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HomeNorth CarolinaMadison Health and Rehabilitation

Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 287548286895200WebsiteGoogle Maps
4.4on Google(22 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
5/5
Beds
100
certified
This facility has been flagged for abuse.
1 fine(s) totaling $9,110

How Madison Health and Rehabilitation Compares in North Carolina

Facility results compared with averages for CMS-certified nursing homes in North Carolina. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
3/5
NC average
2.9/5
Close to state average
Health inspection rating
2/5
NC average
2.9/5
Below state average
Staffing rating
4/5
NC average
2.7/5
Above state average
Nursing hours per resident
3.60 hrs/day
NC average
3.82 hrs/day
Below state average
RN hours per resident
0.67 hrs/day
NC average
0.61 hrs/day
Close to state average
Staff turnover
37.9%
NC average
49.1%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 health inspection rating is below the North Carolina average of 2.9/5.
Staff turnover is 37.9%, lower than the North Carolina average of 49.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
1
deficiency citation
Inspected Nov 15, 2024
Most recent cycle
2
deficiency citations
Inspected Feb 11, 2026
The most recent cycle recorded 1 more deficiency citation than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$8,122/mo
North Carolina median
Private Room
$9,125/mo
North Carolina median
Madison County 65+
4,910
22.9% of county
County Population
21,414
Madison County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 3 out of 5.

Beds
100
Avg Residents/Day
84.6
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
Feb 11, 2026
Deficiencies (Cycle 1)
2
Weighted Score
23.0
Infection Citations
0

Deficiency Citations (5)

F0812Potential for Harm

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

Survey: Feb 11, 2026Corrected: NoCycle: 1
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: 2
F0554Potential for Harm

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

Survey: Aug 30, 2023Corrected: NoCycle: 3
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: 3
Total Fines
$9,110
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineAug 27, 2025
$9,110

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

Nurse Aide2.44 hrs
National avg: 2.32 hrs
LPN0.50 hrs
National avg: 0.86 hrs
RN0.67 hrs
National avg: 0.69 hrs
Total Nursing3.60 hrs
National avg: 3.86 hrs
Weekend Total3.02 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
37.9%
RN Turnover
29.4%
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
MADISON HEALTHCARE PROPERTIES, LLC5% OR GREATER MORTGAGE INTERESTOrganizationN/AOct 22, 2013
NIEBES, HALEYW-2 MANAGING EMPLOYEEIndividualN/AJun 1, 2019
ARDENT HEALTH AND REHABILITATION COOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ADec 14, 2010

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Madison Health and Rehabilitation and nearby alternatives.

All North Carolina facilities
Madison Health and Rehabilitation
Mars Hill, NCCurrent facilityAbuse flag
CMS
3/5
Health
2/5
Staffing
4/5
Recorded fines: $9,110
Elderberry Health Care
Marshall, NC7.2 mi
CMS
2/5
Health
3/5
Staffing
3/5
Recorded fines: None
The Greens at Weaverville
Weaverville, NC9.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Bear Mountain Health and Rehabilitation
Asheville, NC13.2 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $11,170
Emerald Ridge Health and Rehabilitation
Asheville, NC13.2 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $73,475
Smoky Ridge Health and Rehabilitation
Burnsville, NC14.3 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $59,631
River Bend Health and Rehabilitation
Asheville, NC15.5 miAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $147,579
FacilityDistanceCMSHealthStaffingRecorded fines
Madison Health and Rehabilitation
Mars Hill, NC · Current facility
—3/52/54/5$9,110
Elderberry Health Care
Marshall, NC
7.2 mi2/53/53/5None recorded
The Greens at Weaverville
Weaverville, NC
9.2 mi4/54/53/5None recorded
Bear Mountain Health and Rehabilitation
Asheville, NC
13.2 mi3/53/53/5$11,170
Emerald Ridge Health and Rehabilitation
Asheville, NC
13.2 mi1/51/54/5$73,475
Smoky Ridge Health and Rehabilitation
Burnsville, NC
14.3 mi2/52/53/5$59,631
River Bend Health and Rehabilitation
Asheville, NC
15.5 mi1/51/52/5$147,579

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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.
How much does Madison Health and Rehabilitation cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in North Carolina is $8,122/month for a semi-private room and $9,125/month for a private room (Genworth/CareScout 2024). Madison Health and Rehabilitation participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Madison Health and Rehabilitation had any health inspection violations?▾
Madison Health and Rehabilitation had 2 deficiency citations in its most recent health inspection (Feb 11, 2026). The current CMS dataset records 1 fine(s) totaling $9,110.
What are the staffing levels at Madison Health and Rehabilitation?▾
Madison Health and Rehabilitation provides 3.60 total nursing staff hours per resident per day, including 0.67 RN hours, 0.50 LPN hours, and 2.44 nurse aide hours. The total staff turnover rate is 37.9%.
How many beds does Madison Health and Rehabilitation have?▾
Madison Health and Rehabilitation has 100 certified beds with an average of 84.6 residents per day, resulting in approximately 85% occupancy. The facility is For profit - Limited Liability company owned and is part of the Sanstone Health & Rehabilitation chain.
Are there other nursing homes near Madison Health and Rehabilitation?▾
Yes. This page lists 6 nearby nursing homes in North Carolina. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Madison Health and Rehabilitation?▾
On Google Maps, Madison Health and Rehabilitation has a rating of 4.4 out of 5 based on 22 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Sanstone Health & Rehabilitation

This chain operates 18 facilities. View all →