Nursing home · Top rated by CMS
The Lodge at Mills River
5593 Old Haywood Road, Mills River, NC 28759 · Map
For profit - Limited Liability company · Part of Sanstone Health & Rehabilitation (17 facilities) · 50 certified beds
The Lodge at Mills River is a Medicare-certified nursing home in Mills River, North Carolina. CMS rates it 5 out of 5 stars overall (2/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.56 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Jun 3, 2025 cited 1 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Lodge at Mills River 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) | 3.56 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.87 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 51.9% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 1.0 | 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.
What inspectors found at The Lodge at Mills River
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jun 3, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 1, 2022 - 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 · Dec 1, 2022 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 1, 2022 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 1, 2022
Show all 6 deficiencies
- Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Dec 1, 2022
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
- 5593 Old Haywood Road
Mills River, NC 28759 - CMS certification #
- 345253
- Ownership
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 45.2
- Provider type
- Medicare and Medicaid
- First certified
- 1986-12-19
- 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 The Lodge at Mills River using Google Maps.
Other public records
- Website says Transportation, pets allowed, couples welcome
- Workplace safety 1 OSHA workplace safety inspection since 2022, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What The Lodge at Mills River 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.
The Lodge at Mills River provides 38 private rooms, a fully equipped gym, and rehabilitation services, including physical, occupational, and speech therapy, wound care, and more.
(page, checked Oct 12, 2026) - Smoke-free.
No, we are a non-smoking campus.
(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 14, 2022: complaint inspection, complete (health). Case closed Aug 22, 2022. No violations cited. OSHA record. OSHA recorded the employer as 152300 - Beystone Health and Rehabilitation Co. Matched by street address; the name OSHA recorded differs from the community's.
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
- Adventhealth Hendersonville, Hendersonville. 5.4 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Fletcher Rehabilitation and Healthcare Center, Fletcher. 4.3 miles away, straight line.
- Nearest home health agency office
- Adventhealth Home Health, Fletcher. 5.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 2.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28759 as metropolitan (metropolitan high commuting).
- Dialysis within 15 miles
- Davita Arden Dialysis Center, Arden, 4.0 miles away, straight line (CMS rating 3 of 5 stars)
Davita Hendersonville Dialysis Center, Hendersonville, 9.8 miles away, straight line (CMS rating 3 of 5 stars)
Davita Biltmore Home Training, Asheville, 10.9 miles away, straight line - Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 28759.
Carepartners Hospice & Palliative Care Services, office in Asheville, 9.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Four Seasons The Care You Trust, office in Flat Rock, 12.4 miles away, straight line (CMS family survey rating 5 of 5 stars)
Carepartners Home Care & Hospice, office in Brevard, 14.1 miles away, straight line - Nearest geriatric medicine practice
- Memorycare, Asheville. 6.4 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 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 | 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 The Lodge at Mills River a good nursing home?
CMS gives The Lodge at Mills River an overall rating of 5 out of 5 stars, including 2/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is The Lodge at Mills River staffed?
The Lodge at Mills River reports 3.56 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has The Lodge at Mills River had inspection problems?
Its most recent CMS inspection cited 1 deficiencies.
How many beds does The Lodge at Mills River have?
The Lodge at Mills River is certified for 50 beds.