Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754
Madison Health and Rehabilitation is a nursing home in Mars Hill, North Carolina. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating4 of 5
- Last standard health inspectionFebruary 11, 2026 (9 months ago)
- Health citations since August 30, 20235 (North Carolina average 18)
- Fines in the past three years1, $9,110 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 5 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 2 of 5 to 4 of 5.
CMS abuse icon
CMS removed its abuse icon from this home.
CMS update of April 29, 2026
Fine
CMS changed the fine from August 27, 2025 from $14,015 to $9,110.
CMS update of February 25, 2026
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on February 11, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on February 20, 2026.
CMS has cited this home for F0812 2 times since 2024.
Fire safety inspection on February 11, 2026
3 citationsCMS lists this as a standard inspection.
Show the 3 citations
Citation K0521. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on May 22, 2026.
CMS has cited this home for K0521 2 times since 2023.
Citation K0345. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have approved installation, maintenance and testing program for fire alarm systems.
CMS lists it as corrected on May 22, 2026.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on May 22, 2026.
CMS has cited this home for K0511 2 times since 2023.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 5 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS abuse icon
CMS added its abuse icon to this home.
Health inspection on August 27, 2025
1 citationCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
69 of 419 North Carolina homes (16%) got a citation at the actual harm level in 2025.
CMS fine of $9,110 on August 27, 2025.
Show the 1 citation
Citation F0600. Severity G: actual harm, isolated.
The rule CMS cited:
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 4 of 5.
Health inspection on November 15, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on November 16, 2024.
Fire safety inspection on November 15, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on January 1, 2025.
CMS has cited this home for K0363 2 times since 2023.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on August 30, 2023
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation F0554. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Allow residents to self-administer drugs if determined clinically appropriate.
CMS lists it as corrected on September 22, 2023.
Citation F0693. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on September 22, 2023.
Fire safety inspection on August 30, 2023
9 citationsCMS lists this as a standard inspection.
Show the 9 citations
Citation K0511. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on December 23, 2023.
Citation K0521. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
CMS lists it as corrected on December 23, 2023.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on December 23, 2023.
Citation K0321. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on December 23, 2023.
Citation K0324. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on December 23, 2023.
Citation K0351. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install an approved automatic sprinkler system.
CMS lists it as corrected on December 23, 2023.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on December 23, 2023.
Citation K0363. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install corridor and hallway doors that block smoke.
CMS lists it as corrected on December 23, 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on December 23, 2023.
CMS star ratings
- 4 of 5CMS overall star rating
- 4 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 4 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (828) 689-5200
- Last standard health inspection
- February 11, 2026 (9 months ago)
- Certified beds
- 100
- Residents per day, on average
- 85.9
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Madison Health and Rehabilitation, LLC
- Chain
- Sanstone Health & Rehabilitation
- Takes part in
- Medicare and Medicaid
Fewer health citations than the North Carolina average (5 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SPRENGER, CHRISTOPHER5% or greater direct ownership interest · no percentage provided · since 12/14/2010
- ARDENT HEALTH AND REHABILITATION COOperational/managerial control · not applicable · since 12/14/2010
Questions
When was Madison Health and Rehabilitation last inspected?
CMS lists February 11, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Madison Health and Rehabilitation have?
CMS lists 5 health citations since August 30, 2023. CMS also calls these deficiencies.
Has Madison Health and Rehabilitation been fined?
CMS lists 1 fine in the past three years, $9,110 in total.
What is the CMS star rating of Madison Health and Rehabilitation?
Its CMS overall star rating is 4 of 5.
Is Madison Health and Rehabilitation a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.