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Elderberry Health Care
415 Elderberry Lane, Marshall, NC 28753 (opens Google Maps) · Madison County · (828) 252-1790· 80 certified beds · avg 69 residents/day · certified since May 14, 1990 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
3/5
Health inspection rating (on-site)
inspected Nov 19, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.30
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 18 inspection findings. Open the full record below to read every finding.
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. F-0812
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. F-0578
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. F-0690
View all 18 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 19, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Nov 19, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Nov 19, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0690 |
| Aug 28, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Aug 28, 2024 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · F-0814 |
| Aug 28, 2024 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Aug 28, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0695 |
| Aug 28, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0847 |
| Aug 28, 2024 | C · Potential for minimal harm, widespread | 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. · F-0575 |
| Aug 28, 2024 | C · Potential for minimal harm, widespread | 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. · F-0732 |
| Aug 28, 2024 | B · Potential for minimal harm, pattern | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842 |
| Jun 22, 2023 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jun 22, 2023 | E · Potential for more than minimal harm, pattern | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Jun 22, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0803 |
| Jun 22, 2023 | E · Potential for more than minimal harm, pattern | 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. · F-0805 |
| Jun 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0554 |
| Jun 22, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0677 |
| Jun 22, 2023 | B · Potential for minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 3).
All citationsSerious citations (G–L)
2023
All citations: 7
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.30
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.53
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.88
North Carolina average: 3.56
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.94 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Elderberry Health Care. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
All 19 owning or managing parties CMS has on file are shown — none excluded.
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?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the North Carolina midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 39% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 13 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 |
Facility data as of CMS processing date 2026-08-01. CCN 345319.
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