Hendersonville Health and Rehabilitation
104 College Drive, Flat Rock, NC 28731 · Henderson County · 130 certified beds · avg 98 residents/day · certified since Jun 3, 1999
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: ★★★★★5/5 · 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.
All citations in the current public record (11)
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 |
|---|---|---|
| Sep 11, 2024 | 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. · from a complaint |
| Sep 11, 2024 | D · Potential for harm, one-off | 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. · from a complaint |
| Sep 11, 2024 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Jun 16, 2023 | E · Potential for harm, repeated | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 16, 2023 | E · Potential for harm, repeated | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Jun 16, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jun 16, 2023 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Jun 16, 2023 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Jun 16, 2023 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 16, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jun 16, 2023 | 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. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 3 | 0 | D |
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) | 3.63 | 4.01 | 3.95 | bottom 48% in North Carolina; bottom 43% in the U.S. |
| Registered Nurse hours | 0.39 | 0.64 | 0.69 | bottom 25% in North Carolina; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.07 | 3.56 | 3.50 | bottom 34% in North Carolina; bottom 35% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.41 | 0.48 | bottom 31% in North Carolina; bottom 20% in the U.S. |
| Total nursing staff turnover (%) | 37.1 | 49.0 | 45.8 | top 22% in North Carolina; top 29% in the U.S. |
| RN turnover (%) | 16.7 | 45.7 | 42.9 | top 9% in North Carolina; top 9% 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 3.50, RN 0.38, weekend 2.96. 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: 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 Indirect Ownership Interest | 50% | 08/01/2008 |
| Bluesky Healthcare INC | Organization | 5% or Greater Direct Ownership Interest | 50% | 05/09/2008 |
| Flat Rock Management Company | Organization | 5% or Greater Direct Ownership Interest | 50% | 08/01/2008 |
| Hutsenpiller, Wendie | Individual | 5% or Greater Indirect Ownership Interest | 9% | 08/01/2008 |
| Malanowski, Kenneth | Individual | 5% or Greater Indirect Ownership Interest | 10% | 08/01/2008 |
| Sprenger, Nicole | Individual | 5% or Greater Indirect Ownership Interest | 15% | 08/01/2008 |
| Sprenger, Tracey | Individual | 5% or Greater Indirect Ownership Interest | 15% | 08/01/2008 |
| Freeman, Carmen | Individual | ADP of the SNF | NOT APPLICABLE | 09/22/2016 |
| Jennings, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 11/19/2024 |
| Russell, Larry | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2011 |
| Russell, Larry | Individual | ADP of the SNF | NOT APPLICABLE | 12/13/2011 |
| Sanstone Management Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Sanstone Management Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/19/2024 |
| Sprenger, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 04/09/2023 |
| Sprenger, Tracey | Individual | General Partnership Interest | NOT APPLICABLE | 05/09/2008 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "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 |
|---|---|---|---|---|---|
| Carolina Village INC | 3.0 mi | Hendersonville, NC | ★★★★★ | 5/5 | |
| Life Care Center of Hendersonville | 3.1 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| Valley Hill Health & Rehab Center | 3.4 mi | Hendersonville, NC | ★★☆☆☆ | 2/5 | |
| The Laurels of Hendersonville | 3.6 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| The Greens at Hendersonville | 4.6 mi | Hendersonville, NC | ★★★☆☆ | 3/5 | |
| Autumn Care of Saluda | 5.7 mi | Saluda, NC | ★★☆☆☆ | 2/5 | |
| Orchard Valley Health and Rehabilitation | 6.0 mi | Hendersonville, NC | ★☆☆☆☆ | 2/5 | |
| Fletcher Rehabilitation and Healthcare Center | 10.6 mi | Fletcher, NC | ★☆☆☆☆ | 1/5 | abuse |
| White Oak Manor - Tryon | 12.0 mi | Tryon, NC | ★★☆☆☆ | 2/5 | |
| The Lodge at Mills River | 12.3 mi | Mills River, NC | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345493.