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Nursing homeFAID #8991

Madison Health and Rehabilitation

345 MANOR ROAD, MARS HILL, NC, 28754
(828) 689-5200
madison.sanstonehealth.com
100 licensed beds
★★★★★3/5CMS Five-Star overall2/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo via Google · Madison Health And Rehabilitation

Public record summary

What we can show you for free.
Bed capacity
100
CMS facility ID
345206
Care type
Nursing home
County
Madison
Facility name
Madison Health and Rehabilitation
Street address
345 MANOR ROAD
City / state / ZIP
Mars Hill, NC 28754
Phone
(828) 689-5200
Website
madison.sanstonehealth.com

About this facility — Madison Health and Rehabilitation

Madison Health and Rehabilitation is a Medicare/Medicaid-certified skilled nursing facility in Mars Hill, North Carolina. It is licensed for 100 beds — close to the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 2 senior care facilities in Mars Hill and 420 skilled nursing facilities across North Carolina. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Madison Health and Rehabilitation 16 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $9,110 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Sanstone Health & Rehabilitation
Ownership type
For profit - Limited Liability company

Registered owners & officers

Ardent Health and Rehabilitation Co
Operational control — since 2010
Madison Healthcare Properties, Llc
Mortgage holder — since 2013
Niebes, Haley
Managing employee — since 2019
Sprenger, Christopher
Direct owner — since 2010

Regulatory standing

Licensed / certified since
1981-05-25
CMS overall rating
3 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
$9,110 total
Last standard inspection
2026-02-11
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$439 per day (≈ $13,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
65% Medicaid · 9% Medicare · 26% private/other
Occupancy
87% (fiscal year 2023)
Vs. state median
18% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
100
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-02-11Health inspection1 citation
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-02-20
2025-08-27Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
5 earlier / fire-safety inspections (14 citations)
2024-11-15Health inspection1 citation
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-11-16
2023-08-30Health inspection2 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-09-22
F-0693
D · No harm found
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.
Corrected 2023-09-22
2024-11-15Fire-safety inspection1 citation
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-01-01
2023-08-30Fire-safety inspection9 citations
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-12-23
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-23
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2023-12-23
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-12-23
K-0353
D · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-23
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-12-23
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-12-23
K-0511
F · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-12-23
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-12-23
2022-02-18Fire-safety inspection1 citation
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-04-08

Federal penalties

2025-08-27Fine$9,110
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 345206.

Visitor reviews

What people say on Google.
4.424 ratings on Google
★★★★★Denise Powell · 2026-01-27 · via Google

“I don't even know where to begin with this review! This place and these people not only saved my mom but also saved me. My mom went into the hospital on October 27th with emergency surgery and she was on a ventilator for a few days and spent a couple of weeks in the hospital. We were then sent to Care partners in Asheville and we were there for a couple of weeks when she got very sick. I then aske…”

★★★★★Sofia Mir · 2026-04-05 · via Google

“Beautiful SNF/Rehab facility. Wonderful staff providing excellent care and therapy. Very clean. Good food and snacks provided for the residents. I would totally trust to have my loved ones staying here.”

★Julie Hall · 2025-08-26 · via Google

“I come and visit my grandpa occasionally and the care is usually decent but witnessed a dark headed Med nurse screaming and yelling in this CNAs ear and pushing her around in the halls. The nurse was absolutely belligerent to the poor girl, the cna got sent home and was crying on the way out. I have never witnessed that in a facility before. Very unprofessional manner and it makes me wonder how th…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 16 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered