All states › North Carolina › Mars Hill › Madison Health and Rehabilitation
345 Manor Road Mars Hill, NC 28754 · Madison County
CMS certification number 345206 · See this home on Medicare Care Compare
Is Madison Health and Rehabilitation a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Madison Health and Rehabilitation as of October 2026.
CMS rates it 4 out of 5 stars overall, above the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.81 hours per resident per day at Madison Health and Rehabilitation, above the North Carolina median of 3.57 (US median: 3.72). About 0.60 of those hours are from registered nurses. On weekends it falls to 3.02 hours, 21% below its all-week average. Ask how weekends are staffed. 45.5% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Madison Health and Rehabilitation: Medicare and Medicaid
Madison Health and Rehabilitation is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 11, 2026 and found 1 deficiency. In total, inspectors issued 5 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 5 citations at Madison Health and Rehabilitation across 4 inspection dates, 1 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on August 27, 2025. The most common areas cited were nutrition and dietary (2) and freedom from abuse, neglect, and exploitation (1). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, August 27, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
February 11, 2026 · 1 citation
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 27, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
November 15, 2024 · 1 citation
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
August 30, 2023 · 2 citations
DAllow residents to self-administer drugs if determined clinically appropriate.
DEnsure 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 feeding tube.
Questions to ask on a tour of Madison Health and Rehabilitation
- Inspectors cited the home at the actual-harm level on August 27, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on August 27, 2025. How are staff trained, and how are concerns reported?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $9,110 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Aug 27, 2025 | Fine | $9,110 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 2/5 | 4/5 | 5/5 |
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Location
Hospitals near Madison Health and Rehabilitation
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 17.0 mi
-
17.7 mi
Memorial Mission Hospital and Asheville Surgery Ce AshevilleEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 43m for patients treated and sent home
- 18.2 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Madison Health and Rehabilitation › All nursing homes in Mars Hill ›
Compare Madison Health and Rehabilitation with the 3 closest homes side by side ›
Other Sanstone Health & Rehabilitation nursing homes in North Carolina
- Village Green Health and Rehabilitation · Fayetteville · 5 stars
- Carolina Care Health and Rehabilitation · Cherryville · 5 stars
- College Pines Health and Rehabilitation · Connelly Springs · 5 stars
- Camden Health and Rehabilitation · Greensboro · 5 stars
- The Lodge at Mills River · Mills River · 5 stars
- Ashton Health and Rehabilitation · McLeansville · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 18 Sanstone Health & Rehabilitation nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.