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Nursing HomeMedicaid Top Rated

The Lodge at Mills River

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

5593 Old Haywood Road, Mills River, NC 2875950 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.3/5

based on 46 Google reviews

5
4
3
2
1
The Lodge at Mills River Nursing Home in Mills River, NC — Street View
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What this means for your family

The Lodge at Mills River is highly recommended for its exceptional physical therapy and beautiful environment, which often leads to successful short-term recovery. However, families should be aware of reports regarding inconsistent nursing responsiveness and pain management; we strongly advise setting clear expectations with the nursing team upon admission and conducting regular check-ins.

Google Reviews

Google Reviews

46 reviews on Google
The Lodge at Mills River is widely praised for its beautiful, hotel-like environment and highly effective physical and occupational therapy programs, making it a popular choice for post-surgical rehab. However, some families and patients have reported significant concerns regarding inconsistent nursing care, slow response times, and poor management of pain medication. While many reviewers describe a top-tier experience, a minority of negative accounts highlight serious lapses in medical attention and staff professionalism.

Quality Themes

Tap a score for details
Food6.0Staff7.0Clean9.0Activities8.0Meds4.0MemoryN/AComms8.0ValueN/A

Strengths

  • Highly effective physical and occupational therapy
  • Beautiful, clean, and well-maintained facility
  • Professional and attentive administrative staff
  • Strong recovery outcomes for short-term rehab patients

Concerns

  • Slow response times for call lights and basic needs (mentioned by 3 reviewers)
  • Inconsistent pain medication management (mentioned by 2 reviewers)
  • Rude or unprofessional behavior by nursing staff (mentioned by 3 reviewers)
  • Poor food quality (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(4)'19(4)'21(6)'23(4)'25(11)'26(1)

Distribution · 43 analyzed

5
33
4
1
3
1
2
1
1
7

How They Respond to Reviews

90%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given that staffing levels are a primary focus for your team, how do you ensure that call lights are answered promptly and that residents' basic needs are met in a timely manner?
  • 2I noticed your team is very active in responding to feedback online; how do you incorporate that family input into improving daily operations and resident care?
  • 3Could you walk me through your current process for medication management to ensure that pain relief and other treatments are administered consistently and on schedule?
  • 4Since your facility is highly regarded for its physical and occupational therapy, how do you integrate those recovery programs into the daily life and social activities of the residents?
  • 5We’ve seen some mixed feedback regarding the dining experience; what steps are you taking to improve the quality of meals and ensure residents are satisfied with their nutrition?
  • 6How do you foster a supportive and professional culture among your nursing staff to ensure that every resident feels treated with kindness and respect during their stay?

Personalized based on this facility's data


Key Review Excerpts

The rehab, PT, and OT restored my physical and mental well-being while accomplishing the restoration of my health in a gracious and beautiful environment.

Rehab patient · 2025★★★★★

While facilities are beautiful, i was left for hours with noone checking on me, pain meds were not given on time,my bed was unsleepable,, the nurses were rude and controlling especially at night.

Rehab patient · 2023★★☆☆☆

My surgeon emphasized importance of staying on top of pain with RX. Impossible to do at this facility as patients must beg for RX and by the time it comes the pain is not controllable.

Rehab patient · 2019☆☆☆☆
Source: 46 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.78hrs
OK
Registered nurses for medical care
Total Nursing
4.40hrs
OK
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
58%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.4%
NC
14.1%
Henderson
14.0%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility12.5%
Worse than Avg
Here
12.5%
US
5.3%
NC
7.2%
Henderson
5.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.3%
Better than Avg
Here
98.3%
US
93.4%
NC
91.7%
Henderson
95.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.5%
Better than Avg
Here
10.5%
US
14.4%
NC
16.4%
Henderson
14.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility21.6%
Mixed vs Avgs
Here
21.6%
US
19.5%
NC
21.5%
Henderson
27.4%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.4%
Better than Avg
Here
1.4%
US
4.9%
NC
5.8%
Henderson
5.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility97.8%
Better than Avg
Here
97.8%
US
79.7%
NC
78.1%
Henderson
85.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.7%
Better than Avg
Here
98.7%
US
81.8%
NC
80.1%
Henderson
84.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
NC
1.5%
Henderson
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

1deficiencies
Well below state avg (5.6)

The Lodge at Mills River has a mixed record with 14 deficiencies across 3 surveys, primarily involving fire safety systems, building safety, and care planning issues. Most deficiencies from 2022 have been corrected, but recent violations in 2024-2025 included fire alarm maintenance and nurse staffing information posting. The facility addressed serious safety concerns from earlier inspections, though ongoing attention to compliance appears needed.

Jun 3, 2025Routine
1
0732Minimal · PatternCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 14, 2024Routine
2
0700Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Dec 1, 2022Routine
11
0689Immediate jeopardy · 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.

0211Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0914Potential for harm · WidespreadCorrected

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.

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.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

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

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0352Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0918Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Lodge at Mills River

Organization Type

for profit

Chain Affiliation

Chain Name

Sanstone Health & Rehabilitation

Chain Size

18 facilities nationwide

Chain avg rating: 4.1/5 · Rank 6 of 17 (Best)

Ownership & Management

Owners

Ardent Health and Rehabilitation Co

Owner · Organization

Henderson-Beystone Healthcare Properties, LLC

Owner · Organization

Key personnel

Sprenger, AndrewW-2 Managing EmployeeSprenger, ChristopherOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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