Madison Health And Rehabilitation
345 Manor Road, Mars Hill, NC, 28754
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Sanstone Health & Rehabilitation
- Certified beds
- 100 · avg 89 residents/day
- Total nursing staff turnover
- 33% — lower than most North Carolina nursing homesNorth Carolina avg: 49.6% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 27.8% — lower than most North Carolina nursing homesNorth Carolina avg: 46.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the North Carolina averageNorth Carolina avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $9,110 total
Medicare certification
- CMS Certification Number
- 345206
- Certified beds
- 100 beds · avg 89 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Madison Health And Rehabilitation, Llc
- Chain affiliation
- Sanstone Health & Rehabilitation
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Sanstone Health & Rehabilitation chain — 18 facilities. Chain-wide average overall rating 4.1 / 5.
Disclosed owners (4 on record)
- Haley Niebes
W-2 Managing Employee · 100% · since 2019
- Madison Healthcare Properties, Llc
5% or Greater Mortgage Interest · 100% · since 2013
- Ardent Health And Rehabilitation co
Operational/managerial Control · since 2010
- Christopher Sprenger
5% or Greater Direct Ownership Interest · since 2010
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 5 of 5)
- E0812·Feb 11, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- G0600·Aug 27, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- E0812·Nov 15, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0693·Aug 30, 2023
Quality of Life and Care Deficiencies
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.
- D0554·Aug 30, 2023
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Federal penalties
By year
- 20251 fine · $9,110
Most recent events
- Aug 27, 2025Fine · $9,110
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Nov 15, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Madison Health And Rehabilitationinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.