Name: Madison Health and Rehabilitation — compliance, penalty and ownership record
Creator: CareRecords
License: https://carerecords.org/terms

Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

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Same-type reference in NC

CMS overall star rating: this provider 3/5; median among 415 providers with a published value in the same state and provider category: 3/5.

CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.

Questions to take to Madison Health and Rehabilitation

The snapshot includes a CMS abuse citation icon. Ask which inspection it relates to, what corrective action followed, and whether CMS has updated the designation.
The published staff-turnover figure is 37.9%. Ask which reporting period it covers and how the current staffing team compares.
Ask who is responsible for care decisions locally and at SANSTONE HEALTH & REHABILITATION. A shared affiliation does not establish identical care at every location.
Check the source date and the latest official record before deciding. Bring the issues above to a visit or call rather than treating the profile as a recommendation.

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Ownership group

Per CMS filings, this facility is affiliated with Sanstone Health & Rehabilitation, a group operating 18 facilities in 1 state. Group record: average rating 4.2/5, 1 abuse citation icon, 0 facilities on the Special Focus list, $234,064 in federal fines. This facility rates below its group average (4.2/5).

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Staffing (hours per resident per day)

Total nurse staffing: 3.60 (North Carolina median: 3.53). RN hours: 0.67. Weekend total: 3.02. Nursing staff turnover: 38%.

Inspection deficiencies

In the downloaded CMS dataset: 5 deficiency citations. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).

Survey date	Deficiency	Sev.	Type	Status
2026-02-11	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Health	corrected 2026-02-20
2025-08-27	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	G	complaint	Past Non-Compliance
2024-11-15	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	Health	corrected 2024-11-16
2023-08-30	Allow residents to self-administer drugs if determined clinically appropriate.	D	Health	corrected 2023-09-22
2023-08-30	Ensure 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.	D	Health	corrected 2023-09-22

Federal penalties

Date	Type	Amount
2025-08-27	Fine	$9,110

Ownership & control records (CMS filings)

Name	Role	Type	%	Since
SPRENGER, CHRISTOPHER	5% Or Greater Direct Ownership Interest	Individual	NO PERCENTAGE PROVIDED	since 12/14/2010
ARDENT HEALTH AND REHABILITATION CO	Operational/Managerial Control	Organization	NOT APPLICABLE	since 12/14/2010

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How to cite this page: CareRecords, “Madison Health and Rehabilitation — compliance, penalty and ownership record” (CCN 345206), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/madison-health-and-rehabilitation-mars-hill-nc/

Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 345206. Corrections: data@carerecords.org.