All states › North Carolina › McLeansville › Ashton Health and Rehabilitation
5533 Burlington Road McLeansville, NC 27301 · Guilford County
CMS certification number 345548 · See this home on Medicare Care Compare
Is Ashton 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 Ashton Health and Rehabilitation as of October 2026.
CMS rates it 5 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 3.88 hours per resident per day at Ashton Health and Rehabilitation, above the North Carolina median of 3.57 (US median: 3.72). About 0.20 of those hours are from registered nurses. On weekends it falls to 3.35 hours, 13% below its all-week average. 40.2% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at Ashton Health and Rehabilitation: Medicare and Medicaid
Ashton 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 July 3, 2025 and found 0 deficiencies. 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 Ashton Health and Rehabilitation across 3 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on April 30, 2025. The most common areas cited were quality of life and care (2) and resident rights (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, April 30, 2025).
April 30, 2025 · 1 citation · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 1, 2024 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
April 28, 2023 · 2 citations
DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Questions to ask on a tour of Ashton Health and Rehabilitation
- Inspectors cited the home at the actual-harm level on April 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- 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 $8,788 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 30, 2025 | Fine | $8,788 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 5/5 | 4/5 | 3/5 | 5/5 |
| August 2026 | 5/5 | 4/5 | 2/5 | 5/5 |
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Location
Hospitals near Ashton 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.
- 6.3 mi
-
6.7 mi
Moses H Cone Memorial Hospital, the GreensboroEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 44m for patients treated and sent home
-
9.4 mi
Alamance Regional Medical Center BurlingtonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 48m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Compare Ashton 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
- Grace Heights Health & Rehabilitation · Morganton · 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.