Home / North Carolina / McLeansville
Ashton Health and Rehabilitation
5533 Burlington Road, McLeansville, NC 27301 · Guilford County · (336) 698-0045
134 certified beds, about 124 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345548 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 3, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 5 health citations since April 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $8,788 in the last three years; the largest was $8,788, and the latest is dated April 30, 2025.
Nurses and nurse aides worked 3.61 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.20 of those hours.
36.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Sanstone Health & Rehabilitation, an affiliated group of 18 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
July 3, 2025Standard inspection · 0 citations
April 30, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, and Nurse Practitioner (NP), Medical Director, and staff interviews, the facility failed to provide care in a safe manner when Resident #1 rolled out of her bed that was raised to just below the hip onto the floor during incontinence care. Resident #1 was sent to the emergency room (ER) for pain in her right shoulder and right hip with some deformity and external rotation. Resident #1 was diagnosed with an unusual right hip impaction fracture (occurs when a bone is broken and the broken ends are forced into each other) of the femoral head (the rounded end of thigh bone that fits into the socket of the hip joint). Resident #1 was admitted to the hospital and underwent hip replacement. This was for 1 of 3 residents (Resident #1) reviewed for accidents.
May 1, 2024Standard inspection, Complaint inspection · 2 citations
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews the facility failed to transfer the resident with a mechanical lift putting the resident at risk for injury for 1 of 3 residents reviewed for accidents (Resident #270).
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on staff interviews and record review, the facility's Quality Assurance and Performance Improvement committee(QAPI) failed to maintain implemented effective procedures and monitor the interventions that the committee put into place following a complaint investigation dated 9/16/21 for one deficiency in the area of Quality of Care, F 689. The deficiency was also cited during the recertification and complaint survey dated 11/19/21 and subsequently recited during the recertification and complaint survey dated 05/01/24. The continued failure of the facility during three federal surveys of record showed a pattern of the facility's inability to sustain an effective QAPI program.
April 28, 2023Standard inspection · 2 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on observations, record review and resident and staff interviews, the facility failed to honor a resident's choice for going outdoors for 1 of 2 residents reviewed for choices. (Resident #71).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on staff interviews and record reviews, the facility failed to determine upon admission and readmission to the facility, a resident's advanced directives (code status) for 2 of 2 residents reviewed for advance directives. (Resident #71 and Resident #295).
Fire safety inspections
1 fire safety citation on file: 1 on May 1, 2024.
Every fire safety citation1 citation
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 30, 2025 | Fine | $8,788 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.61 | 3.85 | 3.86 |
| Registered nurses | 0.20 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.42 | 3.42 |
| Nurse aides | 2.42 | ||
| Licensed practical nurses | 0.99 | ||
| Nursing staff turnover (share who left in a year) | 36.5% | 49.0% | 45.8% |
| Registered nurse turnover | 50.0% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.71 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.78 on weekdays and 3.20 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.61 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.61 | 0.20 | 3.78 | 3.20 | 0.1% | 0 of 90 | 124 |
| Oct to Dec 2025 | 3.66 | 0.17 | 3.82 | 3.26 | 0.1% | 0 of 92 | 121 |
| Jul to Sep 2025 | 3.75 | 0.19 | 3.91 | 3.35 | 0.1% | 0 of 92 | 120 |
| Apr to Jun 2025 | 3.82 | 0.21 | 4.03 | 3.28 | 0.2% | 0 of 91 | 119 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.5 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 9.9 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 9.5 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 26.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.4 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: ASHTON HEALTH AND REHABILITATION LLC. CMS links this home to Sanstone Health & Rehabilitation, a group of 18 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ardent Health and Rehabilitation Co | 5% or greater direct ownership interest | Organization | 06/01/2017 | |
| Sprenger, Christopher | 5% or greater direct ownership interest | Individual | 06/01/2017 | |
| Ashton Place Healthcare Properties, LLC | 5% or greater mortgage interest | Organization | 06/01/2017 | |
| Rich, Ellen | W-2 managing employee | Individual | 02/11/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 30, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 28, 2023: "Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on May 1, 2024: "Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Guilford Health Care Center Greensboro, 6.1 mi · 1 of 5 stars · 27 citations
- Kindred Hospital East Greensboro Greensboro, 6.4 mi · 3 of 5 stars · 14 citations
- Heartland Living & Rehab at the Moses H Cone Memor Greensboro, 6.5 mi · 4 of 5 stars · 13 citations
- Linden Place Center for Nursing and Rehabilitation Greensboro, 6.9 mi · 2 of 5 stars · 30 citations
- Maple Grove Health and Rehabilitation Center Greensboro, 7.9 mi · 5 of 5 stars · 23 citations
- Twin Lakes Community Burlington, 8 mi · 5 of 5 stars · 7 citations
- Blumenthal Health and Rehabilitation Center Greensboro, 9.1 mi · not rated · 70 citations
- Liberty Commons Nursing & Rehabilitation Center of Burlington, 9.2 mi · 4 of 5 stars · 6 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is Ashton Health and Rehabilitation's Medicare star rating?
- CMS rates Ashton Health and Rehabilitation 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ashton Health and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on July 3, 2025. The North Carolina average is 4.7.
- Has Ashton Health and Rehabilitation been fined?
- Yes. CMS lists 1 fine totaling $8,788 in the last three years.
- Does Ashton Health and Rehabilitation accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Ashton Health and Rehabilitation?
- CMS lists 4 owners and managers, and links the home to Sanstone Health & Rehabilitation. Legal business name: ASHTON HEALTH AND REHABILITATION LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.