North Carolina ›Flat Rock

Hendersonville Health and Rehabilitation

Costs & paymentPlan a visit

104 College Drive, Flat Rock, NC 28731 (opens Google Maps) · Henderson County · (828) 693-8600· 130 certified beds · avg 98 residents/day · certified since Jun 3, 1999 · 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 →

Part of chain: SANSTONE HEALTH & REHABILITATION (18 facilities, chain avg rating 4.2★)

5/5
Health inspection rating (on-site)
inspected Sep 18, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.63
Nurse hours/resident/day (adjusted)

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: ★★★★★5/5 · CMS overall rating: 5/5 · 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 11 inspection findings. Open the full record below to read every finding.

  1. 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. · from a complaint F-0554

  2. D · Potential for more than minimal harm, isolated

    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 F-0812

  3. D · Potential for more than minimal harm, isolated

    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 F-0919

View all 11 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.

DateSeverityWhat the facility was cited for
Sep 11, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0554
Sep 11, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0812
Sep 11, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0919
Jun 16, 2023E · Potential for more than minimal harm, patternThe 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. · F-0756
Jun 16, 2023E · Potential for more than minimal harm, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0558
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jun 16, 2023D · Potential for more than minimal harm, isolatedThe facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867

Inspection trend by year

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 3
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202380E
202430D

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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityNorth Carolina averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.63
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.39
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.07
North Carolina average: 3.56
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityNorth Carolina avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.634.013.95bottom 48% in North Carolina; bottom 43% in the U.S.
Registered Nurse hours0.390.640.69bottom 25% in North Carolina; bottom 21% in the U.S.
Weekend total nurse staffing3.073.563.50bottom 34% in North Carolina; bottom 35% in the U.S.
Weekend RN hours (not acuity-adjusted)0.240.410.48bottom 31% in North Carolina; bottom 20% in the U.S.
Total nursing staff turnover (%)37.149.045.8top 22% in North Carolina; top 29% in the U.S.
RN turnover (%)16.745.742.9top 9% in North Carolina; top 9% 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 3.50, RN 0.38, weekend 2.96.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.50 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Hendersonville Health and Rehabilitation. 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 - Limited Liability company

Owner / managerTypeRoleStakeSince
Ardent Health and Rehabilitation CoOrganization5% or Greater Indirect Ownership Interest50%08/01/2008
Bluesky Healthcare INCOrganization5% or Greater Direct Ownership Interest50%05/09/2008
Flat Rock Management CompanyOrganization5% or Greater Direct Ownership Interest50%08/01/2008
Hutsenpiller, WendieIndividual5% or Greater Indirect Ownership Interest9%08/01/2008
Malanowski, KennethIndividual5% or Greater Indirect Ownership Interest10%08/01/2008
Sprenger, NicoleIndividual5% or Greater Indirect Ownership Interest15%08/01/2008
Sprenger, TraceyIndividual5% or Greater Indirect Ownership Interest15%08/01/2008
Freeman, CarmenIndividualADP of the SNFNOT APPLICABLE09/22/2016
Jennings, MarkIndividualADP of the SNFNOT APPLICABLE11/19/2024
Russell, LarryIndividualOperational/Managerial ControlNOT APPLICABLE12/13/2011
Russell, LarryIndividualADP of the SNFNOT APPLICABLE12/13/2011
Sanstone Management Company, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE11/19/2024
Sanstone Management Company, LLCOrganizationADP of the SNFNOT APPLICABLE11/19/2024
Sprenger, AndrewIndividualADP of the SNFNOT APPLICABLE04/09/2023
Sprenger, TraceyIndividualGeneral Partnership InterestNOT APPLICABLE05/09/2008

All 15 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Sanstone Health & Rehabilitation — 18 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 17 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

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 37% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 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 22 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Carolina Village INC3.0 miHendersonville, NC★★★★★5/5
Life Care Center of Hendersonville3.1 miHendersonville, NC★★★☆☆2/5
Valley Hill Health & Rehab Center3.4 miHendersonville, NC★★☆☆☆2/5
The Laurels of Hendersonville3.6 miHendersonville, NC★★★☆☆2/5
The Greens at Hendersonville4.5 miHendersonville, NC★★★☆☆3/5
Autumn Care of Saluda5.7 miSaluda, NC★★☆☆☆2/5
Orchard Valley Health and Rehabilitation6.0 miHendersonville, NC★☆☆☆☆2/5
Fletcher Rehabilitation and Healthcare Center10.6 miFletcher, NC★☆☆☆☆1/5abuse
White Oak Manor - Tryon12.0 miTryon, NC★★☆☆☆2/5
The Lodge at Mills River12.3 miMills River, NC★★★★★5/5
Biltmore Haven Nursing and Rehabilitation12.6 miArden, NC★☆☆☆☆1/5SFF
Willowbrooke Court SC Ctr at Tryon Estates13.0 miColumbus, NC★★★★★5/5

Compare this facility with the 3 closest →

All facilities in Flat Rock →

Facility data as of CMS processing date 2026-08-01. CCN 345493.

Your research

Viewed & saved homes

Kept in this browser tab for this session. Choose to remember them only on a device you trust. Opening a record or comparison sends its usual page request.

Selected for comparison

Recently viewed

Prices entered in a cost worksheet stay on that page and are not saved. Privacy details