C

Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 28754
Score: 59 / 100

With a score of 59 out of 100, Madison Health And Rehabilitation earns a C grade — placing it near the middle of North Carolina nursing facilities. Families should review the detailed metrics below when considering this Mars Hill location.

Staffing at Madison Health And Rehabilitation is near the national average, with 3.51 total nursing hours per resident per day (national average: 3.8 hours).

Madison Health And Rehabilitation shows a strong inspection record, with just 5 deficiencies noted in recent CMS surveys, none of which were classified as serious.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.51 3.8 Average
Registered Nurses (RN) 0.74 0.7 Average
Licensed Practical Nurses (LPN) 0.52 0.7 Below Average
Certified Nursing Assistants (CNA) 2.25 2.4 Average
Weekend Total Nursing 2.59 3.8 Below Average
Weekend RN Hours 0.42 0.7 Below Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Feb 10, 2026
Most Recent Inspection
🟠 5 Moderate
View recent deficiencies (5 shown)
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Feb 10, 2026 · Nutrition and Dietary Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Aug 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0812 Severity E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Nov 14, 2024 · Nutrition and Dietary Deficiencies
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Aug 29, 2023 · Resident Rights Deficiencies
  • Tag 0693 Severity D
    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 f
    Aug 29, 2023 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 1.5% 4.5% Better
Falls with major injury 3.8% 3.0% Worse
On antipsychotic medication 2.1% 14.5% Better
Urinary tract infections 0.6% 2.5% Better
ADL decline (daily activities) 10.2% 14.0% Better
Excessive weight loss 1.0% 7.5% Better
New/worsened incontinence 21.8% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $14,015

How This Grade Was Calculated

This facility's grade of C is based on a score of 59 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -1 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Feb 10, 2026
Deficiencies (Cycle 1)
2