States › North Carolina › Madison County
Nursing homes in Madison County, North Carolina
Madison County, North Carolina, has 2 Medicare-certified nursing homes with 180 certified beds.
50% of them are rated 1 or 2 stars overall, a larger share than the state (42%). Inspectors recorded 23 health deficiencies over three cycles, 12.8 per 100 beds against 17.8 statewide.
Fines in the period covered total $9K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Madison County | North Carolina | US |
|---|---|---|---|
| Facilities | 2 | 419 | 14690 |
| Rated 1–2 stars overall | 50% | 42% | 41% |
| Median overall rating | 3 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 12.8 | 17.8 | 26.8 |
| Median nurse hours per resident day | 3.6 | 3.5 | 3.7 |
| Fines listed | $9K | $15M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Madison Health and Rehabilitationabuse icon | Mars Hill | 100 | 3 | 2 | 4 | 5 | 5.0 | $9K | 11 Feb 2026 |
| Elderberry Health Care | Marshall | 80 | 2 | 3 | 3 | 18 | 22.5 | — | 19 Nov 2025 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 5 |
| F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 2 |
| F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | 2 |
| F0578 | 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. | 1 |
| F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | 1 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 2 |
Chains present: Sanstone Health & Rehabilitation (1).
Questions and answers
How many nursing homes are in Madison County, North Carolina?
2 Medicare-certified nursing homes with 180 certified beds.
Which nursing homes in Madison County have the highest CMS ratings?
Madison Health and Rehabilitation (3 stars), Elderberry Health Care (2 stars)
How do Madison County nursing homes compare with North Carolina?
50% are rated 1–2 stars overall against 42% statewide; citations run at 12.8 per 100 beds against 17.8 statewide.