North Carolina › Caldwell County › Granite Falls
Hickory Falls Health and Rehabilitation
100 Sunset Street, Granite Falls, NC 28630
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 120 beds, Hickory Falls Health and Rehabilitation serves Granite Falls in Caldwell County, North Carolina and has taken Medicare and Medicaid residents since 1985.
CMS gives it 4 of 5 stars overall, above the North Carolina median of 3; the health inspection rating is 4, staffing 3 and quality measures 3.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (0, 2, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 2.5 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $51K.
Reported nurse staffing is 3.6 hours per resident per day (0.4 RN), close to the North Carolina median of 3.5; nursing staff turnover is 32.5%.
Compared with county, state and nation
| Measure | This facility | Caldwell Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 35 | 16 | 28.7 |
| Citations per 100 beds | 2.5 | 29.2 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.4 | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 32.5% | 50.7% | 48.6% | 45.8% |
| Fines listed | $51,188 | $53,110 | $8,512 | — |
County and state figures are medians across facilities (4 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: 10 Jun 2026, 21 May 2025.
Severity mix: J ×1 D ×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 |
|---|---|---|---|---|---|
| 21 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 23 May 2025 |
| 21 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 23 May 2025 |
| 31 May 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 16 May 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 31 May 2024 | Fine | $51,188 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 32.5%, RNs 31.3%; 2 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 | 12.6% | 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 | 1.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.8% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.5% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.6% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.1% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.2% | 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, limited liability company. Legal business name: Granite Falls Health And Rehabilitation, Llc. Chain: Sanstone Health & Rehabilitation (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ardent Health and Rehabilitation Co | 5% or greater direct ownership interest | 100% | 06/01/2015 |
| Sanstone Management Company, LLC | Operational/managerial control | NOT APPLICABLE | 01/01/2021 |
| Sanstone Management Company, LLC | Adp of the snf | NOT APPLICABLE | 11/12/2025 |
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 Caldwell County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Shaire Nursing Center | Lenoir | 60 | 4 | 3 | 5 | 11 | 18.3 | — | 13 Aug 2025 |
| Hibriten Mountain Nursing and Rehabilitationabuse icon | Lenoir | 100 | 1 | 1 | 2 | 46 | 46.0 | $53K | 26 Feb 2026 |
| Lenoir Health and Rehabilitation Center | Lenoir | 120 | 1 | 1 | 1 | 35 | 29.2 | $150K | 5 Feb 2026 |
All 4 facilities in Caldwell County
Questions and answers
How many deficiencies has Hickory Falls Health and Rehabilitation been cited for?
3 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Hickory Falls Health and Rehabilitation been fined?
Yes. CMS lists fines totalling $51K in the period covered.
How does staffing at Hickory Falls Health and Rehabilitation compare?
Reported total nurse staffing is 3.6 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates Hickory Falls Health and Rehabilitation?
It is part of the Sanstone Health & Rehabilitation chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Ardent Health and Rehabilitation Co and Sanstone Management Company, LLC. Individual owners and managers are not listed on this site.
When was Hickory Falls Health and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2025; the most recent standard health survey was 10 Jun 2026.
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.