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Establishment profile

MADISON HEALTH AND REHABILITATION, LLC

345 MANOR RD., MARS HILL, NC, 28754
Operated by Madison Health and Rehabiliton
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
1
over 1 year
Violations
7
Penalties
$0
$0 avg

Summary

MADISON HEALTH AND REHABILITATION, LLC has accumulated 7 OSHA violations across 1 inspection over 1 year of recorded history.

The establishment sits in the 74th percentile for violations within its industry-state peer group of 740 employers. The most recent enforcement activity was recorded 1 year ago.

Federal records were found in 1 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

MADISON HEALTH AND REHABILITATION, LLC appears in OSHA workplace safety and CMS nursing home enforcement records only. No matching records were found in WHD wage enforcement, MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
1
1.0 / yr · last 1 yrs
Violations
7
7.0 / yr
Penalties
$0
Inspection trigger · planned
1 of 1

100% of inspections at this establishment produced violations,

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 7 distinct standards shown · 7 citations in this view.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.0037 B0211Aug 2024Aug 2024
29 CFR 1910.0132 D0211Aug 2024Aug 2024
29 CFR 1910.0303 B0211Aug 2024Aug 2024
29 CFR 1910.0303 G01 II11Aug 2024Aug 2024
29 CFR 1910.1200 E0111Aug 2024Aug 2024
29 CFR 1910.1200 E01 I11Aug 2024Aug 2024
29 CFR 1910.1200 F06 II11Aug 2024Aug 2024

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

74th

Above average violations in NAICS 6231 within NC. Peer group: 740 employers. This establishment has 7 OSHA violations; peer median is 3.

Fewer violationsMore violations
Penalty percentile
0th
peer median: $0
Inspection frequency
0th
peer median: 1

Safety self-report (OSHA 300A)

Recordable injury rates the employer filed with OSHA’s Injury Tracking Application. DART covers cases with days away, restricted, or transferred; TRIR is the total recordable case rate.

DART rate
3.9
vs industry
−0.6
TRIR
7.8
vs industry
+1.5

Reported for 103 average annual employees at this establishment.

Source: OSHA ITA Form 300A (employer self-reported). Rates are per 100 full-time equivalent workers. Establishments below the ~10-FTE threshold are not required to report.

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
7.8
OSHA ITA Form 300A (employer self-reported)

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
1 year ago

Most recent federal enforcement activity recorded 1 year ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

No WHD wage, overtime, or child-labor enforcement cases on file for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with Wage and Hour Division

Mine safety (MSHA)

No MSHA mine safety violations on file for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 345206 · Chain: SANSTONE HEALTH & REHABILITATION

CMS abuse icon
Overall rating
3 of 5 stars
Certified beds
100
Deficiencies (3y)
5
CMS fines
$9,110

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 5 citations across 4 surveys · 1 actual-harm · 1 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Feb 20260812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Aug 20250600G (harm)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Nov 20240812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Aug 20230554D
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies
Standard
Aug 20230693D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for MADISON HEALTH AND REHABILITATION, LLC. Verify directly with UVA Corporate Prosecution Registry

Federal contracts

This location

Obligated (5-yr)
$8.0M
Obligated (all-time)
$21.3M
Awards
27
Top agency
Department of Veterans Affairs
$21.3M
Largest awards
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2022-03-31
    $2,383,580
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2025-10-01
    $2,318,000
  • Department of Veterans Affairs
    SKILLED NURSING HOME SERVICE
    contract · Last action 2020-03-16
    $2,300,000
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2021-03-25
    $2,291,904
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2024-03-26
    $1,675,795
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2023-03-06
    $1,640,000
  • Department of Veterans Affairs
    IGF::OT::IGF NURSING HOME SERVICE
    contract · Last action 2017-03-31
    $1,237,608
  • Department of Veterans Affairs
    IGF::OT::IGF NURSING HOME SERVICE
    contract · Last action 2018-03-29
    $891,166
  • Department of Veterans Affairs
    EXPRESS REPORT: FY21 QTR2
    contract · Last action 2021-01-01
    $818,848
  • Department of Veterans Affairs
    EXPRESS REPORT: FY21 QTR1
    contract · Last action 2020-10-01
    $751,012
  • Department of Veterans Affairs
    EXPRESS REPORT: FY20 4TH QUARTER
    contract · Last action 2020-09-30
    $729,905
  • Department of Veterans Affairs
    EXPRESS REPORT: FY21 4TH QTR
    contract · Last action 2021-07-01
    $701,127
  • Department of Veterans Affairs
    EXPRESS REPORT: FY21 3RD QTR
    contract · Last action 2021-04-01
    $677,033
  • Department of Veterans Affairs
    EXPRESS REPORT: FY20 3RD QTR
    contract · Last action 2020-07-31
    $642,846
  • Department of Veterans Affairs
    EXPRESS REPORT: EXPENDITURE REPORT 1ST QTR FY20
    contract · Last action 2020-01-29
    $540,926
  • Department of Veterans Affairs
    EXPRESS REPORT: FY20 Q2
    contract · Last action 2020-04-28
    $399,201
  • Department of Veterans Affairs
    IGF::OT::IGF NURSING HOME SERVICE
    contract · Last action 2019-04-01
    $399,201
  • Department of Veterans Affairs
    IGF::OT::IGF NURSING HOME SERVICE
    contract · Last action 2016-03-31
    $150,000
  • Department of Veterans Affairs
    EXPRESS REPORTING NURSING HOME FUNDING REPORT ONLY
    contract · Last action 2011-09-30
    $143,446
  • Department of Veterans Affairs
    NURSING HOME SERVICES EXPRESS REPORT
    contract · Last action 2012-04-01
    $136,768
  • Department of Veterans Affairs
    NURSING HOME SERVICES EXPRESS REPORT FINANCIAL REPORTING
    contract · Last action 2012-04-01
    $136,768
  • Department of Veterans Affairs
    EXPRESS REPORT: EXPENDITURE REPORT 1ST QTR FY20
    contract · Last action 2020-01-29
    $132,671
  • Department of Veterans Affairs
    :IGF::OT::IGF EXPRESS REPORT FOR 4TH QTR OF FY15, 1ST QTR FY16
    contract · Last action 2015-11-19
    $101,757
  • Department of Veterans Affairs
    IGF::OT::IGF EXPRESS REPORT FOR 1ST, 2ND, 3RD QTRS OF FY15
    contract · Last action 2015-08-04
    $56,407
  • Department of Veterans Affairs
    SKILLED NURSING HOME CARE
    contract · Last action 2025-10-01
    $0
  • Department of Veterans Affairs
    IGF::OT::IGF NURSING HOME SERVICE
    contract · Last action 2020-03-16
    $0
  • Department of Veterans Affairs
    NURSING HOME SERVICES
    contract · Last action 2015-12-23
    $0

Federal contract dollars to this establishment. Primary NAICS: 623110 - NURSING CARE FACILITIES (SKILLED NURSING FACILITIES). Last action: 2025-10-01. Source: USAspending.gov, net obligations. Recipient address is the SAM registration / HQ address, not necessarily the worksite.

Inspection history

DateTriggerViolationsSeriousPenalty
2024-07-16Planned7$0

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Part of a larger organization

MADISON HEALTH AND REHABILITATION, LLC is one of 1 establishments rolled up under the parent organization Madison Health and Rehabiliton.

Federal enforcement records on this page represent activity at this specific establishment only. The full enforcement footprint of Madison Health and Rehabiliton across all 1 of its tracked locations is viewable on the parent profile.

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within NC, ordered by federal enforcement volume:

Related searches

About this data

This profile aggregates federal enforcement records on MADISON HEALTH AND REHABILITATION, LLC from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code. This establishment resolves to the parent rollup Madison Health and Rehabiliton.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is MADISON HEALTH AND REHABILITATION, LLC's OSHA violation history?
MADISON HEALTH AND REHABILITATION, LLC has 1 OSHA inspection on record with 7 violations and $0 in total penalties.
How does MADISON HEALTH AND REHABILITATION, LLC's safety record compare to its industry?
MADISON HEALTH AND REHABILITATION, LLC operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3. MADISON HEALTH AND REHABILITATION, LLC's self-reported DART rate is 3.89 compared to an industry average of 4.5.