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Nursing HomeMedicaid

Hickory Falls Health and Rehabilitation

Strong Medicare quality ratings; families often praise engaging activity programs. Still worth an in-person visit.

100 Sunset Street, Granite Falls, NC 28630120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 80 Google reviews

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

Hickory Falls offers a clean, well-maintained environment with a highly regarded activities program and therapy team. However, families should be extremely cautious regarding communication and clinical oversight; we strongly recommend asking for a direct point of contact for medical updates and monitoring your loved one's health status closely, as multiple reviewers reported significant issues with staff responsiveness and medical neglect.

Google Reviews

Google Reviews

80 reviews on Google
Hickory Falls Health and Rehabilitation receives highly polarized feedback, with many reviewers praising the facility's appearance, activities, and specific staff members, while others report severe concerns regarding medical neglect and poor communication. Families frequently cite inconsistent care quality, noting that while some staff are compassionate, others appear undertrained or unresponsive to urgent health needs. Prospective families should be aware that experiences vary significantly, with several reports of poor outcomes during rehabilitation stays.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean9.0Activities9.0Meds2.0MemoryN/AComms2.0ValueN/A

Strengths

  • Engaging activity programs
  • Clean and well-maintained physical environment
  • Dedicated and compassionate individual staff members
  • Effective rehabilitation therapy team

Concerns

  • Poor communication and lack of staff knowledge regarding patient status (mentioned by 4 reviewers)
  • Understaffing leading to neglect or slow response times (mentioned by 4 reviewers)
  • Poor quality or inappropriate food service (mentioned by 3 reviewers)
  • Inadequate medical management and neglect of health conditions (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

234'16(1)'19(7)'21(4)'23(3)'25(30)'26(6)

Distribution · 66 analyzed

5
51
4
2
3
1
2
1
1
11

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve daily communication regarding a resident's health status?
  • 2With a 120-resident capacity, what specific protocols do you have in place to ensure consistent, timely responses to call lights when the facility is at full occupancy?
  • 3I've heard great things about your rehabilitation team; how do they coordinate with nursing staff to ensure that medical management and physical therapy goals are aligned for my loved one?
  • 4Given that dining is a central part of daily life, could you walk me through how you handle dietary preferences and ensure the quality of meals meets individual nutritional needs?
  • 5What is your process for keeping families updated on changes in a resident's condition, and who would be our primary point of contact for medical updates?
  • 6I see your activity program is highly regarded; what are some of the most popular ways residents interact and socialize throughout the week?

Personalized based on this facility's data


Key Review Excerpts

The nurses and staff are all very nice, and he seems to receive attentive care. The therapy department is caring & provides great services. The food is not good however. I would liken it to prison food honestly.

Long-term resident's family · 2019★★★★

My mother had a brief stay here in April (24 hours) and she ended up in the hospital for a month. Staff was negligent and refused to listen to multiple family concerns regarding her health declining rapidly.

Family member · 2025☆☆☆☆

Daddy was cared for and felt like the aides, nurses, and therapists were his friends, not just his caregivers. They celebrated his birthday (cards and small gifts) and honored him (and other residents) on Veterans Day.

Long-term resident's family · 2025★★★★★
Source: 80 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.42hrs
55%
Registered nurses for medical care
Total Nursing
3.63hrs
89%
All nurses + aides combined
Staff Turnover
31%
Lower is better (< 30% = good)
RN Turnover
36%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

3

measures

Mixed Results

4

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility16.8%
Worse than Avg
Here
16.8%
US
12.1%
NC
5.4%
Caldwell
4.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.2%
Worse than Avg
Here
30.2%
US
19.5%
NC
21.5%
Caldwell
24.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.9%
Better than Avg
Here
5.9%
US
15.5%
NC
14.1%
Caldwell
13.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
NC
91.7%
Caldwell
95.6%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
NC
94.1%
Caldwell
96.6%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility19.0%
Mixed vs Avgs
Here
19.0%
US
15.3%
NC
20.2%
Caldwell
14.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
79.8%
NC
78.1%
Caldwell
73.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.7%
Better than Avg
Here
99.7%
US
81.8%
NC
80.1%
Caldwell
89.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.4%
Mixed vs Avgs
Here
2.4%
US
1.6%
NC
1.5%
Caldwell
2.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (5.6)
1 complaint-triggered
$51,188 in fines

Hickory Falls has concerning patterns of recurring deficiencies across multiple surveys, including repeated issues with resident abuse protection, building safety systems, and electrical/fire safety equipment. A family filed a complaint in 2024 regarding resident protection from abuse, which had already been cited in 2022. While most violations appear corrected, the facility shows persistent problems with fundamental safety systems and care standards that families should carefully evaluate before considering placement.

May 21, 2025Routine
6
0842Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0211Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

May 31, 2024Complaint
1
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

Jan 18, 2024Routine
7
0161Potential for harm · IsolatedCorrected

Construction Deficiencies

Use approved construction type or materials.

0281Potential for harm · IsolatedCorrected

Egress Deficiencies

Install proper backup exit lighting.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0914Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Sep 20, 2022Routine
12
0600Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0607Immediate jeopardy · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0161Potential for harm · WidespreadCorrected

Construction Deficiencies

Use approved construction type or materials.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0640Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Federal Penalties

Fine

May 31, 2024

$51,188

Ownership & Operations

Who Operates This Facility

Owner / Operator

Hickory Falls 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 10 of 17

Ownership & Management

Owners

Ardent Health and Rehabilitation Co

Owner · Organization

100%

Sprenger, Christopher

Owner (parent company)

Key personnel

Nelson, JohnManaging Control - Governing BodyTanner, HunterManaging Control - Governing BodySprenger, ChristopherOfficer / DirectorSanstone Management Company, LLCManagerNelson, JohnManager
Source: Medicare provider data

Contact

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References & Resources

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