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No fines or payment denials in the published 3-year window.
5593 Old Haywood Road, Mills River, NC 28759 (opens Google Maps) · Henderson County · (828) 684-4857· 50 certified beds · avg 45 residents/day · certified since Dec 19, 1986 · 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★)
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.
▲ Immediate jeopardy, isolated · Dec 1, 2022 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Sep 15, 2022 (Past Non-Compliance)
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. F-0732
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
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 |
|---|---|---|
| Jun 3, 2025 | B · Potential for minimal harm, pattern | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Dec 1, 2022 | ▲ J · Immediate jeopardy, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 1, 2022 | 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 |
| Dec 1, 2022 | 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 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Dec 1, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 1 | J ▲ |
| 2025 | 1 | 0 | B |
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 →
No fines or payment denials in the published 3-year window.
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) | 3.55 | 4.01 | 3.95 | bottom 40% in North Carolina; bottom 39% in the U.S. |
| Registered Nurse hours | 0.80 | 0.64 | 0.69 | top 18% in North Carolina; top 27% in the U.S. |
| Weekend total nurse staffing | 3.04 | 3.56 | 3.50 | bottom 31% in North Carolina; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.63 | 0.41 | 0.48 | top 13% in North Carolina; top 21% in the U.S. |
| Total nursing staff turnover (%) | 55.6 | 49.0 | 45.8 | bottom 34% in North Carolina; bottom 24% in the U.S. |
| RN turnover (%) | 50.0 | 45.7 | 42.9 | bottom 45% in North Carolina; bottom 39% 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 3.89, RN 0.88, weekend 3.33.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.89 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
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 The Lodge at Mills River. 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 |
|---|---|---|---|---|
| Ardent Health and Rehabilitation Co | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2005 |
| Henderson-Beystone Healthcare Properties, LLC | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/2015 |
| Sprenger, Andrew | Individual | W-2 Managing Employee | NOT APPLICABLE | 06/07/2021 |
| Sprenger, Christopher | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2005 |
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 |
|---|---|---|---|---|---|
| Fletcher Rehabilitation and Healthcare Center | 4.3 mi | Fletcher, NC | ★☆☆☆☆ | 1/5 | abuse |
| Biltmore Haven Nursing and Rehabilitation | 4.5 mi | Arden, NC | ★☆☆☆☆ | 1/5 | SFF |
| Orchard Valley Health and Rehabilitation | 6.3 mi | Hendersonville, NC | ★☆☆☆☆ | 2/5 | |
| Deerfield Episcopal Retirement | 6.4 mi | Asheville, NC | ★★★★★ | 5/5 | |
| Givens Health Center | 6.5 mi | Asheville, NC | ★★★★★ | 4/5 | |
| The Greens at Hendersonville | 8.4 mi | Hendersonville, NC | ★★★☆☆ | 3/5 | |
| The Laurels of Hendersonville | 8.7 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| Life Care Center of Hendersonville | 9.3 mi | Hendersonville, NC | ★★★☆☆ | 2/5 | |
| Carolina Village INC | 9.3 mi | Hendersonville, NC | ★★★★★ | 5/5 | |
| Aston Park Health Care Center | 9.5 mi | Asheville, NC | ★★★★★ | 4/5 | |
| Stonecreek Health and Rehabilitation | 9.7 mi | Asheville, NC | ★★★☆☆ | 2/5 | |
| The Laurels of Greentree Ridge | 9.8 mi | Asheville, NC | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
CMS records place this facility in Henderson, NC — 9 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 345253.
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