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B
Good

Madison Health and Rehabilitation

345 Manor Road · Mars Hill, NC 28754

8286895200 · For profit - Limited Liability company

100 beds88.1 residents136 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Madison Health and Rehabilitation receives an overall staffing grade of B (Good). With 3.5105 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7385 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing drops significantly — dropping 33.18% compared to weekdays. The facility has low agency staff usage (0.06% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.7385 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 33.18% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.06%) — mostly permanent, familiar staff
Total Nurse HPRD
3.5105hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.7385hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
33.18%
3.8737 weekday → 2.5885 weekend
⚠ Significant weekend reduction
Agency Staff
0.06%
0.3% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9295hrs/resident/day
Direct care aides
LPN HPRD
0.5203hrs/resident/day
Licensed practical nurses
Consistency
0.6671std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Madison County Average+0.24 HPRD
3.27
03.51 HPRD
vs. North Carolina State Average-0.26 HPRD
3.77
03.51 HPRD
vs. National Average-0.39 HPRD
3.90
03.51 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Madison Health and Rehabilitation ★
Mars Hill · This facility
—
B
3.51050.7385★★★☆☆
The Greens at Weaverville
Weaverville
9.1 mi
B
3.84311.0505★★★★☆
Bear Mountain Health and Rehabilitation
Asheville
13.2 mi
D
3.02560.3762★★★☆☆
Smoky Ridge Health and Rehabilitation
Burnsville
14.3 mi
C
3.15890.7832★★☆☆☆
Elevate Health and Rehabilitation
Asheville
17.7 mi
D
3.21060.3972★☆☆☆☆
Highland Farms
Black Mountain
18.2 mi
A
4.77791.2542★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
13
Total Deficiencies
$14,015
Fines Assessed
Aug 27, 2025Health
1 deficiency cited· Includes actual harm
▼
Nov 15, 2024Health
1 deficiency cited
▼
Aug 30, 2023Health
2 deficiencies cited
▼
Feb 18, 2022Health
9 deficiencies cited· Includes actual harm
▼

Penalty History

Aug 27, 2025Fine
$14,015
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.