CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 3454932026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Hendersonville Health And Rehabilitation

104 College Drive · Flat Rock, NC 28731 · Henderson County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds130CMS provider file
Recent citation rows15current 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.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-1802024-09-112
Cycle 22024-09-1132023-06-161
Cycle 32023-06-1682021-10-141
02 / CITATION DETAIL

15 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2024-09-11 · 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 · 2024-09-12 · complaint
2024-09-11 · HEALTHF0812Severity D · isolated; 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 · 2024-09-12 · complaint
2024-09-11 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

Make sure that a working call system is available in each resident's bathroom and bathing area.

Correction field: Deficient, Provider has date of correction · 2024-09-12 · complaint
2024-09-11 · FIREK0211Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2024-11-12
2024-09-11 · FIREK0781Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Correction field: Deficient, Provider has date of correction · 2024-11-12
2024-01-25 · FIREK0362Severity D · isolated; potential for more than minimal harm

Smoke Deficiencies

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Correction field: Deficient, Provider has date of correction · 2024-03-16 · complaint
2023-06-16 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2023-07-06
2023-06-16 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2023-06-21
2023-06-16 · HEALTHF0583Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Correction field: Deficient, Provider has date of correction · 2023-07-06
2023-06-16 · HEALTHF0584Severity D · isolated; potential for more than 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 date of correction · 2023-07-14
2023-06-16 · HEALTHF0756Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Correction field: Deficient, Provider has date of correction · 2023-07-12
2023-06-16 · HEALTHF0760Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2023-06-16
2023-06-16 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2023-07-06
2023-06-16 · HEALTHF0867Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Correction field: Deficient, Provider has date of correction · 2023-06-30
2023-06-16 · FIREK0211Severity D · isolated; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2023-08-26
03 / 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.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • BLUESKY HEALTHCARE INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 05/09/2008
  • FLAT ROCK MANAGEMENT COMPANYOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    50% · since 08/01/2008
  • ARDENT HEALTH AND REHABILITATION COOrganization · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    50% · since 08/01/2008
  • HUTSENPILLER, WENDIEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    9% · since 08/01/2008
  • MALANOWSKI, KENNETHIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    10% · since 08/01/2008
  • SPRENGER, NICOLEIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    15% · since 08/01/2008
  • SPRENGER, TRACEYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST
    15% · since 08/01/2008
  • SANSTONE MANAGEMENT COMPANY, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 11/19/2024
  • RUSSELL, LARRYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/13/2011
  • SPRENGER, TRACEYIndividual · GENERAL PARTNERSHIP INTEREST
    NOT APPLICABLE · since 05/09/2008
  • SANSTONE MANAGEMENT COMPANY, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 11/19/2024
  • FREEMAN, CARMENIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/22/2016
  • JENNINGS, MARKIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 11/19/2024
  • RUSSELL, LARRYIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 12/13/2011
  • SPRENGER, ANDREWIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 04/09/2023

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 hours3.50per resident day
RN hours0.38per resident day
Weekend nurse hours2.96per resident day
Staff turnover37.1%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the North Carolina ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.