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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth CarolinaMadison Health and Rehabilitation

Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 287548286895200
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
5/5
Beds
100
certified
This facility has been flagged for abuse.
1 fine(s) totaling $14,015

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 100 certified beds with an average of 88.1 residents per day (88% occupancy)

• Last health inspection found 2 deficiencies (inspected Nov 15, 2024)

• Has been fined a total of $14,015 across 1 fine(s)

• Total nursing staff: 3.51 hours per resident per day

• Staff turnover rate: 39.4%

• Part of the Sanstone Health & Rehabilitation chain (17 facilities)

Madison Health and Rehabilitation is a 3-star Medicare and Medicaid certified nursing home in Mars Hill, North Carolina with 100 certified beds. It has been operating since 1981. The facility scored at average compared to North Carolina facilities.

Beds
100
Avg Residents/Day
88.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
May 25, 1981
Sprinklers
Yes
Council
Resident
County
Madison
Last Inspection
Nov 15, 2024
Deficiencies (Cycle 1)
2
Weighted Score
23.0
Infection Citations
0

Deficiency Citations (13)

F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Aug 27, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Nov 15, 2024Corrected: NoCycle: 1
F0554Potential for Harm

Allow residents to self-administer drugs if determined clinically appropriate.

Survey: Aug 30, 2023Corrected: NoCycle: 2
F0693Potential for Harm

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.

Survey: Aug 30, 2023Corrected: NoCycle: 2
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0578Potential for Harm

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.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0580Actual Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0622Potential for Harm

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 18, 2022Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Feb 18, 2022Corrected: NoCycle: 3
Total Fines
$14,015
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 27, 2025
$14,015

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.25 hrs
National avg: 2.35 hrs
LPN0.52 hrs
National avg: 0.86 hrs
RN0.74 hrs
National avg: 0.68 hrs
Total Nursing3.51 hrs
National avg: 3.89 hrs
Weekend Total2.59 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
39.4%
RN Turnover
35.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
SPRENGER, CHRISTOPHER5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ADec 14, 2010
ARDENT HEALTH AND REHABILITATION COOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 14, 2010
NIEBES, HALEYW-2 MANAGING EMPLOYEEIndividualN/AJun 1, 2019
MADISON HEALTHCARE PROPERTIES, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AOct 22, 2013

Frequently Asked Questions

What is the CMS rating for Madison Health and Rehabilitation?▾
Madison Health and Rehabilitation has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 5/5. This facility is rated average.
Has Madison Health and Rehabilitation had any health inspection violations?▾
Madison Health and Rehabilitation had 2 deficiency citations in its most recent health inspection (Nov 15, 2024). The facility has been fined a total of $14,015 across 1 fine(s).
What are the staffing levels at Madison Health and Rehabilitation?▾
Madison Health and Rehabilitation provides 3.51 total nursing staff hours per resident per day, including 0.74 RN hours, 0.52 LPN hours, and 2.25 nurse aide hours. The total staff turnover rate is 39.4%.
How many beds does Madison Health and Rehabilitation have?▾
Madison Health and Rehabilitation has 100 certified beds with an average of 88.1 residents per day, resulting in approximately 88% occupancy. The facility is For profit - Limited Liability company owned and is part of the Sanstone Health & Rehabilitation chain.

Part of Sanstone Health & Rehabilitation

This chain operates 17 facilities. View all →