All states › North Carolina › Mills River › The Lodge at Mills River
5593 Old Haywood Road Mills River, NC 28759 · Henderson County
CMS certification number 345253 · See this home on Medicare Care Compare
Is The Lodge at Mills River 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 The Lodge at Mills River 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 3.91 hours per resident per day at The Lodge at Mills River, above the North Carolina median of 3.57 (US median: 3.72). About 0.84 of those hours are from registered nurses. On weekends it falls to 2.99 hours, 23% below its all-week average. Ask how weekends are staffed. 56.9% of nursing staff left within a year (North Carolina median 48.5%).
About this nursing home
Paying for care at The Lodge at Mills River: Medicare and Medicaid
The Lodge at Mills River 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 September 16, 2026 and found 0 deficiencies. In total, inspectors issued 1 citation 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 1 citation at The Lodge at Mills River across 1 inspection date. None were at the actual-harm or immediate-jeopardy levels; 0 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C).
June 3, 2025 · 1 citation
BPost nurse staffing information every day.
Questions to ask on a tour of The Lodge at Mills River
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 23% 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
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 | 5/5 | 5/5 | 2/5 | 5/5 |
| August 2026 | 5/5 | 5/5 | 3/5 | 5/5 |
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Location
Hospitals near The Lodge at Mills River
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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4.8 mi
Adventhealth Hendersonville FletcherEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 44m for patients treated and sent home
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9.5 mi
Margaret R Pardee Mem Hospital HendersonvilleEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 38m for patients treated and sent home
- 9.6 mi
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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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
- Ashton Health and Rehabilitation · McLeansville · 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.