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Nursing HomeMedicaid Top Rated

Hendersonville Health and Rehabilitation

Strong Medicare quality ratings; families often praise highly regarded physical therapy department. Still worth an in-person visit.

104 College Drive, Flat Rock, NC 28731130 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
3.7/5

based on 35 Google reviews

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

While Hendersonville Health and Rehabilitation is frequently praised for its clean environment and strong physical therapy team, the recurring reports of residents being left to wait for bathroom assistance are a critical red flag. When touring, we strongly recommend asking for specific nurse-to-patient ratios on night shifts and observing how quickly staff respond to call lights in the hallways.

Google Reviews

Google Reviews

35 reviews on Google
Hendersonville Health and Rehabilitation receives polarized feedback, with many families praising the facility's cleanliness and the compassion of the staff, while others report serious concerns regarding neglect and understaffing. While some reviewers highlight excellent rehab therapy and a welcoming environment, multiple reports of residents being left to soil themselves due to slow response times suggest significant inconsistencies in daily care quality.

Quality Themes

Tap a score for details
Food7.0Staff5.0Clean9.0Activities8.0Meds3.0Memory4.0Comms4.0Value5.0

Strengths

  • Highly regarded physical therapy department
  • Clean and well-maintained facility
  • Compassionate and attentive nursing staff
  • Engaging life enrichment and activity programs

Concerns

  • Slow response times to call lights resulting in residents soiling themselves (mentioned by 5 reviewers)
  • Understaffing, particularly during night shifts (mentioned by 4 reviewers)
  • Rude or dismissive behavior from nursing staff (mentioned by 3 reviewers)
  • Poor communication and customer service regarding patient information (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(6)'19(4)'21(3)'24(3)'26(3)

Distribution · 44 analyzed

5
29
4
0
3
0
2
3
1
12

How They Respond to Reviews

37%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed your physical therapy department is highly regarded; how do you integrate those therapy goals into the daily routine for residents?
  • 2With the current staffing levels, what is your protocol for ensuring call lights are answered promptly, especially during the night shift?
  • 3How do you ensure consistent communication with families regarding changes in a resident's medication or health status?
  • 4I see you actively engage with online feedback; how do you use that input to improve the quality of care and staff interactions?
  • 5What specific steps are taken to ensure that residents in memory care receive the personalized attention and specialized support they need?
  • 6Could you walk me through how your team handles medical emergencies or urgent health concerns during the overnight hours?

Personalized based on this facility's data


Key Review Excerpts

My wife was here for 2 months before she passed away. She had Dementia, was non verbal and non-ambulatory. The staff could not have been more attentive. They made sure she was well cared for and fed.

Memory care family member · 2024★★★★★

The new administrator is awesome. She originally has a social work background and is extremely compassionate. You will see her working in the dining room, answering call lights or doing whatever is needed to assist her team.

Local Guide · 2022★★★★★

If waiting hours for tylenol because they're out of the tramadol you're supposed to have sounds like acceptable care then this is the place for you. Or being told they don't have the right equipment to get you to the toilet so just soil yourself and we'll clean you up later sounds like care with dignity, sure this place would work for you.

Family member · 2022☆☆☆☆
Source: 35 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.48hrs
85%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
27%
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

14

measures

Worse Than Avg

1

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.9%
Worse than Avg
Here
32.9%
US
19.5%
NC
21.5%
Henderson
26.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
15.4%
NC
14.1%
Henderson
14.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
Henderson
95.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility12.5%
Better than Avg
Here
12.5%
US
15.3%
NC
20.2%
Henderson
19.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.7%
Better than Avg
Here
0.7%
US
5.3%
NC
7.2%
Henderson
6.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
95.5%
NC
94.1%
Henderson
97.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.1%
Better than Avg
Here
97.1%
US
79.7%
NC
78.1%
Henderson
85.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
81.8%
NC
80.1%
Henderson
83.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NC
1.5%
Henderson
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (5.6)
12 complaint-triggered
Clean record — no deficiencies

This facility has a concerning pattern of family complaints that triggered 12 of 15 deficiencies, indicating ongoing problems that prompted relatives to file reports. The most frequent issues involved resident rights violations, medication management problems, and safety concerns including blocked emergency exits. While the facility has corrected all cited deficiencies, the repeated complaints and safety violations warrant careful consideration during any visit.

Sep 11, 2024Complaint
3
0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0919Potential for harm · IsolatedCorrected

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Sep 11, 2024Routine
2
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0781Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Jan 25, 2024Complaint
1
0362Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Jun 16, 2023Complaint
8
0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0760Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0584Potential for harm · IsolatedCorrected

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.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

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.

Jun 16, 2023Routine
1
0211Potential for harm · IsolatedCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hendersonville 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 4 of 17 (Best)

Ownership & Management

Owners

Bluesky Healthcare INC

Owner · Organization

50%

Flat Rock Management Company

Owner · Organization

50%

Ardent Health and Rehabilitation Co

Owner (parent company) · Organization

50%

Hutsenpiller, Wendie

Owner (parent company)

9%

Malanowski, Kenneth

Owner (parent company)

10%

Sprenger, Nicole

Owner (parent company)

15%

Sprenger, Tracey

Owner (parent company)

15%

Key personnel

Sanstone Management Company, LLCManagerRussell, LarryManagerSprenger, TraceyGeneral Partnership InterestSanstone Management Company, LLCAdp of the SnfFreeman, CarmenAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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