PlainNursing
CMS Nursing Home Compare · August 2026

Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 28754

Madison Health and Rehabilitation, a 100-bed for profit - limited liability company nursing facility in Mars Hill, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #159 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8286895200

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3 / 5
Average · CMS overall · nat'l 3.0
#159 of 415
In-state rank among rated NC homes
3.60
Below average · nurse hrs/day · nat'l 3.86
5
Inspection findings · 1 serious

The verdict

Madison Health and Rehabilitation, a 100-bed for profit - limited liability company nursing facility in Mars Hill, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #159 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall · national 3.0
#159 of 415
In-state rank among rated NC homes
3.60
Nurse hrs/resident-day · national 3.86
5
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
345206
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
100
Residents
85
In Hospital
No
County
Madison
Last Inspection
Feb 11, 2026
Abuse citation on record

Staffing Data

How the 3.60 total nursing hours per resident-day are staffed:

RN Hours
0.67 (nat'l avg: 0.69)
LPN Hours
0.50
CNA Hours
2.44
Total Nursing Hours
3.60 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
37.9%
RN Turnover
29.4%

What the CMS Record Reveals About Madison Health and Rehabilitation

According to CMS Nursing Home Compare, Madison Health and Rehabilitation ranks #159 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Madison Health and Rehabilitation operates 100 certified beds in Mars Hill, NC with approximately 85 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 4★ · quality 5★).

The inspection file contains 5 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider. Staffing is reported at 3.60 total nursing hours per resident day (national average 3.86), with RN coverage at 0.67 per resident day.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, Madison Health and Rehabilitation falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 37.9% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (5 most recent)

E - Pattern - Minimal harm Feb 11, 2026 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Feb 20, 2026

G - Isolated - Actual harm Aug 27, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

E - Pattern - Minimal harm Nov 15, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 16, 2024

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 22, 2023

D - Isolated - Minimal harm Aug 30, 2023 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Sep 22, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 17.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 2.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 1.3% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 21.3% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 98.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 92.6% No

Penalty History 1 penalties totaling $9K

Date Type Amount
Aug 27, 2025 Fine $9K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Madison Health and Rehabilitation, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Madison Health and Rehabilitation

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Madison Health and Rehabilitation?
Madison Health and Rehabilitation has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (5★).
Where does Madison Health and Rehabilitation rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Madison Health and Rehabilitation ranks 159th among 415 rated nursing homes in NC (#159 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Madison Health and Rehabilitation?
Madison Health and Rehabilitation reports 3.60 total nursing hours per resident day (national average: 3.86). RN hours are 0.67 per resident day (national average: 0.69). Nursing staff turnover is 37.9%.
How many beds does Madison Health and Rehabilitation have?
Madison Health and Rehabilitation has 100 certified beds with approximately 85 residents. The facility is located at 345 Manor Road, Mars Hill, NC 28754.
Does Madison Health and Rehabilitation have any deficiencies on record?
Yes, Madison Health and Rehabilitation has 5 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Madison Health and Rehabilitation received any fines or penalties?
Yes, Madison Health and Rehabilitation has received 1 penalties totaling $9K.
Who owns Madison Health and Rehabilitation?
Madison Health and Rehabilitation is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was Madison Health and Rehabilitation last inspected?
The most recent health inspection for Madison Health and Rehabilitation was on Feb 11, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Madison Health and Rehabilitation?
Madison Health and Rehabilitation is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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