Federal inspection record · CMS data as of October 1, 2026
Elderberry Health Care
415 Elderberry Lane, Marshall, NC · (828) 252-1790
- Certified beds
- 80
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 14, 1990
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Elderberry Health Care carries 21 inspection points. That is fewer than 58% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary6F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Resident Rights5E
- D
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.
- C
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- B
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.
Quality of Life and Care3D
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Administration1D
- D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning1B
- B
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspection history
2025-11-19
3 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-08-28
8 health deficiencies · 4 fire-safety deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2023-06-22
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 3 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 30% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.1 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.8 pts worse | 89.6% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1 pts better | 95.7% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.8 pts worse | 6.2% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.6 pts worse | 9.4% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts worse | 9.5% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8 pts better | 13.1% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.8 pts worse | 27.7% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.4 pts worse | 17.0% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.6 pts worse | 25.6% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better | 0.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.9 pts worse | 6.0% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.2 pts worse | 20.1% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers8.3 pts worse | 13.7% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 88.8% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 9.8% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts worse | 4.1% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine29.4 pts worse | 51.7% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.6 pts worse | 28.8% | 22.2% | 23.4% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Elderberry Of Marshall, LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Charlotte Advance, Inc | Direct Ownership Interest · Organization | 0% | 1 facilities |
| Cutshall, Karen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Cutshall, Karen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Elderberry Of Marshall, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Eller, Edward | Corporate Officer · Individual | 0% | 1 facilities |
| Eller, Edward | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Eller, Edward | Adp Of The SNF · Individual | 0% | 1 facilities |
| Martin, Andrew | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Martin, Andrew | Adp Of The SNF · Individual | 0% | 1 facilities |
| Martin, James | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Martin, James | Managing Control - Governing Body · Individual | 0% | 12 facilities |
| Martin, James | Corporate Officer · Individual | 0% | 12 facilities |
| Martin, James | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Martin, James | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 12 facilities |
| Martin, James | Adp Of The SNF · Individual | 0% | 12 facilities |
| Tullock Management Company | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Tullock Management Company | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wilkinson Care Center, Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Services3E
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems2E
- D
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness1F
- F
Establish an Emergency Preparedness Program (EP).
Egress1D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
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Other homes nearby
-
Madison Health and Rehabilitation
Mars Hill, NC · Sanstone Health & Rehabilitation
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 48 min
- Fines
- $9,110
-
The Greens at Weaverville
Weaverville, NC · Cch Healthcare
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 39 min
- Fines
- $8,710
-
Emerald Ridge Health and Rehabilitation
Asheville, NC · Avardis Health
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 11 min
- Fines
- $73,475