The nursing home failed to protect residents from abuse and neglect by others. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Madison Health and Rehabilitation
Mars Hill, NC · Medicare-certified · 100 beds
Needs attention
Abuse citationFor-profitChain member
3 of 5 overall
Madison Health and Rehabilitation has a 3 out of 5 overall rating, with a 2-star health inspection rating and a recent abuse citation; it also had $9,110 in fines in the last 24 months, and its reported nurse staffing was 3.54 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.5361 hrs/resident/day
Quality measures
Last inspection: February 11, 2026Penalties, last 24 months: $9,110recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5361.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.47
- Nurse aides
- 2.31
- Weekend nursing
- 2.84
Hours per resident per day.
Total staff turnover: 33%
Registered nurse turnover: 28%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
1.3%Steady
Residents with a fall causing major injury
3.4%Improving
Residents with pressure ulcers (bedsores)
2%Worsening
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
1.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.3%Worsening
Residents whose ability to walk got worse
11.8%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
26.8%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.5%Worsening
Residents with depressive symptoms
25.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
92.6%Steady
Short-stay residents given the pneumonia vaccine
98.5%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited August 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 693 — 42 CFR §483.25 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,110 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,110 in total fines.
- $9,110
Federal fine
Aug 27, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of SANSTONE HEALTH & REHABILITATION · 18 homes · 4.1 stars avg
- Occupancy
- 88.7 residents on an average day (89% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 45 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.