Nursing Care Index

Hendersonville Health And Rehabilitation

Flat Rock, Henderson County, North Carolina · CCN 345493 · For-profit (LLC) · part of Sanstone Health & Rehabilitation (18 facilities, chain average 4.2 stars)

CMS rates Hendersonville Health And Rehabilitation 5 of 5 overall as of August 2026. 130 certified beds, 98 residents a day on average. 11 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 5 of 5

Staffing

Total nurse staffing3.49915 hours per resident per day
Registered nurses0.3781 hours per resident per day
Weekend total2.96043 hours per resident per day
Nursing staff turnover37.1% (registered nurses 16.7%)
Administrators who left1

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-09-11
complaint survey
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · tag F0554
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-12
2024-09-11
complaint survey
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-12
2024-09-11
complaint survey
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-09-12
2023-06-16 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · tag F0756
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-07-12
2023-06-16 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-06-16
2023-06-16 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-06
2023-06-16 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-21
2023-06-16 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-06
2023-06-16 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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-14
2023-06-16 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-07-06
2023-06-16 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-06-30

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Bluesky Healthcare Inc.
Organization
5% or greater direct ownership interest50%2008-05-09
Flat Rock Management Company
Organization
5% or greater direct ownership interest50%2008-08-01
Ardent Health And Rehabilitation Co
Organization
5% or greater indirect ownership interest50%2008-08-01
Sanstone Management Company, LLC
Organization
adp of the snf2024-11-19
Sanstone Management Company, LLC
Organization
operational/managerial control2024-11-19
Hutsenpiller, Wendie
Individual
5% or greater indirect ownership interest9%2008-08-01
Malanowski, Kenneth
Individual
5% or greater indirect ownership interest10%2008-08-01
Sprenger, Nicole
Individual
5% or greater indirect ownership interest15%2008-08-01
Sprenger, Tracey
Individual
5% or greater indirect ownership interest15%2008-08-01
Freeman, Carmen
Individual
adp of the snf2016-09-22
Jennings, Mark
Individual
adp of the snf2024-11-19
Russell, Larry
Individual
adp of the snf2011-12-13
Sprenger, Andrew
Individual
adp of the snf2023-04-09
Sprenger, Tracey
Individual
general partnership interest2008-05-09
Russell, Larry
Individual
operational/managerial control2011-12-13

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Henderson County.