nursing home in Marshall, NC
Elderberry Health Care
415 Elderberry Lane, Marshall, NC 28753 · (828) 252-1790
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Elderberry Health Care at a glance
Elderberry Health Care is a 80-bed for-profit nursing home in Marshall, North Carolina (Madison County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the North Carolina average of 2.9.
Residents receive about 2.9 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.
Its most recent standard health inspection (November 19, 2025) found 3 health citations. The North Carolina average is 4.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 38.7% per year (state average 49%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 14, 1990
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 345319
Ratings
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.9 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.94 hrs | 3.85 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.62 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.93 hrs | 2.34 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.57 hrs | 3.42 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.7% | 49% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 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) | 3 | 5 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 21 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $36,617 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | North Carolina avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 105 | 107 | |
| Average residents per day | 69 | 87 | 86 | |
| Occupancy | 86.6% | 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) | 6.1% | 3.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 13.2% | 5.5% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 28.7% | 14% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 6.7% | 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) | 24.8% | 15.6% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22.4% | 18.3% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 9.1% | 7.2% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 7.9% | 5.9% | 12.8% | Better |
| 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) | 13.5% | 21.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 20.9% | 20.7% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 94.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 92% | 92% | 93.6% | Average |
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) | 4.9% | 1.4% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 49.3% | 78.1% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 88.6% | 80.6% | 82% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 19, 2025 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 January 15, 2026 |
| November 19, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected January 15, 2026 |
| November 19, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected January 15, 2026 |
| August 28, 2024 Fire safety | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0001 | F Potential harm, widespread | Corrected October 25, 2024 |
| August 28, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected December 19, 2024 |
| August 28, 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 December 19, 2024 |
| August 28, 2024 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 19, 2024 |
| August 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected December 19, 2024 |
| August 28, 2024 Fire safety | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Tag K0374 | D Potential harm, isolated | Corrected December 19, 2024 |
| August 28, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected December 19, 2024 |
| August 28, 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 December 19, 2024 |
| August 28, 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 December 19, 2024 |
| August 28, 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 | F Potential harm, widespread | Corrected October 25, 2024 |
| August 28, 2024 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | E Potential harm, pattern | Corrected October 25, 2024 |
| August 28, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected October 25, 2024 |
| August 28, 2024 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | D Potential harm, isolated | Corrected October 25, 2024 |
| August 28, 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 | D Potential harm, isolated | Corrected October 25, 2024 |
| August 28, 2024 Standard | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Resident Rights Deficiencies · Tag F0575 | C No harm, widespread | Corrected October 25, 2024 |
| August 28, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected October 25, 2024 |
| August 28, 2024 Complaint | 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 | B No harm, pattern | Corrected October 25, 2024 |
| June 22, 2023 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 October 16, 2023 |
| June 22, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected October 16, 2023 |
| June 22, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | E Potential harm, pattern | Corrected October 16, 2023 |
| June 22, 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 October 16, 2023 |
| June 22, 2023 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 | F Potential harm, widespread | Corrected July 27, 2023 |
| June 22, 2023 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 22, 2023 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | E Potential harm, pattern | Corrected July 28, 2023 |
| June 22, 2023 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected July 20, 2023 |
| June 22, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 22, 2023 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected July 20, 2023 |
| June 22, 2023 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | B No harm, pattern | Corrected July 20, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ELDERBERRY OF MARSHALL, LLC Organization | 5% or greater direct ownership interest | 100% | 09/01/2015 |
| CUTSHALL, KAREN Individual | adp of the snf | NOT APPLICABLE | 10/01/1993 |
| ELDERBERRY OF MARSHALL, LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2015 |
| ELLER, EDWARD Individual | adp of the snf | NOT APPLICABLE | 05/14/1990 |
| MARTIN, ANDREW Individual | adp of the snf | NOT APPLICABLE | 07/25/2022 |
| MARTIN, JAMES Individual | adp of the snf | NOT APPLICABLE | 10/01/2011 |
| TULLOCK MANAGEMENT COMPANY Organization | adp of the snf | NOT APPLICABLE | 07/07/2025 |
| ELLER, EDWARD Individual | corporate officer | NOT APPLICABLE | 01/01/2009 |
| MARTIN, JAMES Individual | corporate officer | NOT APPLICABLE | 02/16/1998 |
| CHARLOTTE ADVANCE, INC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2009 |
| MARTIN, JAMES Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2011 |
| MARTIN, JAMES Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 07/14/2025 |
| MARTIN, JAMES Individual | managing control - governing body | NOT APPLICABLE | 10/01/2011 |
| CUTSHALL, KAREN Individual | operational/managerial control | NOT APPLICABLE | 10/01/1993 |
| ELLER, EDWARD Individual | operational/managerial control | NOT APPLICABLE | 05/14/1990 |
| MARTIN, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 07/25/2022 |
| MARTIN, JAMES Individual | operational/managerial control | NOT APPLICABLE | 10/01/2011 |
| TULLOCK MANAGEMENT COMPANY Organization | operational/managerial control | NOT APPLICABLE | 05/14/1990 |
| WILKINSON CARE CENTER, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/01/2009 |
Other nursing homes near Elderberry Health Care
Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754 · 7.2 mi
For-profit · 100 beds · Part of Sanstone Health & Rehabilitation
★★★★★5Much above averageThe Greens at Weaverville
78 Weaver Boulevard, Weaverville, NC 28787 · 7.9 mi
For-profit · 122 beds · Part of Cch Healthcare
★★★★★3AverageEmerald Ridge Health and Rehabilitation
25 Reynolds Mountain Boulevard, Asheville, NC 28804 · 11.1 mi
For-profit · 100 beds · Part of Avardis Health
★★★★★1Much below averageBear Mountain Health and Rehabilitation
500 Beaverdam Road, Asheville, NC 28804 · 12.6 mi
For-profit · 77 beds · Part of Ascent Healthcare Management
★★★★★3AverageRiver Bend Health and Rehabilitation
213 Richmond Hill Drive, Asheville, NC 28806 · 13.2 mi
For-profit · 100 beds · Part of Brighton Healthcare
- Abuse citation
★★★★★1Much below averagePisgah Manor Health Care Center
104 Holcombe Cove Road, Candler, NC 28715 · 15.6 mi
For-profit · 118 beds · Part of Liberty Senior Living
★★★★★2Below average
Frequently asked questions
What is Elderberry Health Care's rating?
Elderberry Health Care has 2 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 Elderberry Health Care receive?
Its most recent standard health inspection found 3 citations, compared with a North Carolina average of 4.7. Every citation is listed on this page with its severity.
Does Elderberry Health Care 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 Elderberry Health Care?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Elderberry Health Care and how do I contact it?
Elderberry Health Care is at 415 Elderberry Lane, Marshall, NC 28753. Phone: (828) 252-1790.
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.