Nursing home
Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754 · Map
For profit - Limited Liability company · Part of Sanstone Health & Rehabilitation (17 facilities) · 100 certified beds
Madison Health and Rehabilitation is a Medicare-certified nursing home in Mars Hill, North Carolina. CMS rates it 3 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.51 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 11, 2026 cited 2 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 1 fine totaling $14,015In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Madison 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) | 3.51 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.74 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.25 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 39.4% | 50.4% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 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.
- Every deficiency from the February 11, 2026 inspection was corrected by February 20, 2026
Penalties in CMS records: 1 fine totaling $14,015, 1 total penalty.
What inspectors found at Madison 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
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 11, 2026 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Aug 27, 2025 · 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 · Nov 15, 2024 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Aug 30, 2023 - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Aug 30, 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
- 345 Manor Road
Mars Hill, NC 28754 - CMS certification #
- 345206
- Ownership
- For profit - Limited Liability company
- Certified beds
- 100
- Avg residents/day
- 88.1
- Provider type
- Medicare and Medicaid
- First certified
- 1981-05-25
- 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 Madison Health and Rehabilitation using Google Maps.
Other public records
- Website says Transportation, pets allowed, couples welcome
- Workplace safety 1 OSHA workplace safety inspection since 2024, 7 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Madison 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) - Apartment types named: private room.
Madison 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.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 16, 2024: programmed (planned) inspection, complete (health). Case closed Sep 12, 2024. 7 violations cited (7 other). Penalties: $0 proposed, $0 now. OSHA record. OSHA recorded the employer as 157096 - Madison Health and Rehabilitation, LLC.
Details
- Other than serious: Keeping exit routes clear and marked (1910.37(b)(2)). Penalty $0 proposed, $0 now. To be fixed by Aug 26, 2024.
- Other than serious: Personal protective equipment (general) (1910.132(d)(2)). Penalty $0 proposed, $0 now. To be fixed by Sep 18, 2024.
- Other than serious: Electrical equipment and installation (1910.303(b)(2)). Penalty $0 proposed, $0 now. To be fixed by Aug 26, 2024.
- Other than serious: Electrical equipment and installation (1910.303(g)(1)(ii)). Penalty $0 proposed, $0 now. To be fixed by Aug 26, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)). Penalty $0 proposed, $0 now. To be fixed by Sep 18, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(e)(1)(i)). Penalty $0 proposed, $0 now. To be fixed by Aug 26, 2024.
- Other than serious: Hazard communication (chemical labels, safety data sheets, training) (1910.1200(f)(6)(ii)). Penalty $0 proposed, $0 now. To be fixed by Aug 26, 2024.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Memorial Mission Hospital And Asheville Surgery Ce, Asheville. 17.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Elderberry Health Care, Marshall. 7.2 miles away, straight line.
- Nearest home health agency office
- Madison Home Care, Marshall. 7.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Mars Hill Medical Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28754 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Weaverville Dialysis, Weaverville, 11.0 miles away, straight line (CMS rating 4 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 28754.
Madison Home Care And Hospice, office in Marshall, 7.1 miles away, straight line
Hospice Of Yancey County, office in Burnsville, 16.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Carepartners Hospice & Palliative Care Services, office in Asheville, 18.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Nm Pacs 2 LLC, Weaverville. 9.2 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)
- Wildfire risk to homes
- In Mars Hill, NC, risk to homes is greater than 87% of communities in North Carolina and 81% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively moderate, earthquake relatively low. 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 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| 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 Madison Health and Rehabilitation a good nursing home?
CMS gives Madison Health and Rehabilitation an overall rating of 3 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Madison Health and Rehabilitation staffed?
Madison Health and Rehabilitation reports 3.51 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Madison Health and Rehabilitation had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Madison Health and Rehabilitation have?
Madison Health and Rehabilitation is certified for 100 beds.