Home / North Carolina / Flat Rock
Hendersonville Health and Rehabilitation
104 College Drive, Flat Rock, NC 28731 · Henderson County · (828) 693-8600
130 certified beds, about 98 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1999
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345493 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 0 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 11 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.50 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
37.1% 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.
806/23
309/24
009/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
0F
Potential for minimal harm
0A
0B
0C
September 18, 2025Standard inspection · 0 citations
September 11, 2024Standard inspection, Complaint inspection · 3 citations
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observations, record review, and staff interviews the facility failed to assess the ability of a resident to self-administer medication for 1 of 1 resident with medication observed in the room (Resident #84).
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and interviews with staff, the facility failed discard expired leftover food ready for use in 1 of 1 walk-in cooler and failed to ensure the floor in the dry food storage area was clean in 1 of 1 kitchen. These practices had the potential to affect food served to residents.
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, staff interviews, and resident interview, the facility failed to ensure a call light was functioning properly for 1 of 1 resident who required staff assistance for activities of daily living (Resident #80).
June 16, 2023Standard inspection · 8 citations
- E Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review and interviews with the resident, staff, Consultant Pharmacist, and Medical Director (MD), the Consultant Pharmacist failed to identify drug irregularities and provide recommendations for 1 of 5 residents reviewed for unnecessary medications (Residents #34).
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interviews with the resident, staff, Consultant Pharmacist, and Medical Director (MD), the facility failed to prevent a significant medication error when nurses failed to follow physician's parameter as ordered during insulin administration. As a result, Resident #34 received 10 doses of unnecessary Basaglar insulin within 15 days. This affected 1 of 5 residents reviewed for unnecessary medications (Resident #34).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on record review, staff and resident interview the facility failed to treat a resident in a dignified manner when Nurse Aide #2 spoke to her in a manner that made her feel terrible for 1 of 5 residents (Resident #6) reviewed for dignity.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, record review and interviews with the resident and staff, the facility failed to ensure a dependent resident could access the light switch located behind the bed for 1 of 2 residents reviewed for accommodation of needs. (Resident #139) A. Resident #139 was admitted to the facility on [DATE]. The admission Minimum Data Set (MDS) dated [DATE] assessed Resident #139 with intact cognition. The MDS indicated walking between locations inside or outside the room, and locomotion off unit did not occur for Resident #139 during the assessment periods. Review of Resident #139's medical records revealed she had moved to her current room on 06/09/23. During an observation conducted on 06/12/23 at 8:37 AM, the switch for the light fixture behind Resident #139's bed was attached with a cord approximately 4 inches in length. [...]
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation and staff interviews, the facility failed to safeguard protected health information (PHI) for 1 of 5 medication carts by leaving confidential PHI unattended and exposed in an area accessible to the public (Medication cart of 100 Hall).
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a door with splintered wood and exposed rough layer of wood in good repair for 1 of 11 sampled resident rooms (412).
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, record reviews, and staff interviews, the facility failed to store an opened nasal spray in a safe and secure manner for 1 of 3 residents review for medication storage. (Resident #18)
- D Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on observations, record review and staff interviews, the facility's Quality Assessment and Assurance (QAA) Committee failed to maintain implemented procedures and monitor interventions previously put in place following the annual recertification survey conducted on 10/14/21. This was for one deficiency originally cited in October 2021 in the area of Safe/Clean/Comfortable/Homelike Environment and was subsequently recited on the current annual recertification survey of 06/16/23. The duplicate citation during two federal surveys of record shows a pattern of the facility's inability to sustain an effective QAA program.
Fire safety inspections
4 fire safety citations on file: 2 on September 11, 2024, 1 on January 25, 2024, 1 on June 16, 2023.
Every fire safety citation4 citations
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have restrictions on the use of portable space heaters.
- D Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 3.50 | 3.85 | 3.86 |
| Registered nurses | 0.38 | 0.62 | 0.69 |
| All nursing staff on weekends | 2.96 | 3.42 | 3.42 |
| Nurse aides | 2.33 | ||
| Licensed practical nurses | 0.80 | ||
| Nursing staff turnover (share who left in a year) | 37.1% | 49.0% | 45.8% |
| Registered nurse turnover | 16.7% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.69 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 3.72 on weekdays and 2.96 on weekends, 20% 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 3.87 in April to June 2025 to 3.50 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 | 3.50 | 0.38 | 3.72 | 2.96 | 0.1% | 0 of 90 | 98 |
| Oct to Dec 2025 | 3.48 | 0.51 | 3.71 | 2.90 | 0.2% | 0 of 92 | 100 |
| Jul to Sep 2025 | 3.52 | 0.54 | 3.78 | 2.87 | 0.2% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.87 | 0.54 | 4.16 | 3.15 | 0.1% | 0 of 91 | 94 |
| 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 | 10.7 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.6 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.5 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.8 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: HENDERSONVILLE HEALTH AND REHABILITATION. CMS links this home to Sanstone Health & Rehabilitation, a group of 18 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bluesky Healthcare Inc | 5% or greater direct ownership interest | Organization | 50% | 05/09/2008 |
| Flat Rock Management Company | 5% or greater direct ownership interest | Organization | 50% | 08/01/2008 |
| Ardent Health and Rehabilitation Co | 5% or greater indirect ownership interest | Organization | 50% | 08/01/2008 |
| Hutsenpiller, Wendie | 5% or greater indirect ownership interest | Individual | 9% | 08/01/2008 |
| Malanowski, Kenneth | 5% or greater indirect ownership interest | Individual | 10% | 08/01/2008 |
| Sprenger, Nicole | 5% or greater indirect ownership interest | Individual | 15% | 08/01/2008 |
| Sprenger, Tracey | 5% or greater indirect ownership interest | Individual | 15% | 08/01/2008 |
| Sanstone Management Company, LLC | Operational/managerial control | Organization | 11/19/2024 | |
| Russell, Larry | Operational/managerial control | Individual | 12/13/2011 | |
| Sprenger, Tracey | General partnership interest | Individual | 05/09/2008 | |
| Sanstone Management Company, LLC | Adp of the SNF | Organization | 11/19/2024 | |
| Freeman, Carmen | Adp of the SNF | Individual | 09/22/2016 | |
| Jennings, Mark | Adp of the SNF | Individual | 11/19/2024 | |
| Russell, Larry | Adp of the SNF | Individual | 12/13/2011 | |
| Sprenger, Andrew | Adp of the SNF | Individual | 04/09/2023 |
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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on September 11, 2024: "Allow residents to self-administer drugs if determined clinically appropriate."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on June 16, 2023: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on September 11, 2024: "Make sure that a working call system is available in each resident's bathroom and bathing area."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.96 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Carolina Village Inc Hendersonville, 3 mi · 5 of 5 stars · 3 citations
- Life Care Center of Hendersonville Hendersonville, 3.1 mi · 3 of 5 stars · 32 citations
- Valley Hill Health & Rehab Center Hendersonville, 3.4 mi · 2 of 5 stars · 32 citations
- The Laurels of Hendersonville Hendersonville, 3.6 mi · 3 of 5 stars · 22 citations
- The Greens at Hendersonville Hendersonville, 4.6 mi · 3 of 5 stars · 34 citations
- Autumn Care of Saluda Saluda, 5.7 mi · 2 of 5 stars · 18 citations
- Orchard Valley Health and Rehabilitation Hendersonville, 6 mi · 1 of 5 stars · 46 citations
- Fletcher Rehabilitation and Healthcare Center Fletcher, 10.6 mi · 1 of 5 stars · 43 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 Hendersonville Health and Rehabilitation's Medicare star rating?
- CMS rates Hendersonville Health and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Hendersonville Health and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on September 18, 2025. The North Carolina average is 4.7.
- Has Hendersonville Health and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Hendersonville 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 Hendersonville Health and Rehabilitation?
- CMS lists 15 owners and managers, and links the home to Sanstone Health & Rehabilitation. Legal business name: HENDERSONVILLE HEALTH AND REHABILITATION.
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.