345 Manor Road, Mars Hill, NC 28754 (opens Google Maps) · Madison County · (828) 689-5200· 100 certified beds · avg 85 residents/day · certified since May 25, 1981 · 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 →
Abuse citation flag (CMS)
Part of chain: SANSTONE HEALTH & REHABILITATION (18 facilities, chain avg rating 4.2★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · 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.
▲ Actual harm, isolated · Aug 27, 2025 · 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 (G): Actual harm was cited, below immediate jeopardy. 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.
Showing the latest 3 of 5 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 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
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
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 |
|---|---|---|
| Feb 11, 2026 | 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 |
| Aug 27, 2025 | ▲ G · Actual 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 |
| Nov 15, 2024 | 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 |
| Aug 30, 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 |
| Aug 30, 2023 | D · Potential for more than minimal harm, isolated | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693 |
Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 1 | 0 | E |
| 2025 | 1 | 1 | G ▲ |
| 2026 | 1 | 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.
How to file a complaint about care →
1 fine totaling $9,110.
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.
| Date | Type | Amount / length |
|---|---|---|
| Aug 27, 2025 | Fine | $9,110 |
What these staffing numbers mean →
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) | 3.71 | 4.01 | 3.95 | top 47% in North Carolina; bottom 47% in the U.S. |
| Registered Nurse hours | 0.69 | 0.64 | 0.69 | top 27% in North Carolina; top 37% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.56 | 3.50 | bottom 37% in North Carolina; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.40 | 0.41 | 0.48 | top 35% in North Carolina; top 48% in the U.S. |
| Total nursing staff turnover (%) | 37.9 | 49.0 | 45.8 | top 24% in North Carolina; top 31% in the U.S. |
| RN turnover (%) | 29.4 | 45.7 | 42.9 | top 23% in North Carolina; top 28% 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 3.60, RN 0.67, weekend 3.02.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.60 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
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
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Madison Health and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
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.
Understand who pays for care · How we handle price evidence · Report an incorrect price
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 / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Sprenger, Christopher | Individual | 5% or Greater Direct Ownership Interest | — | 12/14/2010 |
| Ardent Health and Rehabilitation Co | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/14/2010 |
| Madison Healthcare Properties, LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 10/22/2013 |
| Niebes, Haley | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/01/2019 |
All 4 owning or managing parties CMS has on file are shown — none excluded.
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.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Elderberry Health Care | 7.2 mi | Marshall, NC | ★★☆☆☆ | 3/5 | |
| The Greens at Weaverville | 9.2 mi | Weaverville, NC | ★★★★☆ | 4/5 | |
| Bear Mountain Health and Rehabilitation | 13.2 mi | Asheville, NC | ★★★☆☆ | 3/5 | |
| Emerald Ridge Health and Rehabilitation | 13.2 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Smoky Ridge Health and Rehabilitation | 14.3 mi | Burnsville, NC | ★★☆☆☆ | 2/5 | |
| River Bend Health and Rehabilitation | 15.5 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | abuse |
| The Laurels of Summit Ridge | 16.9 mi | Asheville, NC | ★★★★☆ | 3/5 | |
| NC State Veterans Home - Black Mountain | 17.3 mi | Black Mountain, NC | ★★★★★ | 3/5 | |
| Swannanoa Valley Health and Rehabilitation | 17.4 mi | Swannanoa, NC | ★★★☆☆ | 3/5 | |
| Elevate Health and Rehabilitation | 17.7 mi | Asheville, NC | ★☆☆☆☆ | 1/5 | |
| Highland Farms | 18.2 mi | Black Mountain, NC | ★★★★★ | 4/5 | |
| Stonecreek Health and Rehabilitation | 18.5 mi | Asheville, NC | ★★★☆☆ | 2/5 |
Facility data as of CMS processing date 2026-08-01. CCN 345206.
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