nursing home in Granite Falls, NC
Hickory Falls Health and Rehabilitation
100 Sunset Street, Granite Falls, NC 28630 · (828) 396-2387
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Hickory Falls Health and Rehabilitation at a glance
Hickory Falls Health and Rehabilitation is a 120-bed for-profit nursing home in Granite Falls, North Carolina (Caldwell County).
CMS gives it 4 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 (0.4 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (June 10, 2026) found 0 health citations. The North Carolina average is 4.7.
Federal regulators fined it 1 time in the past three years, totaling $51,188.
Nursing staff turnover is 32.5% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Sanstone Health & Rehabilitation
- Medicare-certified since
- December 3, 1985
- Resident/family council
- Resident
- County
- Caldwell County
- CMS Certification Number
- 345246
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 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) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.62 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.38 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.66 hrs | 2.34 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.30 hrs | 3.42 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 32.5% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 31.3% | 45.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 7 | 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) | $51,188 | $36,617 | $30,972 | Worse |
| 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 | 120 | 105 | 107 | |
| Average residents per day | 114 | 87 | 86 | |
| Occupancy | 94.6% | 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) | 5.8% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.1% | 5.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 7.2% | 14% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.3% | 1.6% | Worse |
| 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) | 12.6% | 15.6% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 16.6% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 7.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 15.8% | 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) | 29.2% | 21.3% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 16.4% | 20.7% | 19% | Better |
| 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) | 99.7% | 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) | 2.5% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 97% | 78.1% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 99.5% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 3 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 10, 2026 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 August 25, 2026 |
| June 10, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 25, 2026 |
| June 10, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 25, 2026 |
| June 10, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected August 25, 2026 |
| May 21, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected August 8, 2025 |
| May 21, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected August 8, 2025 |
| May 21, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected August 8, 2025 |
| May 21, 2025 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 August 8, 2025 |
| May 21, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 23, 2025 |
| May 21, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 23, 2025 |
| May 31, 2024 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 | J Immediate jeopardy, isolated | Corrected May 16, 2024 |
| January 18, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | D Potential harm, isolated | Corrected March 6, 2024 |
| January 18, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected March 6, 2024 |
| January 18, 2024 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 March 6, 2024 |
| January 18, 2024 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | D Potential harm, isolated | Corrected March 6, 2024 |
| January 18, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | D Potential harm, isolated | Corrected March 6, 2024 |
| January 18, 2024 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | D Potential harm, isolated | Corrected March 6, 2024 |
| January 18, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected March 6, 2024 |
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 $51,188 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 31, 2024 | Fine | $51,188 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ARDENT HEALTH AND REHABILITATION CO Organization | 5% or greater direct ownership interest | 100% | 06/01/2015 |
| NELSON, JOHN Individual | adp of the snf | NOT APPLICABLE | 01/06/2025 |
| REID, JILL Individual | adp of the snf | NOT APPLICABLE | 11/22/2021 |
| SANSTONE MANAGEMENT COMPANY, LLC Organization | adp of the snf | NOT APPLICABLE | 11/12/2025 |
| SPRENGER, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 11/30/2020 |
| TANNER, HUNTER Individual | adp of the snf | NOT APPLICABLE | 07/07/2025 |
| SPRENGER, CHRISTOPHER Individual | corporate officer | NOT APPLICABLE | 06/01/2015 |
| SPRENGER, CHRISTOPHER Individual | indirect ownership interest | NOT APPLICABLE | 06/01/2015 |
| NELSON, JOHN Individual | managing control - governing body | NOT APPLICABLE | 01/06/2025 |
| TANNER, HUNTER Individual | managing control - governing body | NOT APPLICABLE | 07/07/2025 |
| NELSON, JOHN Individual | operational/managerial control | NOT APPLICABLE | 01/06/2025 |
| REID, JILL Individual | operational/managerial control | NOT APPLICABLE | 11/22/2021 |
| SANSTONE MANAGEMENT COMPANY, LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| TANNER, HUNTER Individual | operational/managerial control | NOT APPLICABLE | 07/07/2025 |
Other nursing homes near Hickory Falls Health and Rehabilitation
College Pines Health and Rehabilitation
95 Locust Street, Connelly Springs, NC 28612 · 5.6 mi
For-profit · 100 beds · Part of Sanstone Health & Rehabilitation
- CMS high performer
★★★★★5Much above average- ★★★★★4Above average
Carolina Rehab Center of Burke
3647 Miller Bridge Road, Connelly Spring, NC 28612 · 6.3 mi
For-profit · 90 beds · Part of Lifeworks Rehab
★★★★★3AverageThe Greens at Viewmont
220 13th Avenue Place NW, Hickory, NC 28601 · 6.8 mi
For-profit · 104 beds · Part of Cch Healthcare
★★★★★2Below averageTrinity Village
1265 21 Street NE, Hickory, NC 28601 · 7.6 mi
Non-profit · 104 beds · Part of Lutheran Services Carolinas
- CMS high performer
★★★★★5Much above averageAutumn Care of Drexel
307 Oakland Avenue, Morganton, NC 28655 · 9.1 mi
For-profit · 100 beds · Part of Saber Healthcare Group
★★★★★4Above average
All nursing homes in Granite Falls, NC · Compare side by side
Frequently asked questions
What is Hickory Falls Health and Rehabilitation's rating?
Hickory Falls Health and Rehabilitation has 4 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 Hickory Falls Health and Rehabilitation receive?
Its most recent standard health inspection found 0 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Hickory Falls 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 Hickory Falls 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 Hickory Falls Health and Rehabilitation and how do I contact it?
Hickory Falls Health and Rehabilitation is at 100 Sunset Street, Granite Falls, NC 28630. Phone: (828) 396-2387.
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.