North Carolina › Madison County › Mars Hill
Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754
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.
Madison Health and Rehabilitation is a For-profit, limited liability company nursing home in Mars Hill, North Carolina, certified for 100 beds and caring for about 85 residents a day.
CMS gives it 3 of 5 stars overall, equal to the North Carolina median; the health inspection rating is 2, staffing 4 and quality measures 5.
Inspectors recorded 5 health deficiencies across the three most recent survey cycles (2, 1, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 5.0 per 100 beds, fewer than the state median of 15.6.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 3.6 hours per resident per day (0.7 RN), close to the North Carolina median of 3.5; nursing staff turnover is 37.9%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Madison Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 5 | 18 | 16 | 28.7 |
| Citations per 100 beds | 5.0 | 22.5 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 37.9% | 38.7% | 48.6% | 45.8% |
| Fines listed | $9,110 | $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: 11 Feb 2026, 15 Nov 2024.
Severity mix: G ×1 D ×2 E ×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 |
|---|---|---|---|---|---|
| 11 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Feb 2026 |
| 27 Aug 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | Past Non-Compliance |
| 15 Nov 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Nov 2024 |
| 30 Aug 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 22 Sep 2023 |
| 30 Aug 2023 | F0693 | 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. | D | Standard survey | 22 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 27 Aug 2025 | Fine | $9,110 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 37.9%, RNs 29.4%; 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 | 14.3% | 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 | 1.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 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 | 17.0% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.6% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.3% | 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: Madison Health And Rehabilitation, Llc. Chain: Sanstone Health & Rehabilitation (18 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Madison Healthcare Properties, LLC | 5% or greater mortgage interest | NOT APPLICABLE | 10/22/2013 |
| Ardent Health and Rehabilitation Co | Operational/managerial control | NOT APPLICABLE | 12/14/2010 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Elderberry Health Care | Marshall | 80 | 2 | 3 | 3 | 18 | 22.5 | — | 19 Nov 2025 |
All 2 facilities in Madison County
Questions and answers
How many deficiencies has Madison Health and Rehabilitation been cited for?
5 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 Madison Health and Rehabilitation been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Madison 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 Madison 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. Individual owners and managers are not listed on this site.
When was Madison Health and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 11 Feb 2026; the most recent standard health survey was 11 Feb 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.