Nursing HomeInspections

Hendersonville Health and Rehabilitation

Nursing home in Flat Rock, NC

Medicare & Medicaid certified5★ overall (CMS)

Call (828) 693-8600Send a messageMap ↗

Public-record details

Address
104 College Drive, Flat Rock, NC 28731
Phone
(828) 693-8600
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
345493
Overall star rating
5 of 5 ★★★★★
Health inspection rating
5 of 5
Staffing rating
3 of 5
Quality measures rating
5 of 5
Certified beds
130
Average residents per day
98
Ownership
For-profit, limited Liability company
Legal business name
Hendersonville Health and Rehabilitation
Chain
Sanstone Health & Rehabilitation (18 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 3, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345493. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 18, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Sep 11, 2024): 3 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 11, 2024Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 11, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 11, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 16, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2023Reasonably accommodate the needs and preferences of each resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2023Keep residents' personal and medical records private and confidential.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 16, 2023Honor 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		D
Potential for more than minimal harm, isolated
Jun 16, 2023Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jun 16, 2023Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration		D
Potential for more than minimal harm, isolated
Jun 16, 2023Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jun 16, 2023Ensure that residents are free from significant medication errors.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.50 hours
Registered nurse (RN) time per resident per day
0.38 hours
Nurse aide time per resident per day
2.33 hours
Total nurse staffing on weekends
2.96 hours
Nursing staff turnover (yearly)
37%
RN turnover (yearly)
17%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.