Nursing homeActive

Ashton Health and Rehabilitation

5533 Burlington Road, McLeansville, NC 273013366980045134 certified beds · 124 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
5
041
Penalties · 3 yrs
$8,788
1 fine
Last survey
2025-07-03
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 2
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
DateKindDeficienciesOfficial recordArchived PDF
2025-07-03Standard000CMS-2567 (Care Compare)
2025-04-30Complaint001CMS-2567 (Care Compare)
2024-05-01Standard020CMS-2567 (Care Compare)
2023-04-28Standard020CMS-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.

2025-04-30Complaint survey · 1 deficiencyOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-11Record 345548-20250430-F689
2024-05-01Standard survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-12Record 345548-20240501-F689
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 2024-05-18Record 345548-20240501-F867
2023-04-28Standard survey · 2 deficienciesOfficial report
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-16Record 345548-20230428-F561
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-16Record 345548-20230428-F578

Penalties & enforcement

DateActionAmountSource
2025-04-30Civil money penalty$8,788CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.20
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.61
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.20
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 turnover50%
Facility
North Carolina
National
North Carolina 46% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityNorth CarolinaNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.5%5.5%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.4%3.5%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
9.5%14.0%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.3%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
4.7%15.6%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
5.6%7.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.6%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)
EntityRoleInterestSinceRegistry
Ardent Health And Rehabilitation Co
Organization
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Sprenger, Christopher
Individual
5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
Ashton Place Healthcare Properties, LLC
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Rich, Ellen
Individual
W-2 MANAGING EMPLOYEENOT APPLICABLE
Part of a chain
Sanstone Health & Rehabilitation18 facilities
View chain record

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 Guilford.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Guilford Health Care Center
Greensboro
6.1 mi2026-03-180270
Kindred Hospital East Greensboro
Greensboro
6.4 mi2025-12-193110
Heartland Living & Rehab at the Moses H Cone Memor
Greensboro
6.5 mi2026-04-300130
Linden Place Center for Nursing and Rehabilitation
Greensboro
6.9 mi2026-01-104150
Maple Grove Health and Rehabilitation Center
Greensboro
7.9 mi2025-11-19151
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

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01