Hickory Falls Health and Rehabilitation
100 Sunset Street, Granite Falls, NC 28630 · Caldwell County · 120 certified beds · avg 114 residents/day · certified since Dec 3, 1985
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: 4/5
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)
▲ Immediate jeopardy, one-off · May 31, 2024 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 16, 2024 (Past Non-Compliance)
All citations in the current public record (3)
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 |
|---|---|---|
| May 21, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| May 21, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 31, 2024 | ▲ J · Immediate jeopardy, 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 |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 1 | J ▲ |
| 2025 | 2 | 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)
1 fine totaling $51,188.
| Date | Type | Amount / length |
|---|---|---|
| May 31, 2024 | Fine | $51,188 |
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) | 3.68 | 4.01 | 3.95 | top 50% in North Carolina; bottom 45% in the U.S. |
| Registered Nurse hours | 0.39 | 0.64 | 0.69 | bottom 24% in North Carolina; bottom 21% in the U.S. |
| Weekend total nurse staffing | 3.35 | 3.56 | 3.50 | top 44% in North Carolina; bottom 50% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.24 | 0.41 | 0.48 | bottom 30% in North Carolina; bottom 19% in the U.S. |
| Total nursing staff turnover (%) | 32.5 | 49.0 | 45.8 | top 13% in North Carolina; top 19% in the U.S. |
| RN turnover (%) | 31.3 | 45.7 | 42.9 | top 26% in North Carolina; top 32% 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 3.62, RN 0.38, weekend 3.30. 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
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 | 100% | 06/01/2015 |
| Sprenger, Christopher | Individual | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2015 |
| Nelson, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/06/2025 |
| Nelson, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/06/2025 |
| Nelson, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/06/2025 |
| Reid, Jill | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/22/2021 |
| Reid, Jill | Individual | ADP of the SNF | NOT APPLICABLE | 11/22/2021 |
| Sanstone Management Company, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2021 |
| Sanstone Management Company, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/12/2025 |
| Sprenger, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2015 |
| Sprenger, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 11/30/2020 |
| Tanner, Hunter | Individual | Managing Control - Governing Body | NOT APPLICABLE | 07/07/2025 |
| Tanner, Hunter | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/07/2025 |
| Tanner, Hunter | Individual | ADP of the SNF | NOT APPLICABLE | 07/07/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| College Pines Health and Rehabilitation | 5.6 mi | Connelly Springs, NC | ★★★★★ | 4/5 | |
| Shaire Nursing Center | 6.2 mi | Lenoir, NC | ★★★★☆ | 3/5 | |
| Carolina Rehab Center of Burke | 6.3 mi | Connelly Spring, NC | ★★★☆☆ | 3/5 | |
| The Greens at Viewmont | 6.8 mi | Hickory, NC | ★★☆☆☆ | 2/5 | |
| Trinity Village | 7.6 mi | Hickory, NC | ★★★★★ | 4/5 | |
| Autumn Care of Drexel | 9.1 mi | Morganton, NC | ★★★★☆ | 3/5 | |
| Trinity Ridge | 9.2 mi | Hickory, NC | ★★★★★ | 4/5 | |
| Hibriten Mountain Nursing and Rehabilitation | 9.5 mi | Lenoir, NC | ★☆☆☆☆ | 1/5 | abuse |
| The Greens at Hickory | 9.7 mi | Hickory, NC | ★★☆☆☆ | 2/5 | |
| Lenoir Health and Rehabilitation Center | 11.1 mi | Lenoir, NC | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345246.