ElderGrade
C

60/100

Average

Hickory Falls Health And Rehabilitation

100 Sunset Street, Granite Falls, NC 28630

CMS 4/5 stars #2 of 4 in Caldwell County (828) 396-2387
Certified beds
120
Occupancy
95%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $51,188 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 20/30 Staffing 13/30 Stability 13/15 Outcomes 9/15 Enforcement 5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.68 total nurse hours per resident per day (national median 3.77)
  • 0.38 RN hours per resident per day
  • Weekend staffing drops 9% against weekdays

Staff stability

13/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 33% of nursing staff left in the last year
  • -2 for 2 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $51,188 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.62 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.38 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.30 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 32.50%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: June 10, 2026 (2 months ago). That inspection produced no citations — the findings below are older.

D May 21, 2025 F0842

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.

No actual harm, potential for more than minimal harm

D May 21, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

J May 31, 2024 F0600 From a complaint

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.

Immediate jeopardy to resident health or safety

Who owns this home

Full record

Part of SANSTONE HEALTH & REHABILITATION, which operates 18 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
SPRENGER, CHRISTOPHER Individual INDIRECT OWNERSHIP INTEREST
NELSON, JOHN Individual MANAGING CONTROL - GOVERNING BODY
TANNER, HUNTER Individual MANAGING CONTROL - GOVERNING BODY
SPRENGER, CHRISTOPHER Individual CORPORATE OFFICER
SANSTONE MANAGEMENT COMPANY, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
NELSON, JOHN Individual OPERATIONAL/MANAGERIAL CONTROL
REID, JILL Individual OPERATIONAL/MANAGERIAL CONTROL
TANNER, HUNTER Individual OPERATIONAL/MANAGERIAL CONTROL
SANSTONE MANAGEMENT COMPANY, LLC Organization ADP OF THE SNF
NELSON, JOHN Individual ADP OF THE SNF
REID, JILL Individual ADP OF THE SNF
SPRENGER, CHRISTOPHER Individual ADP OF THE SNF

What families say

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Common questions about Hickory Falls Health And Rehabilitation

What is the ElderGrade for Hickory Falls Health And Rehabilitation? +

Hickory Falls Health And Rehabilitation holds an ElderGrade of C (60 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Hickory Falls Health And Rehabilitation? +

Residents receive an average of 3.62 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Hickory Falls Health And Rehabilitation been cited for harming residents? +

Yes. 1 of the 3 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Hickory Falls Health And Rehabilitation accept Medicaid? +

Yes, Hickory Falls Health And Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.