60-B Hornot Circle, Asheville, NC 28806
For more information about senior living options: (866) 208-4318
Overall Review of Angel House IV
Pros
The sister received very good care at Angel House.- The staff were very nice and the admin does everything she can to help.
- The facility is clean, with friendly staff and a nice administrator.
Cons
The facility was described as very unsanitary with abusive caretakers who could not care for residents with diabetes or HIV, and staff taking no precautions.- It was alleged that there are illegal paperwork practices and that the facility was recently reported to the State board for non-compliance.
- Patricia at House A was described as very rude.
- The reviewers claimed the facility cares nothing about its residents or the neighborhood and should be shut down.
- One reviewer stated there was overall bad quality.
- The company was described as extremely disrespectful, avoiding phone calls, and unprofessional for failing to respond to urgent matters.
- They warned others not to send a loved one there.
Review
Angel House IV in Asheville is best suited for families seeking a small, home-like assisted living environment where caregivers feel accessible and the administrator appears actively involved. The setup leans toward intimate households with few residents per house, which can translate into warmer daily interactions, quicker responses, and a sense of personalized attention for residents with relatively low medical needs. Positive anecdotes exist, a sister received very good care in one case, and another resident’s family notes cleanliness and friendly staff. For families prioritizing a cozy, neighborhood feel over a larger, institution-like setting, Angel House IV can be comfortable, so long as expectations align with what the home reliably delivers.
Still, serious caveats push many families toward alternatives. The most persistent concerns center on sanitation and staff conduct, with some accounts describing abusive interactions and a lack of appropriate precautions for residents requiring specialized care, including diabetes management and HIV-related precautions. Regulatory questions surface, with mentions of non-compliance allegations and illegal paperwork practices. Communication gaps also recur, including urgent inquiries met with busy lines or unreturned calls. In sum, the facility’s safety and reliability for medically complex seniors are not consistently demonstrated, making other options more prudent for those with higher care demands.
On the upside, the small-house format can yield a sense of familiarity and accountability when staffing is stable. When reviews focus on the day-to-day, residents are described as well cared for by a friendly, approachable staff, and the administrator is portrayed as helpful. This is meaningful and real for families seeking a warm environment, yet it does not erase the broader pattern of inconsistency in care quality and governance that appears across multiple accounts. The perceived strengths, personal attention and a manageable setting, mean something, but they do not compensate for the underlying risk signals present in the review history.
The core drawbacks are substantial and recurring. Unsanitary conditions and allegations of abusive treatment directly threaten resident safety and dignity. The facility’s ability to handle chronic conditions, especially diabetes and HIV, appears uneven at best, raising clear red flags for families with medically complex loved ones. Reports of illegal paperwork and regulatory non-compliance undermine trust and hint at governance weaknesses. Communication problems exacerbate risk, with urgent needs sometimes going unanswered and lines that feel routinely inaccessible. Taken together, these patterns create a high-stakes environment where failure to intervene promptly could have serious consequences.
For families evaluating Angel House IV, a disciplined, hands-on assessment is non-negotiable. Seek current, in-depth tours focused on cleanliness, medication management, and daily routines; insist on conversations with multiple staff members, current residents, and independent families. Pull the facility’s recent licensing and enforcement history from the state board, confirm caregiver-to-resident ratios, and verify training standards. Clarify how chronic conditions and infections are managed, and review the exact intake and documentation processes to ensure legality and accuracy. Without clear, verifiable answers to these points, exploration of other Asheville options is strongly advised.
Bottom line: Angel House IV does not present as a reliably safe or consistently well-regulated choice for most seniors with substantial medical or safety needs. It may suit families seeking a small, neighborly setting and who have the bandwidth to supervise closely, ideally for residents with low care demands and robust family advocacy. Yet the evident safety, sanitation, and governance concerns argue for caution. For higher-medical-needs residents or families unwilling to accept potential lapses in care and accountability, pursuing stronger-performing alternatives in the Asheville area, with clearer compliance histories and transparent operations, is the prudent path.
6 resident community capacity
Assisted Living
Board and Care Home
Activities on-site
Cable or satellite TV
Devotional services off-site
Dining room
Fully furnished
Garden
Housekeeping services
Indoor common areas
Move-in coordination
Outdoor space
Telephone
Wi-Fi/high-speed internet available
Asheville Regional (13 miles away)
24-hour supervision
Ambulatory care
Assistance with bathing
Assistance with dressing
Assistance with transfers
Diabetes diet
Diabetic care
Meal preparation and service
Medication management
Special dietary restrictions
Transportation arrangement (medical)
Transportation to doctors appointments
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