Madison Health and Rehabilitation
345 Manor Road, Mars Hill, NC 28754
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
CMS Abuse/Neglect Flag
This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Madison Health and Rehabilitation, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Madison Health and Rehabilitation Compares
Madison Health and Rehabilitation is a 100-bed for-profit nursing facility in Mars Hill, North Carolina. It holds an overall CMS rating of 3 out of 5 stars, roughly in line with the North Carolina average of 2.9 stars. Its strongest area is quality measures (5 stars), while health inspections (2 stars) is its weakest. Its rate of long-stay antipsychotic medication use (1.3%) is below the North Carolina average of 14.0%, a favorable sign for resident care. With 100 certified beds, it maintains moderate occupancy at roughly 85% occupied.
By the numbers vs. North Carolina average
- Long-stay antipsychotic medication use: 1.3% — better than the North Carolina average of 14.0% (91% lower).
- Falls with major injury: 3.1% — better than the North Carolina average of 3.5%.
- High-risk pressure ulcers: 2.6% — better than the North Carolina average of 5.5% (53% lower).
- Short-stay rehospitalization: 23.5% — worse than the North Carolina average of 22.8%.
CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against North Carolina averages across 419 facilities tracked by ElderVoice.
Questions to Ask Madison Health and Rehabilitation
Use these facility-specific questions when calling admissions, touring the building, or comparing Madison Health and Rehabilitation with other nursing homes in Mars Hill.
What incident led to the CMS abuse icon for Madison Health and Rehabilitation, and what changed afterward?
Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.
How is Madison Health and Rehabilitation addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Madison Health and Rehabilitation keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 1.3% here versus 14.0% across North Carolina. Lower is generally better for this CMS measure.
What practices help Madison Health and Rehabilitation keep high-risk pressure ulcers below the state average?
High-risk pressure ulcers is 2.6% here versus 5.5% across North Carolina. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Madison Health and Rehabilitation?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Madison Health and Rehabilitation?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Mars Hill
Mars Hill sits in Madison County, where adults 65 and older make up about 22.3% of the population — a higher share of seniors than North Carolina as a whole (16.3% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 4,817 (22.3%)
- Median age
- 44.6 years
- Median household income
- $46,190
- Median home value
- $200,700
Demographics for Madison County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Mars Hill.
Facility Details
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