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Madison Health And Rehabilitation

Mars Hill, NC · Medicare and Medicaid-certified nursing home (CCN 345206) · 100 certified beds

⚠ CMS consumer warning: CMS displays its abuse warning icon for this facility. Review the full inspection record on Medicare Care Compare ↗.
CMS overall rating: 3★ (state average 2.93★ — at state average)
Health inspection: 2 · Quality measures: 5 · Staffing: 4
Federal fines: 1 totaling $9,110
Phone: (828) 689-5200 · Verify on Medicare Care Compare ↗

Madison Health And Rehabilitation has a CMS overall star rating of 3 out of 5, which is at the North Carolina state average of 2.93. Its health inspection rating is 2 stars and its staffing rating is 4 stars.

Madison Health And Rehabilitation reports 3.60 total nurse hours per resident per day, including 0.67 RN hours per resident per day, with a staffing star rating of 4. Nursing staff turnover is reported at 37.9%.

Madison Health And Rehabilitation has 1 federal fine on record totaling $9,110.00, with no payment denials. CMS also displays its abuse warning icon for this facility, and families should review its inspection record on Care Compare.

Overall rating vs. benchmarks
Madison Health And Re… Madison Health And Re…: 3★ 3★ NC average NC average: 2.93★ 2.93★ Sanstone Health & chain avg Sanstone Health & chain avg: 4.2★ 4.2★

About this facility

Madison Health And Rehabilitation is a 100-bed skilled nursing facility in Mars Hill, Madison County, North Carolina, with an average daily census of 84.6 residents. It has been Medicare and Medicaid certified since May 1981 and operates as a for-profit limited liability company. The facility is part of the Sanstone Health & Rehabilitation chain, which includes 18 facilities with an average CMS rating of 4.2 stars.

According to CMS Care Compare data, Madison Health And Rehabilitation holds an overall star rating of 3 out of 5, which is at the state average of 2.93 for North Carolina. Its component ratings are: 2 stars for health inspections, 5 stars for quality measures, and 4 stars for staffing.

Nurse staffing levels average 3.60 total nurse hours per resident per day, including 0.67 RN hours per resident per day. Nursing staff turnover is reported at 37.9%.

On penalties, CMS records show 1 federal fine totaling $9,110.00 for this facility, with no payment denials on record.

CMS also displays its abuse warning icon for Madison Health And Rehabilitation. Families should review the underlying inspection record directly on Medicare Care Compare for details of the citation triggering this flag.

Ownership has not changed in the past 12 months, so current ratings reflect the present operator. This profile is based on CMS Care Compare data; consult the official listing for the most current figures.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Madison Health And Rehabilitation has an overall rating of 3 out of 5 stars, which is at the North Carolina state average of 2.93.

Does this facility accept Medicare, Medicaid, or both?

It is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.60 hours per resident per day, including 0.67 RN hours per resident per day, with a staffing rating of 4 stars; nursing turnover is 37.9%.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 1 fine totaling $9,110.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

CMS displays its abuse warning icon for this facility; it is not listed under the Special Focus program in this data.

How large is this facility and how many residents live there?

It is certified for 100 beds with an average daily census of 84.6 residents.

Who owns this facility — and is it part of a chain?

It is owned by a for-profit limited liability company and is part of the Sanstone Health & Rehabilitation chain, which has 18 facilities averaging 4.2 stars.

How long has this facility been Medicare/Medicaid certified?

It was first approved for certification on May 25, 1981.

What do the four different CMS star ratings mean?

CMS publishes separate ratings for overall performance, health inspections, staffing, and quality measures; this facility scores 3, 2, 4, and 5 stars respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided data does not specify service lines; contact the facility at 828-689-5200 and verify on Medicare Care Compare.

What should I look for when touring this facility?

This data does not cover tour details; contact the facility at 828-689-5200 to arrange a visit.

How do I verify this facility's current record on Medicare Care Compare?

You can review the official listing at https://www.medicare.gov/care-compare/details/nursing-home/345206?state=NC.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.