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
Data as of July 1, 2026
3 of 5 overall
Madison Health and Rehabilitation has an overall 3-star rating, with strong quality measures and staffing ratings but a 2-star health inspection rating. It reports 3.60 nursing hours per resident per day versus the 4.1-hour federal benchmark, has $9,110 in fines in the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.6048 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 3.6048.
Staffing detail
- Registered nurses
- 0.67
- Licensed practical nurses
- 0.50
- Nurse aides
- 2.44
- Weekend nursing
- 3.02
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 29%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
0%1.9%Worsening
Residents with a fall causing major injury
3.7%3.8%No change
Residents with pressure ulcers (bedsores)
3%2.1%Improving
Residents with a urinary tract infection
0%2.9%Worsening
Residents who lost too much weight
1.3%1.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
5.7%15.9%Worsening
Residents whose ability to walk got worse
8.5%30%Worsening
Long-stay residents on antianxiety or sleep medication
27.3%33.3%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
15.2%20.4%Worsening
Residents with depressive symptoms
19.7%17.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—92.6%—
Short-stay residents given the pneumonia vaccine
98.5%98.4%No change
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 · 4.3 stars avg
- Occupancy
- 84.6 residents on an average day (85% 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.