North Carolina ›Mars Hill

Madison Health and Rehabilitation

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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)

What the abuse flag means →

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.

2/5
Health inspection rating (on-site)
inspected Feb 11, 2026
1
Serious findings on record
most recent Aug 27, 2025
$9,110
Fines, last 3 years
3.71
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: ★★☆☆☆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.

Most serious findings (actual harm or immediate jeopardy)

▲ 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.

Inspection findings in the public record

Showing the latest 3 of 5 inspection findings. Open the full record below to read every finding.

  1. 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

  2. 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

  3. 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

View all 5 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
Feb 11, 2026E · Potential for more than minimal harm, patternThe 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, 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
Nov 15, 2024E · Potential for more than minimal harm, patternThe 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, 2023D · 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. · F-0554
Aug 30, 2023D · Potential for more than minimal harm, isolatedThe 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

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (1 → 1).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 1
Serious citations (G–L): 1
2026
All citations: 1
Serious citations (G–L): 0

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

YearCitationsSerious (G–L)Worst severity that year
202320D
202410E
202511G ▲
202610E

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 $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.

DateTypeAmount / length
Aug 27, 2025Fine$9,110

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: 3.71
North Carolina average: 4.01
U.S. average: 3.95
Registered Nurse hours
This facility: 0.69
North Carolina average: 0.64
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.10
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)3.714.013.95top 47% in North Carolina; bottom 47% in the U.S.
Registered Nurse hours0.690.640.69top 27% in North Carolina; top 37% in the U.S.
Weekend total nurse staffing3.103.563.50bottom 37% in North Carolina; bottom 36% in the U.S.
Weekend RN hours (not acuity-adjusted)0.400.410.48top 35% in North Carolina; top 48% in the U.S.
Total nursing staff turnover (%)37.949.045.8top 24% in North Carolina; top 31% in the U.S.
RN turnover (%)29.445.742.9top 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.

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 Madison 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
Sprenger, ChristopherIndividual5% or Greater Direct Ownership Interest—12/14/2010
Ardent Health and Rehabilitation CoOrganizationOperational/Managerial ControlNOT APPLICABLE12/14/2010
Madison Healthcare Properties, LLCOrganization5% or Greater Mortgage InterestNOT APPLICABLE10/22/2013
Niebes, HaleyIndividualW-2 Managing EmployeeNOT APPLICABLE06/01/2019

All 4 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?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
  • "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"

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 38% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Elderberry Health Care7.2 miMarshall, NC★★☆☆☆3/5
The Greens at Weaverville9.2 miWeaverville, NC★★★★☆4/5
Bear Mountain Health and Rehabilitation13.2 miAsheville, NC★★★☆☆3/5
Emerald Ridge Health and Rehabilitation13.2 miAsheville, NC★☆☆☆☆1/5
Smoky Ridge Health and Rehabilitation14.3 miBurnsville, NC★★☆☆☆2/5
River Bend Health and Rehabilitation15.5 miAsheville, NC★☆☆☆☆1/5abuse
The Laurels of Summit Ridge16.9 miAsheville, NC★★★★☆3/5
NC State Veterans Home - Black Mountain17.3 miBlack Mountain, NC★★★★★3/5
Swannanoa Valley Health and Rehabilitation17.4 miSwannanoa, NC★★★☆☆3/5
Elevate Health and Rehabilitation17.7 miAsheville, NC★☆☆☆☆1/5
Highland Farms18.2 miBlack Mountain, NC★★★★★4/5
Stonecreek Health and Rehabilitation18.5 miAsheville, NC★★★☆☆2/5

Compare this facility with the 3 closest →

All facilities in Mars Hill →

Facility data as of CMS processing date 2026-08-01. CCN 345206.

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