Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754 · (828) 689-5200
For profit - Limited Liability company · 100 certified beds
Madison Health and Rehabilitation has a 5-star overall rating from Medicare, out of 5. Its last standard inspection, in February 2026, found 1 citation (the North Carolina average is 4.7). It was fined 1 time in the last three years, $9,110 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 5 out of 5 stars · Much above average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on February 11, 2026 found 1 citation. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 11, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.August 27, 2025 · F0600 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $9,110August 27, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.60 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.67 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.50 | 0.89 | 0.86 |
| Nurse aides | 2.44 | 2.34 | 2.32 |
| Total nursing staff turnover | 37.9% | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 100 |
| Average residents per day | 84.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Elderberry Health Care Marshall · ★★★★★ 2 out of 5 stars
- Biltmore Haven Nursing and Rehabilitation Arden · ★★★★★ 1 out of 5 stars
- Black Mountain Neuro-Medical Treatment Center Black Mountain · ★★★★★ 5 out of 5 stars
- Highland Farms Black Mountain · ★★★★★ 5 out of 5 stars
- NC State Veterans Home - Black Mountain Black Mountain · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Madison Health and Rehabilitation on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.