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Nursing homeFAID #9028

The Lodge At Mills River

5593 OLD HAYWOOD ROAD, MILLS RIVER, NC, 28759
(828) 684-4857
50 licensed beds
★★★★★5/5CMS Five-Star overall5/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
50
CMS facility ID
345253
Care type
Nursing home
County
Henderson
Facility name
The Lodge At Mills River
Street address
5593 OLD HAYWOOD ROAD
City / state / ZIP
Mills River, NC 28759
Phone
(828) 684-4857

The Lodge At Mills River is a Medicare/Medicaid-certified skilled nursing facility in Mills River, North Carolina. It is licensed for 50 beds — well below the median for skilled nursing facilities in North Carolina (102 beds).

It is one of 2 senior care facilities in Mills River 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 The Lodge At Mills River 14 times across 6 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. 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.

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
Direct owner — since 2005
Henderson-beystone Healthcare Properties, Llc
Direct owner — since 2015
Sprenger, Andrew
Managing employee — since 2021
Sprenger, Christopher
Officer — since 2005

Regulatory standing

Licensed / certified since
1986-12-19
CMS overall rating
5 of 5 stars
Health deficiencies
1 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-06-03
Nurse staffing
3.9 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$655 per day (≈ $19,910/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
15% Medicaid · 61% Medicare · 24% private/other
Occupancy
86% (fiscal year 2023)
Vs. state median
76% above the NC median of $373/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.
2025-06-03Health inspection1 citation
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2025-06-04
2022-12-01Health inspection5 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2022-12-26
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-12-26
F-0689
J · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2022-09-15
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-12-26
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 2022-12-26
2 earlier / fire-safety inspections (8 citations)
2024-03-14Fire-safety inspection2 citations
K-0345
D · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-28
K-0700
F · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2024-05-28
2022-12-01Fire-safety inspection6 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-03-31
K-0291
D · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-31
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2023-03-31
K-0352
D · No harm found
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Corrected 2023-03-31
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-03-31
K-0918
D · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-31
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 345253.
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Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 14 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.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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