Elderberry Health Care
415 Elderberry Lane, Marshall, NC 28753 · Madison County · 80 certified beds · avg 69 residents/day · certified since May 14, 1990
3/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.30
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5
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.
All citations in the current public record (18)
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 |
|---|---|---|
| Nov 19, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 19, 2025 | 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. |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Aug 28, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 28, 2024 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 28, 2024 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| Aug 28, 2024 | C · Minimal risk, facility-wide | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. |
| Aug 28, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Aug 28, 2024 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Jun 22, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jun 22, 2023 | E · Potential for harm, repeated | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. |
| Jun 22, 2023 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Jun 22, 2023 | E · Potential for harm, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jun 22, 2023 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 22, 2023 | B · Minimal risk, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 0 | F |
| 2024 | 8 | 0 | F |
| 2025 | 3 | 0 | E |
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)
No fines or payment denials in the published 3-year window.
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) | 3.30 | 4.01 | 3.95 | bottom 21% in North Carolina; bottom 26% in the U.S. |
| Registered Nurse hours | 0.53 | 0.64 | 0.69 | bottom 49% in North Carolina; bottom 42% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.56 | 3.50 | bottom 19% in North Carolina; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.41 | 0.48 | bottom 37% in North Carolina; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 38.7 | 49.0 | 45.8 | top 26% in North Carolina; top 33% in the U.S. |
| RN turnover (%) | 33.3 | 45.7 | 42.9 | top 28% in North Carolina; top 33% 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 2.94, RN 0.47, weekend 2.57. Staffing rating: 3/5.
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: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Charlotte Advance, INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/2009 |
| Elderberry of Marshall, LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/01/2015 |
| Martin, James | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2011 |
| Cutshall, Karen | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/1993 |
| Cutshall, Karen | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/1993 |
| Elderberry of Marshall, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2015 |
| Eller, Edward | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2009 |
| Eller, Edward | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/14/1990 |
| Eller, Edward | Individual | ADP of the SNF | NOT APPLICABLE | 05/14/1990 |
| Martin, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/25/2022 |
| Martin, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 07/25/2022 |
| Martin, James | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2011 |
| Martin, James | Individual | Corporate Officer | NOT APPLICABLE | 02/16/1998 |
| Martin, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2011 |
| Martin, James | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 07/14/2025 |
| Martin, James | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2011 |
| Tullock Management Company | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/14/1990 |
| Tullock Management Company | Organization | ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
| Wilkinson Care Center, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2009 |
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 did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can I see where garbage is stored and how often it's removed?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Is signing an arbitration agreement required for admission, and can we refuse it without affecting my family member's care?"
- "Where do you post the contact information for the state agency and the ombudsman, in case we ever need to file a complaint?"
- "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 |
|---|---|---|---|---|---|
| Madison Health and Rehabilitation | 7.2 mi | Mars Hill, NC | ★★★☆☆ | 2/5 | abuse |
| The Greens at Weaverville | 7.9 mi | Weaverville, NC | ★★★★☆ | 4/5 | |
| Emerald Ridge Health and Rehabilitation | 11.1 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Bear Mountain Health and Rehabilitation | 12.6 mi | Asheville, NC | ★★★☆☆ | 3/5 | |
| River Bend Health and Rehabilitation | 13.2 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | abuse |
| Pisgah Manor Health Care Center | 15.6 mi | Candler, NC | ★★☆☆☆ | 2/5 | |
| Elevate Health and Rehabilitation | 16.1 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Aston Park Health Care Center | 16.4 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Stonecreek Health and Rehabilitation | 16.8 mi | Asheville, NC | ★★★☆☆ | 2/5 | |
| The Laurels of Summit Ridge | 16.9 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| The Laurels of Greentree Ridge | 17.4 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Swannanoa Valley Health and Rehabilitation | 18.4 mi | Swannanoa, NC | ★★★☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345319.