North Carolina ›Granite Falls

Hickory Falls Health and Rehabilitation

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100 Sunset Street, Granite Falls, NC 28630 (opens Google Maps) · Caldwell County · (828) 396-2387· 120 certified beds · avg 114 residents/day · certified since Dec 3, 1985 · 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★)

4/5
Health inspection rating (on-site)
inspected Jun 10, 2026
1
Serious findings on record
most recent May 31, 2024
$51,188
Fines, last 3 years
3.68
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: ★★★★☆4/5 · CMS overall rating: 4/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: May 16, 2024 (Past Non-Compliance)

Inspection findings in the public record

3 inspection findings in the public record

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
May 21, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
May 21, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
May 31, 2024▲ J · Immediate jeopardy, isolatedThe 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

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)
2024
All citations: 1
Serious citations (G–L): 1
2025
All citations: 2
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202411J ▲
202520D

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 →

1 fine totaling $51,188.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
May 31, 2024Fine$51,188

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: 3.68
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: 3.35
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)3.684.013.95top 50% in North Carolina; bottom 45% in the U.S.
Registered Nurse hours0.390.640.69bottom 24% in North Carolina; bottom 21% in the U.S.
Weekend total nurse staffing3.353.563.50top 44% in North Carolina; bottom 50% in the U.S.
Weekend RN hours (not acuity-adjusted)0.240.410.48bottom 30% in North Carolina; bottom 19% in the U.S.
Total nursing staff turnover (%)32.549.045.8top 13% in North Carolina; top 19% in the U.S.
RN turnover (%)31.345.742.9top 26% in North Carolina; top 32% 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 3.62, RN 0.38, weekend 3.30.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.62 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: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Hickory Falls 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 Direct Ownership Interest100%06/01/2015
Sprenger, ChristopherIndividualIndirect Ownership InterestNOT APPLICABLE06/01/2015
Nelson, JohnIndividualManaging Control - Governing BodyNOT APPLICABLE01/06/2025
Nelson, JohnIndividualOperational/Managerial ControlNOT APPLICABLE01/06/2025
Nelson, JohnIndividualADP of the SNFNOT APPLICABLE01/06/2025
Reid, JillIndividualOperational/Managerial ControlNOT APPLICABLE11/22/2021
Reid, JillIndividualADP of the SNFNOT APPLICABLE11/22/2021
Sanstone Management Company, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE01/01/2021
Sanstone Management Company, LLCOrganizationADP of the SNFNOT APPLICABLE11/12/2025
Sprenger, ChristopherIndividualCorporate OfficerNOT APPLICABLE06/01/2015
Sprenger, ChristopherIndividualADP of the SNFNOT APPLICABLE11/30/2020
Tanner, HunterIndividualManaging Control - Governing BodyNOT APPLICABLE07/07/2025
Tanner, HunterIndividualOperational/Managerial ControlNOT APPLICABLE07/07/2025
Tanner, HunterIndividualADP of the SNFNOT APPLICABLE07/07/2025

All 14 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.

  • "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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 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 15 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
College Pines Health and Rehabilitation5.6 miConnelly Springs, NC★★★★★4/5
Shaire Nursing Center6.2 miLenoir, NC★★★★☆3/5
Carolina Rehab Center of Burke6.3 miConnelly Spring, NC★★★☆☆3/5
The Greens at Viewmont6.8 miHickory, NC★★☆☆☆2/5
Trinity Village7.6 miHickory, NC★★★★★4/5
Autumn Care of Drexel9.1 miMorganton, NC★★★★☆3/5
Trinity Ridge9.2 miHickory, NC★★★★★4/5
Hibriten Mountain Nursing and Rehabilitation9.5 miLenoir, NC★☆☆☆☆1/5abuse
The Greens at Hickory9.7 miHickory, NC★★☆☆☆2/5
Lenoir Health and Rehabilitation Center11.1 miLenoir, NC★☆☆☆☆1/5
Grace Heights Health & Rehabilitation12.6 miMorganton, NC★★★★★5/5
Conover Nursing and Rehabilitation Center13.8 miConover, NC★★★★★5/5

Compare this facility with the 3 closest →

All facilities in Granite Falls →

Facility data as of CMS processing date 2026-08-01. CCN 345246.

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