01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-11-19 | 3 | 2024-08-28 | 9 |
| Cycle 2 | 2024-08-28 | 8 | 2023-06-22 | 4 |
| Cycle 3 | 2023-06-22 | 7 | 2021-10-28 | 0 |
CMS CCN 3453192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Elderberry Health Care
415 Elderberry Lane · Marshall, NC 28753 · Madison County
Certified beds80CMS provider file
Recent citation rows31current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-11-19 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-11-19 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2026-01-152025-11-19 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-01-152024-08-28 · FIREE0001Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Establish an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-10-252024-08-28 · HEALTHF0575Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Correction field: Deficient, Provider has plan of correction · 2024-10-252024-08-28 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-10-25 · complaint2024-08-28 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-08-28 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has plan of correction · 2024-10-252024-08-28 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-08-28 · HEALTHF0814Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-08-28 · HEALTHF0842Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has plan of correction · 2024-10-25 · complaint2024-08-28 · HEALTHF0847Severity D · isolated; potential for more than minimal harm
Administration Deficiencies
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Correction field: Deficient, Provider has date of correction · 2024-10-252024-08-28 · FIREK0222Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0353Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0374Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0511Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2024-12-192024-08-28 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2024-12-192023-06-22 · HEALTHF0554Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Correction field: Deficient, Provider has date of correction · 2023-07-202023-06-22 · HEALTHF0565Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2023-07-202023-06-22 · HEALTHF0584Severity B · pattern; potential for minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has plan of correction · 2023-07-202023-06-22 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2023-07-2003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ELDERBERRY OF MARSHALL, LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 09/01/2015
- CHARLOTTE ADVANCE, INCOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2009
- MARTIN, JAMESIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2011
- MARTIN, JAMESIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2011
- ELLER, EDWARDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2009
- MARTIN, JAMESIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/16/1998
- TULLOCK MANAGEMENT COMPANYOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/14/1990
- WILKINSON CARE CENTER, INC.Organization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2009
- CUTSHALL, KARENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/1993
- ELLER, EDWARDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/14/1990
- MARTIN, ANDREWIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/25/2022
- MARTIN, JAMESIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/01/2011
- MARTIN, JAMESIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 07/14/2025
- ELDERBERRY OF MARSHALL, LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 09/01/2015
- TULLOCK MANAGEMENT COMPANYOrganization · ADP OF THE SNFNOT APPLICABLE · since 07/07/2025
- CUTSHALL, KARENIndividual · ADP OF THE SNFNOT APPLICABLE · since 10/01/1993
- ELLER, EDWARDIndividual · ADP OF THE SNFNOT APPLICABLE · since 05/14/1990
- MARTIN, ANDREWIndividual · ADP OF THE SNFNOT APPLICABLE · since 07/25/2022
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.94per resident day
RN hours0.47per resident day
Weekend nurse hours2.57per resident day
Staff turnover38.7%CMS reported field
06 / LOCAL RECORDS
Open the North Carolina ledger →Other published facilities nearby
No second facility in the same city met the directory rule.