Madison Health and Rehabilitation: Staffing, Turnover, and Inspection Record
Madison Health and Rehabilitation is a 100-bed for-profit nursing home in Mars Hill, North Carolina, part of Sanstone Health & Rehabilitation. In the CMS August 2026 release it reported 2.44 nurse aide hours per resident per day, 4% above the North Carolina average of 2.34, and 37.9% nursing staff turnover (North Carolina average 49.0%).
Madison Health and Rehabilitation
345 Manor RoadMars Hill, NC 28754
Madison County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Madison Health and Rehabilitation, nurse aides logged 2.44 hours per resident per day, 4% above the North Carolina average. With about 85 residents a day, that works out to roughly 206 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.44 | 2.34 | 2.32 |
| Licensed practical nurses | 0.50 | 0.89 | 0.86 |
| Registered nurses | 0.67 | 0.61 | 0.69 |
| All nursing staff | 3.60 | 3.83 | 3.86 |
| All nursing staff, weekends | 3.02 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
37.9% of nursing staff at Madison Health and Rehabilitation left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 29.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Feb 11, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (North Carolina average 4.8). CMS lists 1 fine totaling $9,110 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Aug 27, 2025 | Fine | $9,110 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Madison Health and Rehabilitation holds 3 of 5 overall; the North Carolina average is 2.9.
About Madison Health and Rehabilitation
- Ownership: For profit - Limited Liability company
- Chain: Sanstone Health & Rehabilitation, 18 homes
- Legal name: Madison Health and Rehabilitation, LLC
- Medicare and Medicaid certified since: May 25, 1981
- Councils: resident council
- Area: urban
Nursing homes near Madison Health and Rehabilitation
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Elderberry Health Care Marshall | 7.2 | 80 | 1.93 | 2.94 | 38.7% | 2 | None |
| The Greens at Weaverville Weaverville | 9.2 | 122 | 1.92 | 3.59 | 66.9% | 4 | None |
| Bear Mountain Health and Rehabilitation Asheville | 13.2 | 77 | 2.21 | 3.28 | 60.5% | 3 | None |
| Emerald Ridge Health and Rehabilitation Asheville | 13.2 | 100 | 2.00 | 3.06 | 35.8% | 1 | $73,475 |
| Smoky Ridge Health and Rehabilitation Burnsville | 14.3 | 140 | 1.79 | 3.08 | 51.6% | 2 | $59,631 |
| River Bend Health and Rehabilitation Asheville · abuse citation | 15.5 | 100 | 1.60 | 3.13 | 86.4% | 1 | $147,579 |
| The Laurels of Summit Ridge Asheville | 16.9 | 68 | 2.34 | 4.17 | 38.2% | 4 | None |
| NC State Veterans Home - Black Mountain Black Mountain | 17.3 | 100 | 3.20 | 5.43 | 45.3% | 5 | $12,759 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.