Nursing homeActive
The Lodge at Mills River
5593 Old Haywood Road, Mills River, NC 28759828684485750 certified beds · 45 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2022
Deficiencies
6
● 1● 4● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-06-03
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-06-03 | Standard | 100 | CMS-2567 (Care Compare) | — |
| 2024-03-14 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2022-12-01 | Standard | 041 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2025-06-04Record 345253-20250603-F732
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2022-09-15Record 345253-20221201-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-26Record 345253-20221201-F554
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-26Record 345253-20221201-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-26Record 345253-20221201-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-26Record 345253-20221201-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.88
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.89
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.33
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover56%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover50%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.1% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 4.7% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.5% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 10.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 14.6% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 24.0% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ardent Health And Rehabilitation Co Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Henderson-Beystone Healthcare Properties, LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Sprenger, Andrew Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Sprenger, Christopher Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Sanstone Health & Rehabilitation — 18 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Henderson.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Biltmore Haven Nursing and Rehabilitation Arden | 4.5 mi | 2026-05-12 | 2326 |
| Fletcher Rehabilitation and Healthcare Center Fletcher | 4.3 mi | 2026-03-25 | 3272 |
| Deerfield Episcopal Retirement Asheville | 6.4 mi | 2026-06-04 | 030 |
| Givens Health Center Asheville | 6.4 mi | 2026-03-18 | 2170 |
| Orchard Valley Health and Rehabilitation Hendersonville | 6.3 mi | 2026-02-20 | 4411 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |