complicated transitions to higher-acuity care.

    Facility-level operations relating to daily living and property management showed mixed feedback. Positive comments noted clean, organized common areas in parts of the campus and helpful dining choices; negative comments described intermittent sanitation and cleanliness issues, occasional interruptions to meal service or supply shortages, and problems with personal-item management (lost or misplaced mobility aids and hearing devices). There are also allegations regarding theft and financial misconduct; while such claims are serious and not uniformly corroborated in the reviews, they contribute to family unease and merit inquiry.

    In summary, Swannanoa Valley demonstrates clear areas of clinical and relational strength—particularly in rehabilitative therapy, compassionate caregivers, and a community-oriented environment—alongside operational weaknesses that affect reliability and perceived safety. Prospective residents and families would be well served to ask targeted questions about current staffing levels and turnover, emergency-response protocols, infection-control policies, care-plan meetings and social-work support, documentation practices, and processes for safeguarding personal property before making placement decisions.

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    Medicare Ratings

    4·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Swannanoa Valley Health and Rehabilitation

    Swannanoa Valley Health and Rehabilitation is located at 1984 Us Hwy 70, Swannanoa, NC, 28778.

    About Swannanoa Valley Health and Rehabilitation

    Swannanoa Valley Health and Rehabilitation sits in the small town of Swannanoa, North Carolina, surrounded by mountain views and a quiet community atmosphere. The facility offers skilled nursing care and has 106 certified beds, currently averaging about 101 residents each day. Residents can find respite care if their family caregivers need a break, or receive short-term rehabilitation after an illness or injury. The team provides memory care for those with Alzheimer's or other types of dementia, and they offer both palliative and hospice care for residents needing extra comfort or end-of-life support. Therapy services include physical, occupational, and speech therapy. Swannanoa Valley's nurse staffing sits at 3.23 hours per resident per day, which is below the North Carolina state average, and the nurse turnover rate is high, standing at 69.3%. The facility has drawn several inspection deficiencies recently-33 total-including issues around infection control, pest management, maintaining a safe and clean environment, and failing to ensure a hazard-free home for residents. Some inspections have also noted failures to protect residents' rights and prevent abuse or neglect. Despite these concerns, many in the local community recognize the facility for its focus on compassionate care and its aim to treat residents like part of an extended family. The staff tries to provide personalized support, involving families and aiming for a home-like setting with communal and private living spaces. Amenities help residents stay comfortable and safe, and enrichment programs aim to offer engagement and purpose. The team is led by administrator Holly Self and centers its work on long-term and rehabilitative care, always trying to look after the unique needs and well-being of each resident.

    People often ask...

    Swannanoa Valley Health and Rehabilitation offers assisted living, memory care, and skilled nursing.

    There are 13 photos of Swannanoa Valley Health and Rehabilitation on Mirador.

    The full address for this community is 1984 Us Hwy 70, Swannanoa, NC 28778.

    No, Swannanoa Valley Health and Rehabilitation does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Swannanoa Valley Health and Rehabilitation. The information above has not been verified or approved by the owner or operator. For exact information, please contact Swannanoa Valley Health and Rehabilitation directly. There is no cost for this service. We are compensated by the community you select.

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