Skilled nursing · Mars Hill, NC

Madison Health and Rehabilitation

345 Manor Road, Mars Hill, NC 28754

100 bedsFor profit - Limited Liability company
1.9Clarity

▼ 0.6 since May

Score history
Oct 20261.9 flagged
Sep 20261.9 flagged
Aug 20261.9▼ 0.6 flagged
Jul 20262.5 flagged
Jun 20262.5 flagged
May 20262.5 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 6 Aug 2026

Read this record before you tour: CMS has placed an abuse icon on the record, and sedative and sleep-medication use runs 2.0 times the national median. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

palmelle

Written by Palmelle from federal and state records. Last updated 6 Aug 2026. Not paid for or edited by the facility.

In their own words

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The record

CMS Care Compare · Aug 2026
Federal ratings
Overall★★★☆☆ 3 of 5
Health inspection★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
40 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 36 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
37.9%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is better

This home
1.3%
National
14%

On sedatives / sleep medicationlower is better

This home
29.3%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3.1%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$9,110 · 1 penalty
Abuse icon⚠ Present
Conflict flags in latest reconcile4

NC does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • CMS has placed an abuse icon on this facility. A substantiated finding of abuse, neglect, or exploitation is on the federal record.
  • $9,110 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Madison Health and Rehabilitation?
Madison Health and Rehabilitation has an overall CMS Care Compare rating of 3 out of 5 stars.
Has Madison Health and Rehabilitation been cited for resident harm?
CMS has placed an abuse icon on Madison Health and Rehabilitation, indicating a substantiated finding of abuse, neglect, or exploitation.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.

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