Elderberry Health Care
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 21 Google reviews
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What this means for your family
This facility's historical reputation for compassionate care has been overshadowed by recent, alarming reports of neglect and hygiene issues. If you consider this facility, you must specifically investigate their protocols for incontinence care and staff responsiveness during night shifts.
Google Reviews
Google Reviews
21 reviews on Google“Families should exercise extreme caution, as recent reviews describe severe neglect, including failure to change incontinence products and improper positioning in wheelchairs. While some older reviews praise the compassion of the staff and the quality of the rehab rooms, the most recent feedback highlights critical failures in basic hygiene and patient dignity.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate staff (noted in older reviews)
- Effective rehabilitation therapy
- Professional medical leadership
Concerns
- Severe neglect regarding hygiene and incontinence care (mentioned by 2 reviewers)
- Improper use of wheelchairs causing physical pain (mentioned by 2 reviewers)
- Issues with medical monitoring and dehydration
Rating Trends
Tap a year to see what changed
Distribution · 21 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1How does your team ensure that residents are kept clean, dry, and comfortable throughout the day?
- 2With the medical leadership in place, what specific protocols are used to monitor residents for things like dehydration or changes in health?
- 3How do you ensure that wheelchairs and mobility equipment are properly adjusted to prevent any physical discomfort for residents?
- 4What is your process for keeping family members updated on any changes in a resident's condition or daily care?
- 5Can you tell me about the types of daily activities or social events planned to keep the residents engaged and active?
- 6How does the nursing staff manage care during shift changes to ensure no important medical details are missed?
Personalized based on this facility's data
Key Review Excerpts
“My Mother asked for her diaper to be changed at 4am on Monday September 29th because she was burning... Natalie came in her room got her out of bed made her sit in a wheelchair at the nurses station laughing at her for 4 hrs at my Mother begged them to take her back to bed.”
“He lays in his own bowls until someone finally comes to change it and leaves him in a wheelchair which hurts him badly for hours.”
“Elderberry Healthcare took care of both of my parents at separate times during their final months. We met several kind and caring staff and have the highest regard for Dr. Barnhardt.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
5
measures
11
measures
1
measures
Residents on antipsychotic medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose walking got worse
Residents needing more daily help over time
Residents with pressure sores (bedsores)
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Elderberry Health Care has concerning recurring issues with food safety and kitchen operations appearing in all three surveys, including complaints from families. The facility also shows persistent problems with building safety systems and resident rights. While all deficiencies show correction dates, the repeated food safety violations and nine complaint-triggered deficiencies suggest ongoing care concerns that warrant careful consideration before placement.
Nov 19, 2025Routine3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 28, 2024Routine15
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Aug 28, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 22, 2023Complaint7
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jun 22, 2023Routine4
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Ownership & Operations
Who Operates This Facility
Elderberry Health Care
for profit
Ownership & Management
Owners
Elderberry of Marshall, LLC
Owner · Organization
Charlotte Advance, INC
Owner · Organization
Martin, James
Owner (parent company)
Martin, James
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
21 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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