Madison Health and Rehabilitation

Nursing Home · Mars Hill, NC

CMS overall rating 3/5 Abuse citation For profit - Limited Liability company

CMS certification number345206
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

345 Manor Road
Mars Hill, NC 28754
Madison County
Phone
(828) 689-5200
ZIP code
28754 – all care providers

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Facility details

Certified beds
100
Residents per day
84.6 (85% occupied)
Ownership
For profit - Limited Liability company
Legal name
Madison Health and Rehabilitation, LLC
Chain
Sanstone Health & Rehabilitation (18 facilities, avg 4.2★)
Medicare certified since
May 25, 1981
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 2.9
Health inspections★★★★★ 2/5
State avg 2.9
Staffing★★★★★ 4/5
State avg 2.7
Quality measures★★★★★ 5/5
State avg 3.3
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 5/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.60 (state 3.83 · U.S. 3.86)
Registered nurses (RN)
0.67 (state 0.61 · U.S. 0.69)
Licensed practical nurses
0.50 (state 0.89 · U.S. 0.86)
Nurse aides
2.44 (state 2.34 · U.S. 2.32)
Weekend total
3.02 (state 3.40 · U.S. 3.42)
Nursing staff turnover
37.9 (state 49.0 · U.S. 45.8)%
RN turnover
29.4 (state 45.7 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
February 11, 2026
Health deficiencies (last cycle)
2.0 (state 4.8 · U.S. 9.3)
From complaints
1
Citations on record (3 years)
5 health · 11 fire safety · includes actual harm
DateCitationSeverityStatus
2026-02-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-02-20
2025-08-27 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
G
Actual harm
Past Non-Compliance
2024-11-15 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-11-16
2023-08-30 Allow residents to self-administer drugs if determined clinically appropriate.
F0554 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-22
2023-08-30 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2023-09-22

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $9,110 in fines.

DateTypeAmount
2025-08-27Fine$9,110

Ownership & management

NameRoleSince
Sprenger, Christopher (individual)5%+ Direct Ownership Interest
Madison Healthcare Properties, LLC (organization)5%+ Mortgage Interest · NOT APPLICABLE
Ardent Health and Rehabilitation Co (organization)Operational/managerial Control · NOT APPLICABLE
Niebes, Haley (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Madison Health and Rehabilitation?

Madison Health and Rehabilitation has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in North Carolina.

How many beds does Madison Health and Rehabilitation have?

It has 100 certified beds and cares for about 85 residents per day.

Has Madison Health and Rehabilitation been fined?

Yes. CMS lists 1 penalty totaling $9,110 in the last three years.

Who owns Madison Health and Rehabilitation?

It is part of Sanstone Health & Rehabilitation and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Madison Health and Rehabilitation?

(828) 689-5200. The facility is located at 345 Manor Road, Mars Hill, NC 28754.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.