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Nursing HomeMedicaid Top Rated

Ashton Health and Rehabilitation

Strong Medicare quality ratings; families often praise effective physical and occupational therapy. Still worth an in-person visit.

5533 Burlington Road, Mcleansville, NC 27301134 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 56 Google reviews

5
4
3
2
1
Ashton Health and Rehabilitation Nursing Home in Mcleansville, NC — Street View
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What this means for your family

While the facility offers strong physical therapy and a clean environment, the recurring reports of medication errors and neglectful night-shift care are serious red flags. If you choose this facility, ensure you have a family member present frequently to monitor medication administration and hygiene, and ask the administration specifically how they plan to address the reported staffing shortages during off-hours.

Google Reviews

Google Reviews

56 reviews on Google
Ashton Health and Rehabilitation receives highly polarized feedback, with some families praising the facility's cleanliness and effective physical therapy, while others report severe concerns regarding neglect and medication management. Multiple reviewers highlight significant issues with understaffing, particularly during night shifts, leading to delayed responses to call bells and hygiene concerns. Families considering this facility should be aware of the stark contrast between positive rehab outcomes and reports of inconsistent nursing care.

Quality Themes

Tap a score for details
Food3.0Staff5.0Clean6.0Activities7.0Meds2.0MemoryN/AComms3.0Value2.0

Strengths

  • Effective physical and occupational therapy
  • Clean, well-maintained facility
  • Attentive daytime nursing staff
  • Welcoming and professional admissions team

Concerns

  • Chronic understaffing and slow response times to call bells (mentioned by 9 reviewers)
  • Medication management errors and missed doses (mentioned by 6 reviewers)
  • Poor hygiene and failure to assist with toileting (mentioned by 5 reviewers)
  • Inconsistent care quality between day and night shifts (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'14(2)'17(4)'19(7)'21(9)'23(4)'25(14)'26(3)

Distribution · 58 analyzed

5
28
4
5
3
6
2
1
1
18

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given that the facility has a 2-star CMS staffing rating, how do you ensure consistent coverage and timely responses to call bells, particularly during the evening and night shifts?
  • 2I noticed some concerns regarding medication management; could you walk me through your current process for ensuring doses are administered accurately and on time?
  • 3Since residents occasionally require assistance with personal hygiene and toileting, what is your protocol for checking on residents throughout the day to ensure their needs are met promptly?
  • 4I see that your team is active in responding to feedback online; how do you use that family input to improve the day-to-day quality of care and communication?
  • 5What specific activities or social programs do you have in place to keep residents engaged, especially since dining and social interaction are such a big part of daily life?
  • 6In the event of a medical emergency or a sudden change in a resident's health status, what is the communication process for keeping family members informed?

Personalized based on this facility's data


Key Review Excerpts

The staff allows residents to sit in urine and feces for hours at a time, after the call bell is hit, without checking our changing them. They do not clean or give baths.

Memory care family member · 2025☆☆☆☆

My Mother was there for 4 days and did not receive some of her medication and resulted in a trip to a local hospital where it was found she had a blood clot from not receiving her medication.

Long-term resident's family · 2023☆☆☆☆

The o/t and p/t were very helpful with personalized care for his needs. The daytime staff was super friendly and respectful of him, from housekeeping to administrators and practitioners.

Rehab patient's family · 2026★★★★
Source: 56 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.17hrs
23%
Registered nurses for medical care
Total Nursing
3.66hrs
89%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)
RN Turnover
53%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

2

measures

Mixed Results

4

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
14.4%
NC
16.4%
Guilford
20.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility15.3%
Better than Avg
Here
15.3%
US
19.5%
NC
21.5%
Guilford
24.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
12.1%
NC
5.4%
Guilford
5.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility17.5%
Mixed vs Avgs
Here
17.5%
US
15.3%
NC
20.2%
Guilford
23.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility10.1%
Better than Avg
Here
10.1%
US
15.5%
NC
14.1%
Guilford
13.7%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
4.9%
NC
5.8%
Guilford
6.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility93.2%
Better than Avg
Here
93.2%
US
79.8%
NC
78.1%
Guilford
77.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.1%
Better than Avg
Here
88.1%
US
81.8%
NC
80.1%
Guilford
75.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.6%
Better than Avg
Here
0.6%
US
1.6%
NC
1.5%
Guilford
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
1penalties
Well below state avg (5.6)
3 complaint-triggered
$8,788 in fines
Clean record — no deficiencies

Four of the six deficiencies were complaint-triggered, indicating families have filed reports about care concerns. The main recurring issue involves accident prevention and safety supervision, which appeared in multiple complaint-based citations. Additional problems included resident rights violations and emergency exit safety concerns. All deficiencies show correction dates from the facility, though the accident prevention issue reappeared with higher severity in 2025.

Apr 30, 2025Complaint
1
0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 1, 2024Complaint
2
0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0867Potential for harm · IsolatedCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

May 1, 2024Routine
1
0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Apr 28, 2023Routine
2
0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Federal Penalties

Fine

Apr 30, 2025

$8,788

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ashton Health and Rehabilitation

Organization Type

for profit

Chain Affiliation

Chain Name

Sanstone Health & Rehabilitation

Chain Size

18 facilities nationwide

Chain avg rating: 4.1/5 · Rank 13 of 17

Ownership & Management

Owners

Ardent Health and Rehabilitation Co

Owner · Organization

Sprenger, Christopher

Owner

Key personnel

Ashton Place Healthcare Properties, LLC5% or Greater Mortgage InterestRich, EllenW-2 Managing Employee
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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