Hendersonville Health and RehabilitationCMS ratings, inspections and fines
- Address
- 104 College Drive, Flat Rock, NC 28731
- CCN
- 345493
- Ownership type
- For-profit, limited liability company
- Certified beds
- 130
- Residents per day
- 98
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Hendersonville Health and Rehabilitation an overall rating of 5 of 5 stars. The last standard survey was on 18 Sep 2025. The latest survey cycle has 0 health citations. The median for nursing homes in North Carolina is 3. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in North Carolina (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Henderson County median | North Carolina median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 5 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 3.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 9 homes in the county, 419 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | North Carolina median |
|---|---|---|---|
| Cycle 1 (latest) | 18 Sep 2025 | 0 | 3 |
| Cycle 2 | 11 Sep 2024 | 3 | 5 |
| Cycle 3 | No date | 8 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 2: 3 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Sep 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Complaint investigation | 12 Sep 2024 |
| 11 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Complaint investigation | 12 Sep 2024 |
| 11 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 12 Sep 2024 |
Survey cycle 3: 8 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Jun 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Jul 2023 |
| 16 Jun 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 21 Jun 2023 |
| 16 Jun 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 6 Jul 2023 |
| 16 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. | D | Standard survey | 14 Jul 2023 |
| 16 Jun 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard survey | 12 Jul 2023 |
| 16 Jun 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 16 Jun 2023 |
| 16 Jun 2023 | F0761 | 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. | D | Standard survey | 6 Jul 2023 |
| 16 Jun 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard survey | 30 Jun 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | North Carolina median | North Carolina average (CMS) |
|---|---|---|---|
| All nurse staff | 3.50 | 3.50 | 3.83 |
| Registered nurses (RN) | 0.38 | 0.50 | 0.61 |
| Licensed practical nurses (LPN) | 0.80 | 0.89 | |
| Nurse aides | 2.33 | 2.34 | |
| All nurse staff, weekends | 2.96 | 3.10 | 3.40 |
- Nurse staff turnover in a year
- 37.1%
- Nurse staff turnover, North Carolina median
- 48.6%
- RN turnover in a year
- 16.7%
- Administrators who left in a year
- 1
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.7% | 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 | 0.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.5% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 13.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Hendersonville Health and Rehabilitation
- Chain
- Sanstone Health & Rehabilitation (18 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bluesky Healthcare Inc | 5% or greater direct ownership interest | 50% | 9 May 2008 |
| Flat Rock Management Company | 5% or greater direct ownership interest | 50% | 1 Aug 2008 |
| Ardent Health and Rehabilitation Co | 5% or greater indirect ownership interest | 50% | 1 Aug 2008 |
| Sanstone Management Company, LLC | Operational/managerial control | 19 Nov 2024 | |
| Sanstone Management Company, LLC | Adp of the snf | 19 Nov 2024 |
The site shows organisations only. It does not show the names of persons.
Other homes in Henderson County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Carolina Village Inc | Hendersonville | 5 of 5 | 0 | $0 | 9 Apr 2026 | |
| Life Care Center of Hendersonville | Hendersonville | 3 of 5 | 5 | $40,986 | 27 Aug 2025 | |
| Valley Hill Health & Rehab Center | Hendersonville | 2 of 5 | 6 | $58,949 | 27 Jun 2025 | |
| The Laurels of Hendersonville | Hendersonville | 3 of 5 | 4 | $36,257 | 5 Jun 2026 | |
| The Greens at Hendersonville | Hendersonville | 3 of 5 | 2 | $101,733 | 16 Jan 2026 | |
| Orchard Valley Health and Rehabilitation | Hendersonville | 1 of 5 | 7 | $16,452 | 20 Feb 2026 | |
| Fletcher Rehabilitation and Healthcare Center | Fletcher | 1 of 5 | 21 | $62,868 | 2 Jun 2025 | |
| The Lodge at Mills River | Mills River | 5 of 5 | 1 | $0 | 3 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Hendersonville Health and Rehabilitation (CCN 345493). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/hendersonville-health-and-rehabilitation-flat-rock-nc-345493/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Hendersonville Health and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 11 Sep 2024. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 11 Sep 2024.
- Who operates Hendersonville Health and Rehabilitation?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Sanstone Health & Rehabilitation. The CMS ownership file names Sanstone Management Company, LLC for operational or managerial control. This site does not show the names of persons.
- Is Hendersonville Health and Rehabilitation a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 2 homes in North Carolina as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.