Nursing home · Top rated by CMS
Hendersonville Health and Rehabilitation
104 College Drive, Flat Rock, NC 28731 · Map
For profit - Limited Liability company · Part of Sanstone Health & Rehabilitation (17 facilities) · 130 certified beds
Hendersonville Health and Rehabilitation is a Medicare-certified nursing home in Flat Rock, North Carolina. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.52 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Sep 18, 2025 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Hendersonville Health and Rehabilitation compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.52 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.54 | 0.59 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.23 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 36.8% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 5.6 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (September 2025)
- Every deficiency from the September 11, 2024 inspection was corrected by September 12, 2024
What inspectors found at Hendersonville Health and Rehabilitation
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Sep 11, 2024 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jun 16, 2023 - Potential for harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Jun 16, 2023
Show all 11 deficiencies
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jun 16, 2023 - Potential for harm
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.
Pharmacy Service Deficiencies · Jun 16, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Jun 16, 2023 - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Jun 16, 2023 - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Jun 16, 2023 - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jun 16, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 104 College Drive
Flat Rock, NC 28731 - CMS certification #
- 345493
- Ownership
- For profit - Limited Liability company
- Certified beds
- 130
- Avg residents/day
- 101.9
- Provider type
- Medicare and Medicaid
- First certified
- 1999-06-03
- Chain
- Sanstone Health & Rehabilitation (17 facilities)
- Setting
- Urban
Part of Sanstone Health & Rehabilitation
Sanstone Health & Rehabilitation operates 17 nursing facilities across the United States. View all Sanstone Health & Rehabilitation facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Hendersonville Health and Rehabilitation using Google Maps.
Other public records
- Website says Transportation, pets allowed, couples welcome, secured outdoor area
- Staff pay 1 federal wage case with violations found, since 2011
Full public records, with dates and sources
Care and services
From the community’s website
What Hendersonville Health and Rehabilitation says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Transportation services to get you to a doctor’s visit
(page, checked Oct 12, 2026) - Pets allowed.
Yes, we allow pets to visit with prior approval of the facility administrator.
(page, checked Oct 12, 2026) - Couples welcome.
SanStone also accommodates couples by offering care in the same room.
(page, checked Oct 12, 2026) - Has a secured outdoor area.
Yes, we have a covered gazebo in our enclosed courtyard for Residents who smoke.
(page, checked Oct 12, 2026) - Apartment types named: private room.
Hendersonville also features private rooms, a gym, and rehabilitation services, including physical, occupational, and speech therapy, wound care, and more.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Mar 7, 2011 to Mar 6, 2013. Violations found: Overtime. Back wages: $5,274 owed to 66 employees. Employer as DOL recorded it: Hendersonville Health & Rehabilitation (Hendersonville Health & Rehabilitation, LLC). Case 1676456.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Pardee Hospital Henderson County, Hendersonville. 3.2 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Carolina Village Inc, Hendersonville. 3.0 miles away, straight line.
- Nearest home health agency office
- Pardee Home Care, Flat Rock. 0.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28731 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Hendersonville Dialysis Center, Hendersonville, 2.5 miles away, straight line (CMS rating 3 of 5 stars)
Davita Arden Dialysis Center, Arden, 11.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 28731.
Four Seasons The Care You Trust, office in Flat Rock, 0.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of The Carolina Foothills, office in Saluda, 6.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Carepartners Home Care & Hospice, office in Brevard, 17.1 miles away, straight line - Nearest geriatric medicine practice
- Memorycare, Asheville. 15.0 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire very low, tornado relatively high, earthquake relatively moderate. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Hendersonville Health and Rehabilitation a good nursing home?
CMS gives Hendersonville Health and Rehabilitation an overall rating of 5 out of 5 stars, including 2/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Hendersonville Health and Rehabilitation staffed?
Hendersonville Health and Rehabilitation reports 3.52 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Hendersonville Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Hendersonville Health and Rehabilitation have?
Hendersonville Health and Rehabilitation is certified for 130 beds.