Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 28754 · CCN 345206 · 100 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-08-27 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

2.73

state median 3.11

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.34

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

38%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $9,110 in fines.

DateTypeAmount
2025-08-27Fine$9,110

Ownership

Ownership type: For profit - Limited Liability company. Part of the SANSTONE HEALTH & REHABILITATION chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 4

Survey dateTagCategorySeverityCorrected
2026-02-11F0812Nutrition and Dietary DeficienciesEnot recorded
2025-08-27F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2024-11-15F0812Nutrition and Dietary DeficienciesEnot recorded
2023-08-30F0554Resident Rights DeficienciesDnot recorded
2023-08-30F0693Quality of Life and Care DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Madison Health and Rehabilitation, Mars Hill” at medicare.gov/care-compare.