The Lodge at Mills River
5593 Old Haywood Road, Mills River, NC 28759 · Henderson County · 50 certified beds · avg 45 residents/day · certified since Dec 19, 1986
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: ★★★★★5/5 · CMS overall rating: 5/5
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 · 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): 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: Sep 15, 2022 (Past Non-Compliance)
All citations in the current public record (6)
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 |
|---|---|---|
| Jun 3, 2025 | B · Minimal risk, repeated | 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. |
| Dec 1, 2022 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Dec 1, 2022 | E · Potential for harm, repeated | 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. |
| Dec 1, 2022 | D · Potential for harm, one-off | 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. |
| Dec 1, 2022 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Dec 1, 2022 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| 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.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
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) | 3.55 | 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, 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. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
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 | — | 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 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "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?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| 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 | 6.4 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 |
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Facility data as of CMS processing date 2026-08-01. CCN 345253.