nursing home in Mars Hill, NC
Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754 · (828) 689-5200
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Madison Health and Rehabilitation at a glance
Madison Health and Rehabilitation is a 100-bed for-profit nursing home in Mars Hill, North Carolina (Madison County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the North Carolina average of 2.9.
Residents receive about 3.6 hours of nursing care per day (0.7 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (February 11, 2026) found 1 health citation. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $9,110.
Nursing staff turnover is 37.9% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sanstone Health & Rehabilitation
- Medicare-certified since
- May 25, 1981
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 345206
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.60 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.67 hrs | 0.62 hrs | 0.69 hrs | Average |
| Nurse aide hours per resident per day (higher is better) | 2.44 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.02 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 37.9% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 29.4% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 13 | 49.2 | 80.6 | Better |
Penalties
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $9,110 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 105 | 107 | |
| Average residents per day | 85 | 87 | 86 | |
| Occupancy | 84.6% | 83.6% | 80.9% |
Long-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.1% | 3.5% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2.6% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 1.3% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.7% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14.3% | 15.6% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 17% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.4% | 7.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 21.3% | 5.9% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 29.3% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.7% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 92% | 93.6% | Better |
Short-stay residents
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.4% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 92.6% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 11, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | E Potential harm, pattern | Corrected May 22, 2026 |
| February 11, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected May 22, 2026 |
| February 11, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected May 22, 2026 |
| February 11, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 20, 2026 |
| August 27, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | G Actual harm, isolated | Past Non-Compliance |
| November 15, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected January 1, 2025 |
| November 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 16, 2024 |
| August 30, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected December 23, 2023 |
| August 30, 2023 Standard | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected September 22, 2023 |
| August 30, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected September 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $9,110 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| August 27, 2025 | Fine | $9,110 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| SPRENGER, CHRISTOPHER Individual | 5% or greater direct ownership interest | — | 12/14/2010 |
| MADISON HEALTHCARE PROPERTIES, LLC Organization | 5% or greater mortgage interest | NOT APPLICABLE | 10/22/2013 |
| ARDENT HEALTH AND REHABILITATION CO Organization | operational/managerial control | NOT APPLICABLE | 12/14/2010 |
| NIEBES, HALEY Individual | w-2 managing employee | NOT APPLICABLE | 06/01/2019 |
Other nursing homes near Madison Health and Rehabilitation
- ★★★★★2Below average
The Greens at Weaverville
78 Weaver Boulevard, Weaverville, NC 28787 · 9.2 mi
For-profit · 122 beds · Part of Cch Healthcare
★★★★★3AverageBear Mountain Health and Rehabilitation
500 Beaverdam Road, Asheville, NC 28804 · 13.2 mi
For-profit · 77 beds · Part of Ascent Healthcare Management
★★★★★3AverageEmerald Ridge Health and Rehabilitation
25 Reynolds Mountain Boulevard, Asheville, NC 28804 · 13.2 mi
For-profit · 100 beds · Part of Avardis Health
★★★★★1Much below averageSmoky Ridge Health and Rehabilitation
310 Pensacola Road, Burnsville, NC 28714 · 14.3 mi
For-profit · 140 beds · Part of Brighton Healthcare
★★★★★2Below averageRiver Bend Health and Rehabilitation
213 Richmond Hill Drive, Asheville, NC 28806 · 15.5 mi
For-profit · 100 beds · Part of Brighton Healthcare
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Madison Health and Rehabilitation's rating?
Madison Health and Rehabilitation has 5 out of 5 stars on the CMS overall star rating. The average for North Carolina nursing homes is 2.9 stars.
How many inspection citations did Madison Health and Rehabilitation receive?
Its most recent standard health inspection found 1 citation, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Madison Health and Rehabilitation accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Madison Health and Rehabilitation?
It is for profit - limited liability company and part of Sanstone Health & Rehabilitation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Madison Health and Rehabilitation and how do I contact it?
Madison Health and Rehabilitation is at 345 Manor Road, Mars Hill, NC 28754. Phone: (828) 689-5200.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.