Ashton Health and Rehabilitation
5533 Burlington Road, McLeansville, NC 27301 · Guilford County · 134 certified beds · avg 124 residents/day · certified since Nov 19, 2009
Part of chain: SANSTONE HEALTH & REHABILITATION (18 facilities, chain avg rating 4.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 30, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 11, 2025 (Past Non-Compliance)
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 30, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 1, 2024 | D · Potential for harm, one-off | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Apr 28, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Apr 28, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 1 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $8,788.
| Date | Type | Amount / length |
|---|---|---|
| Apr 30, 2025 | Fine | $8,788 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.73 | 4.01 | 3.95 | top 45% in North Carolina; bottom 48% in the U.S. |
| Registered Nurse hours | 0.21 | 0.64 | 0.69 | bottom 2% in North Carolina; bottom 3% in the U.S. |
| Weekend total nurse staffing | 3.30 | 3.56 | 3.50 | top 48% in North Carolina; bottom 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.13 | 0.41 | 0.48 | bottom 5% in North Carolina; bottom 4% in the U.S. |
| Total nursing staff turnover (%) | 36.5 | 49.0 | 45.8 | top 20% in North Carolina; top 28% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.61, RN 0.20, weekend 3.20. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ardent Health and Rehabilitation Co | Organization | 5% or Greater Direct Ownership Interest | — | 06/01/2017 |
| Sprenger, Christopher | Individual | 5% or Greater Direct Ownership Interest | — | 06/01/2017 |
| Ashton Place Healthcare Properties, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 06/01/2017 |
| Rich, Ellen | Individual | W-2 Managing Employee | NOT APPLICABLE | 02/11/2021 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Guilford Health Care Center | 6.1 mi | Greensboro, NC | ★☆☆☆☆ | 2/5 | |
| Kindred Hospital East Greensboro | 6.4 mi | Greensboro, NC | ★★★☆☆ | 3/5 | |
| Heartland Living & Rehab at the Moses H Cone Memor | 6.5 mi | Greensboro, NC | ★★★★☆ | 4/5 | |
| Linden Place Center for Nursing and Rehabilitation | 6.9 mi | Greensboro, NC | ★★☆☆☆ | 2/5 | |
| Maple Grove Health and Rehabilitation Center | 7.9 mi | Greensboro, NC | ★★★★★ | 4/5 | |
| Twin Lakes Community | 8.0 mi | Burlington, NC | ★★★★★ | 4/5 | |
| Blumenthal Health and Rehabilitation Center | 9.2 mi | Greensboro, NC | —/5 | abuseSFF | |
| Liberty Commons Nursing & Rehabilitation Center of | 9.2 mi | Burlington, NC | ★★★★☆ | 4/5 | |
| Greenhaven Health and Rehabilitation Center | 9.2 mi | Greensboro, NC | ★★★☆☆ | 2/5 | abuse |
| Clapps Nursing Center INC | 10.1 mi | Pleasant Garden, NC | ★★★★★ | 5/5 | |
| Piedmont Hills Center for Nursing and Rehab | 10.2 mi | Greensboro, NC | ★☆☆☆☆ | 1/5 | |
| Whitestone a Masonic and Eastern Star Community | 10.2 mi | Greensboro, NC | ★★★★☆ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345548.