Nursing HomeMedicaid

Madison Health and Rehabilitation

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

345 Manor Road, Mars Hill, NC 28754|100 beds|Licensed & Active

3/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 24 Google reviews

(828) 689-5200 Directions Website

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What this means for your family

Madison Health and Rehabilitation is frequently praised for its cleanliness and the dedication of its core nursing team. However, families should be aware of recent reports regarding unprofessional staff conduct and potential weekend staffing shortages. We recommend visiting during off-hours to observe the environment firsthand and asking management specifically about their protocols for staff conflict resolution.

Google Reviews

24 reviews on Google

“Madison Health and Rehabilitation receives high praise for its clean, professional environment and attentive staff who frequently go above and beyond for residents. However, some families have raised serious concerns regarding unprofessional behavior among staff and inadequate staffing levels, particularly on weekends. While many families feel their loved ones are in excellent hands, the inconsistent experiences suggest a need for careful observation of daily operations.”

Quality Themes

Tap a score for details

Strengths

Clean, well-maintained facility
Professional and compassionate nursing staff
Strong communication with families
Effective rehab and recovery support

Concerns

Inadequate staffing levels on weekends (mentioned by 2 reviewers)
Unprofessional staff conduct and internal conflict (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 28 analyzed

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

1We noticed the facility is very well-maintained and clean; how often are the resident rooms and common areas deep-cleaned?
2It is great to see that the nursing staff is highly regarded for their compassion; how do you ensure this level of care remains consistent during weekend shifts?
3Since we value clear communication, what is the best way for us to receive regular updates on our loved one's health and daily well-being?
4How does the team handle medical emergencies or urgent changes in health status during the overnight hours?
5What kind of daily activities or social programs are available to keep residents engaged and connected with one another?
6We saw that the rehab and recovery support is a strength here; could you walk us through how the therapy process works for new residents?

Personalized based on this facility's data

Key Review Excerpts

“This place is super clean and doesn't "smell" like a facility. Everyone is so nice and polite and dressed really well.”

Visitor · 2025★★★★★

“Excellent care for Mom! Staff is so wonderful, from admissions, social workers, kitchen, nurses, physical therapy, everyone makes you feel welcome.”

Resident's family · 2023★★★★★

“I witnessed a dark headed Med nurse screaming and yelling in this CNAs ear and pushing her around in the halls. The nurse was absolutely belligerent to the poor girl.”

Visitor · 2025★☆☆☆☆

Source: 24 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.75hrs

Registered nurses for medical care

Total Nursing

3.54hrs

86%

All nurses + aides combined

Staff Turnover

33%

Lower is better (< 30% = good)

RN Turnover

28%

Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

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

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

😔

Residents with depression symptoms

↓ Lower is better

This Facility25.4%

Worse than Avg

Here

25.4%

12.1%

5.4%

Madison

19.6%

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

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility1.3%

Better than Avg

Here

1.3%

15.5%

14.1%

Madison

17.9%

💉

Residents vaccinated for the flu

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

95.5%

94.1%

Madison

91.2%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

91.7%

Madison

91.5%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility11.8%

Better than Avg

Here

11.8%

15.3%

20.2%

Madison

14.6%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility26.8%

Worse than Avg

Here

26.8%

19.5%

21.5%

Madison

24.5%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility92.6%

Better than Avg

Here

92.6%

79.8%

78.1%

Madison

70.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility98.5%

Better than Avg

Here

98.5%

81.8%

80.1%

Madison

78.5%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

1.5%

Madison

1.7%

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

$14,015 in fines

A family filed a complaint that led to a serious finding of abuse or neglect, which the facility has since corrected. The facility shows recurring issues with fire safety systems and food safety, with most deficiencies corrected after citation. However, a recent food safety violation from February 2024 remains without a correction plan, and smoke barrier problems have persisted across multiple surveys, indicating ongoing maintenance challenges.

Feb 11, 2026Routine1 finding

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

Aug 27, 2025Complaint1 finding

0600Actual harm · 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.

Nov 15, 2024Routine2 findings

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Aug 30, 2023Routine11 findings

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

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.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

Feb 18, 2022Routine1 finding

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Federal Penalties

Fine

Aug 27, 2025

$9,110

Ownership & Operations

Who Operates This Facility

Owner / Operator

Madison 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 15 of 17

Ownership & Management

Owners

Sprenger, Christopher

Owner

Key personnel

Madison Healthcare Properties, LLC5% or Greater Mortgage InterestNiebes, HaleyW-2 Managing EmployeeArdent Health and Rehabilitation CoManager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(828) 689-5200

sanstonehealth.com

345 Manor Road

Mars Hill, NC 28754

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

24 reviews from families & visitors

Official Website

Visit sanstonehealth.com

Medicare data downloads

Original nursing home datasets

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