Nursing homeActive
Hendersonville Health and Rehabilitation
104 College Drive, Flat Rock, NC 287318286938600130 certified beds · 98 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
11
● 0● 11● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-09-18
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 |
|---|---|---|---|---|
| 2025-09-18 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-09-11 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-06-16 | Standard | 080 | 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.
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 2024-09-12Record 345493-20240911-F554
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 345493-20240911-F812
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-12Record 345493-20240911-F919
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345493-20230616-F550
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-21Record 345493-20230616-F558
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345493-20230616-F583
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-14Record 345493-20230616-F584
F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-12Record 345493-20230616-F756
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-06-16Record 345493-20230616-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-06Record 345493-20230616-F761
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-30Record 345493-20230616-F867
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.38
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.50
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours2.96
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover37%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover17%
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 | 4.2% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.8% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 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 | 10.7% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 0.7% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 32.3% | 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 |
|---|---|---|---|---|
| Bluesky Healthcare Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Flat Rock Management Company Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | — | — |
| Ardent Health And Rehabilitation Co Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Hutsenpiller, Wendie Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | — | — |
| Malanowski, Kenneth Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | — | — |
| Sprenger, Nicole Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | — | — |
| Sprenger, Tracey Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | — | — |
| Russell, Larry Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sanstone Management Company, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Freeman, Carmen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jennings, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Russell, Larry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sanstone Management Company, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sprenger, Tracey Individual | GENERAL PARTNERSHIP INTEREST | 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 |
|---|---|---|---|
| Carolina Village Inc Hendersonville | 3.0 mi | 2026-04-09 | 120 |
| Life Care Center of Hendersonville Hendersonville | 3.1 mi | 2025-08-27 | 2181 |
| The Laurels of Hendersonville Hendersonville | 3.6 mi | 2026-06-05 | 1192 |
| Valley Hill Health & Rehab Center Hendersonville | 3.4 mi | 2025-06-27 | 0115 |
| The Greens at Hendersonville Hendersonville | 4.6 mi | 2026-01-16 | 0173 |
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 |