All states › North Carolina › Marshall › Elderberry Health Care
415 Elderberry Lane Marshall, NC 28753 · Madison County
CMS certification number 345319 · See this home on Medicare Care Compare
Is Elderberry Health Care 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 Elderberry Health Care as of October 2026.
CMS rates it 2 out of 5 stars overall, below 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 3.05 hours per resident per day at Elderberry Health Care, below the North Carolina median of 3.57 (US median: 3.72). About 0.58 of those hours are from registered nurses. On weekends it falls to 2.71 hours, 11% below its all-week average. 44.8% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Elderberry Health Care: Medicare and Medicaid
Elderberry Health Care 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 November 19, 2025 and found 3 deficiencies. In total, inspectors issued 18 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 18 citations at Elderberry Health Care across 3 inspection dates, 2 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 14 were "potential for more than minimal harm" (D–F) and 4 were minimal (A–C). The most common areas cited were nutrition and dietary (6) and resident rights (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, August 28, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
November 19, 2025 · 3 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
August 28, 2024 · 8 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EDispose of garbage and refuse properly.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide safe and appropriate respiratory care for a resident when needed.
DInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
CPost a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
CPost nurse staffing information every day.
BSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
June 22, 2023 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
DAllow residents to self-administer drugs if determined clinically appropriate.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
BHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Questions to ask on a tour of Elderberry Health Care
- CMS cited the home under its abuse and neglect rules on August 28, 2024. How are staff trained, and how are concerns reported?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 3/5 | 1/5 |
| August 2026 | 2/5 | 3/5 | 3/5 | 1/5 |
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Location
Hospitals near Elderberry Health Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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16.2 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
- 17.1 mi
- 17.5 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 Elderberry Health Care › All nursing homes in Marshall ›
Compare Elderberry Health Care with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Madison Health and Rehabilitation · Mars Hill · 4 stars · 7.2 mi
- The Greens at Weaverville · Weaverville · 4 stars · 7.9 mi
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.