North Carolina › Madison County › Marshall
Elderberry Health Care
415 Elderberry Lane, Marshall, NC 28753
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 80 beds, Elderberry Health Care serves Marshall in Madison County, North Carolina and has taken Medicare and Medicaid residents since 1990.
CMS gives it 2 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 3, staffing 3 and quality measures 1.
Inspectors recorded 18 health deficiencies across the three most recent survey cycles (3, 8, 7 by cycle, most recent first), none at the actual-harm level. That is 22.5 per 100 beds, more than the state median of 15.6.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.5 RN), close to the North Carolina median of 3.5; nursing staff turnover is 38.7%.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 18 | 18 | 16 | 28.7 |
| Citations per 100 beds | 22.5 | 22.5 | 15.6 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 38.7% | 38.7% | 48.6% | 45.8% |
| Fines listed | $0 | $9,110 | $8,512 | — |
County and state figures are medians across facilities (2 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Nov 2025, 28 Aug 2024.
Severity mix: D ×7 E ×5 F ×2 B ×2 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Jan 2026 |
| 19 Nov 2025 | 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. | D | Standard survey | 15 Jan 2026 |
| 19 Nov 2025 | 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. | D | Standard survey | 15 Jan 2026 |
| 28 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Oct 2024 |
| 28 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0575 | 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. | C | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 25 Oct 2024 |
| 28 Aug 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | B | Complaint investigation | 25 Oct 2024 |
| 22 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 27 Jul 2023 |
| 22 Jun 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 20 Jul 2023 |
| 22 Jun 2023 | F0803 | 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. | E | Standard survey | 20 Jul 2023 |
| 22 Jun 2023 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 28 Jul 2023 |
| 22 Jun 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 20 Jul 2023 |
| 22 Jun 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Jul 2023 |
| 22 Jun 2023 | F0584 | 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. | B | Standard survey | 20 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 38.7%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.8% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.1% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.9% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.4% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 13.2% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.7% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Wilkinson Care Center, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Elderberry of Marshall, LLC | 5% or greater direct ownership interest | 100% | 09/01/2015 |
| Charlotte Advance, Inc | Direct ownership interest | NOT APPLICABLE | 01/01/2009 |
| Tullock Management Company | Operational/managerial control | NOT APPLICABLE | 05/14/1990 |
| Wilkinson Care Center, Inc. | Operational/managerial control | NOT APPLICABLE | 01/01/2009 |
| Elderberry of Marshall, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2015 |
| Tullock Management Company | Adp of the snf | NOT APPLICABLE | 07/07/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Madison County
| 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 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Elderberry Health Care been cited for?
18 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Elderberry Health Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Elderberry Health Care compare?
Reported total nurse staffing is 2.9 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Elderberry Health Care?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Elderberry of Marshall, LLC, Charlotte Advance, Inc and Tullock Management Company. Individual owners and managers are not listed on this site.
When was Elderberry Health Care last inspected?
The most recent survey or investigation in the CMS record is dated 19 Nov 2025; the most recent standard health survey was 19 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.