Elderberry Health Care

415 Elderberry Lane · Marshall, NC · 28753 · 8282521790

80 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Total nurse staffing below 3.0 hours per resident-day

2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 65
Serious harm & abuse 20% 100
Staffing 20% 55
Federal penalties 15% 100
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day2.953.48 min · 4.1 strong
RN hours / resident-day0.450.55–0.75
Weekend hours / resident-day2.55≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · D November 19, 2025

    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.

    Corrected January 15, 2026 · Resident Rights

  • Potential for harm · D November 19, 2025

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected January 15, 2026 · Quality of Life and Care

  • Potential for harm · E November 19, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 15, 2026 · Nutrition and Dietary

  • Potential for harm · D August 28, 2024

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected October 25, 2024 · Quality of Life and Care

  • Potential for harm · F August 28, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 25, 2024 · Nutrition and Dietary

  • Potential for harm · E August 28, 2024

    Dispose of garbage and refuse properly.

    Corrected October 25, 2024 · Nutrition and Dietary

  • Potential for harm · D August 28, 2024

    Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

    Corrected October 25, 2024 · Administration

  • Potential for harm · D August 28, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected October 25, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • No harm found · C August 28, 2024

    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.

    Corrected October 25, 2024 · Resident Rights

  • No harm found · C August 28, 2024

    Post nurse staffing information every day.

    Corrected October 25, 2024 · Nursing and Physician Services

  • No harm found · B August 28, 2024 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 22, 2023 · found via complaint

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected July 20, 2023 · Resident Rights

  • Potential for harm · E June 22, 2023 · found via complaint

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected July 20, 2023 · Resident Rights

  • Potential for harm · D June 22, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected July 20, 2023 · Quality of Life and Care

  • Potential for harm · E June 22, 2023 · found via complaint

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Corrected July 20, 2023 · Nutrition and Dietary

  • Potential for harm · E June 22, 2023 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected July 28, 2023 · Nutrition and Dietary

  • Potential for harm · F June 22, 2023 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 27, 2023 · Nutrition and Dietary

  • No harm found · B June 22, 2023 · found via complaint

    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.

    Corrected July 20, 2023 · Resident Rights

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345319 · certified since May 14, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.