The Lodge at Mills River — nursing home in Mills River, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 50 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 46.0 CMS, MDS-derived
CMS Certification Number: 345253
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Dec 19, 1986
Ownership type: For profit - Limited Liability company
Operator (legal business name): Beystone Health and Rehabilitation Co
CMS chain: Sanstone Health & Rehabilitation 18 facilities
Phone: (828) 684-4857
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 16, 2026

Citations

9

1 health · 8 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E·	F3
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345253
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 50
First approved: Dec 19, 1986
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 16, 2026	Health	Health Standard	0	No citations	—	Open →
Jun 3, 2025	Health	Health Standard	1	Minimal	1	Open →
Mar 14, 2024	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 14, 2024	Health	Health Standard	0	No citations	—	Open →
Dec 1, 2022	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Mar 4, 2021	Fire safety	Fire Safety Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D5	E·	F3
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Jun 3, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	B · Minimal Pattern	Plan of correction, not yet verified Jun 4, 2025
Mar 14, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 28, 2024
Mar 14, 2024	K-0700	Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected May 28, 2024
Dec 1, 2022	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2023
Dec 1, 2022	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Dec 1, 2022	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Dec 1, 2022	K-0352	Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023
Dec 1, 2022	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 31, 2023
Dec 1, 2022	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 31, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.91

State avg 3.87US avg 3.90

Registered nurse (RN)0.84

State avg 0.62US avg 0.69

Licensed practical nurse0.78

State avg 0.88US avg 0.86

Nurse aide2.30

State avg 2.37US avg 2.35

Weekend total nurse2.99

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.28 (case-mix index 1.67).

Staff turnover

Total nursing staff turnover56.9%

State avg 48.7%US avg 45.3%

Registered nurse turnover46.2%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Sep 16, 2026
Cycle 1 health score: 0
Total weighted score: 0

Operating entity

Beystone Health and Rehabilitation Co

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Sanstone Health & Rehabilitation

18 facilities in 1 states. CMS chain ID 465.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.3

Ownership disclosures

Disclosures

4

Organizations

2

Individuals

2

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ardent Health and Rehabilitation Co	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2005
Henderson-Beystone Healthcare Properties, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2015

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ardent Health and Rehabilitation Co	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2005
Henderson-Beystone Healthcare Properties, LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 2015
Christopher Sprenger	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 1, 2005
Andrew Sprenger	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jun 7, 2021

Same chain in North Carolina

All 17 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Elizabeth City Health and Rehabilitation 1075 US Highway 17 South, Elizabeth City, NC 27909 CCN 345036	170	Jun 19, 2025	253 IJ2 harm6 open	$78k
Anson Health and Rehabilitation 405 South Greene Street, Wadesboro, NC 28170 CCN 345051	95	Feb 12, 2026	26	—
The Lodge at Rocky Mount Health and Rehabilitation 3322 Village Road, Rocky Mount, NC 27804 CCN 345137	100	Apr 10, 2026	282 IJ1 open	$17k
Grace Heights Health & Rehabilitation 109 Foothills Drive, Morganton, NC 28655 CCN 345187	120	Jan 23, 2026	12	—
Stonecreek Health and Rehabilitation 455 Victoria Road, Asheville, NC 28801 CCN 345204	120	Jun 17, 2026	282 IJ6 open	$38k
Madison Health and Rehabilitation 345 Manor Road, Mars Hill, NC 28754 CCN 345206	100	Feb 11, 2026	181 harm	$9,110
Hickory Falls Health and Rehabilitation 100 Sunset Street, Granite Falls, NC 28630 CCN 345246	120	Jun 10, 2026	181 IJ4 open	$51k
Carolina Care Health and Rehabilitation 111 Harrelson Street, Cherryville, NC 28021 CCN 345255	107	Apr 16, 2026	141 open	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 5593 Old Haywood Road, Mills River, NC 28759
ZIP: 28759
County: Henderson County FIPS 37089
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Fletcher Rehabilitation and Healthcare Center 86 Old Airport Road, Fletcher, NC 28732 CCN 345522	6.9 km	90	Sep 3, 2026	392 harm3 open	$63k
Biltmore Haven Nursing and Rehabilitation 3864 Sweeten Creek Road, Arden, NC 28704 CCN 345477	7.2 km	100	Jul 31, 2026	605 IJ1 harm9 open	$180k
Orchard Valley Health and Rehabilitation 200 Heritage Circle, Hendersonville, NC 28791 CCN 345285	10.2 km	134	Feb 20, 2026	751 IJ3 open	$16k
Deerfield Episcopal Retirement 1617 Hendersonville Road, Asheville, NC 28803 CCN 345556	10.3 km	62	Jun 4, 2026	10	—
Givens Health Center 600 Barrett Lane, Asheville, NC 28803 CCN 345328	10.4 km	70	Mar 18, 2026	32	—
The Greens at Hendersonville 1870 Pisgah Drive, Hendersonville, NC 28791 CCN 345312	13.6 km	120	Jan 16, 2026	452 IJ1 harm	$102k
The Laurels of Hendersonville 290 Clear Creek Road, Hendersonville, NC 28792 CCN 345322	14 km	100	Jun 5, 2026	272 IJ1 open	$36k
Life Care Center of Hendersonville 400 Thompson Street, Hendersonville, NC 28792 CCN 345463	14.9 km	80	Aug 27, 2025	491 harm	$41k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345253	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345253	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345253

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction