Madison Manor Nursing Home in Mars Hill, NC

Pros

• The facility is ultra-clean and does not have the typical facility smell; the staff are nice, polite, and professional.
• The staff are professional, compassionate, and loving, and they consistently go above and beyond for residents' care.
• Families are grateful for the love and care their relatives receive there.
• Management listens to CNAs' concerns, and CNAs are top-notch, making residents feel like family.
• The facility keeps families informed about their loved ones' care, reflecting a caring approach.
• Nursing and support staff are professional, helpful, and friendly throughout a resident's stay.
• The building is clean and well-equipped with amenities, and the staff are welcoming.
• Nurses and CNAs genuinely care for and interact with residents, providing encouragement.
• The facility offers pleasant visiting spaces, including patios, for families to spend time with loved ones.

Cons

• The nurse was belligerent and unprofessional toward the CNA, screaming and pushing her around in the halls.
• The reviewer notes that most nursing homes smell bad, workers don't care, and the facility is run poorly.
• The weekend shift relied on a single CNA for fifty residents, with CNAs described as lazy and not performing their duties, and cleaners not doing their work.
• A staff member acted arrogantly, forbidding checkout and restricting visits for family members.
• A staff member told the family that their relative would never leave the facility and would die there.
• The reviewer criticizes staff for waking residents at lunch and keeping them in bed, calling the practice ridiculous and in need of help.
• The reviewer states they would not recommend this facility to anyone.

Review

Madison Manor Nursing Home in Mars Hill, NC is best suited for families that prize a clean, professionally run environment where staff engagement with residents feels genuine, daily life is well structured, and families receive regular, clear communication about care. The community tends to resonate with long-term residents who benefit from predictable routines, accessible activities, and a culture that emphasizes respect, warmth, and approachable staff. For families seeking a setting that feels like a supportive community rather than a barebone care facility, Madison Manor often delivers. It is less aligned with those who require strict, private-room perfection or flawless staffing guarantees at all times.

Those weighing alternatives should note who may want to look elsewhere. If a resident requires unwavering 24/7 staffing consistency, or a guaranteed high staff-to-resident ratio with little risk of delays, this may be a better fit for another provider. Families prioritizing private rooms over shared accommodations may prefer facilities that routinely offer single-occupancy options. And for anyone who must see unwavering administrative responsiveness and zero tolerance for any personnel concerns, it is prudent to compare with peers that demonstrate more tightly controlled oversight. A handful of reviews flag episodes that raise questions about staffing pressure and procedural rigidity, suggesting alternatives could be worthwhile in such cases.

The strongest positives at Madison Manor center on cleanliness, professional presentation, and a sense that care teams truly care. Multiple accounts describe a facility that is well kept, with staff who are courteous, attentive, and eager to communicate with families. Residents benefit from broad-based support across nursing, admissions, social work, and therapy, with families often staying informed about care plans and daily happenings. The overall tone from most reviews is one of respect, with staff who engage residents in meaningful activities, celebrate milestones, and seem to treat residents like people, not tasks. Those elements help cushion occasional staffing strains or policy friction, because families perceive real dedication on the front lines.

Yet the set of recurring concerns cannot be dismissed. Several reviews cite serious lapses in staffing coverage, particularly on weekends, with one CNA-to-resident ratio described as untenable and reports of inattentive or inconsistent service. A few accounts recount encounters with staff behavior that felt unprofessional or overbearing, including one incident where a nurse allegedly acted belligerently toward a colleague. There are also critiques about strict check-in/check-out rules, front-desk friction, and a sense that some procedural boundaries were enforced in ways that frustrated families. Taken together, these points remind that even a well-regarded facility can slip into operations that undercut the peace of mind families seek.

In weighing the pros against the cons, Madison Manor often delivers more substantive daily value than the red flags might suggest. The cleanliness, welcoming environment, transparent communication, and visible resident engagement provide a strong offset to occasional staffing headaches or policy friction. For families who want assurance that staff care will be noticeable day in and day out, and who value being kept in the loop about their loved one's status, the positives typically prevail. The facility's strengths - professionalism, strong caregiving across departments, and an atmosphere that residents appear to enjoy - align well with long-term placements and rehab-to-home trajectories where family involvement matters.

Practical decision guidance is clear. Prospective residents should plan to visit at different times, including weekends, to assess actual staffing dynamics and how well the team handles higher resident volumes. Ask about room options, since shared rooms are still common here, and confirm how often rooms are reassigned or upgraded. Inquire about how care updates are communicated and who the primary point of contact is for family questions. Consider speaking with current residents or family members to gauge how well concerns are resolved and how consistently staff follow through on commitments. For those who prize private space, or who require ironclad, uninterrupted staffing, explore facilities with explicit guarantees or more robust staffing models.

The conclusion is decisive: Madison Manor is a capable, compassionate choice for families seeking a facility that emphasizes cleanliness, open communication, and resident-focused care, with staff who can feel like extended family when things go smoothly. It is a strong fit for those who place value on daily activity, spiritual or social programming, and a transparent care process. However, for families where private accommodations, flawless weekend coverage, and stringent administrative discipline are non-negotiable, it warrants comparison with alternatives that may better meet those preferences. In the end, Madison Manor stands out as a practical, dependable option for many, particularly where meaningful staff-resident connection and family engagement drive the decision.

Located in Mars Hill, North Carolina, this area offers convenient access to various amenities for seniors. With several pharmacies nearby, including CVS Pharmacy and Walgreens, prescription refills and healthcare needs are easily met. There are also a variety of dining options ranging from fast food at McDonald's to local favorites like Blue Mountain Pizza and Twisted Laurel. For medical care, there are reputable physicians such as French Broad Pediatrics and MAHEC Family Health Center within a reasonable distance. In terms of recreation, parks such as Tanbark Ridge Overlook and Memorial Stadium offer opportunities for outdoor activities. Additionally, religious services can be attended at St John's Episcopal Church. Cafes like High Five Coffee and Vortex Doughnuts provide cozy spots for socializing with friends or enjoying a cup of coffee. Overall, this part of Mars Hill provides a mix of essential services and leisure options for seniors considering the area for retirement living.

Pharmacies

• CVS Pharmacy (9.2 miles)
• CVS Pharmacy (11.8 miles)
• Ingles Market (14.3 miles)
• Walgreens (14.5 miles)
• CVS Pharmacy (15 miles)
• Walgreens (16.5 miles)
• Blue Ridge Pharmacy (17.2 miles)

Restaurants

• IHOP (9.4 miles)
• McDonald's (9.5 miles)
• Blue Mountain Pizza (9.7 miles)
• Twisted Laurel (9.9 miles)
• Avenue M (14.6 miles)
• McDonald's (14.7 miles)
• Whit's Frozen Custard (15.1 miles)

Physicians

• French Broad Pediatrics (10.1 miles)
• MAHEC Family Health Center at Newbridge (14.1 miles)
• Pisgah Institute (15.7 miles)
• Dedman Karen MD (15.9 miles)
• Jody S Harrison (16.2 miles)
• Dermatology of North Asheville (16.2 miles)
• Anthony Weisenberger, MD (16.3 miles)

Parks

• Tanbark Ridge Overlook (12.9 miles)
• Memorial Stadium (17.3 miles)
• Blue Ridge Parkway (18.8 miles)
• Black Mountain Town Square (19 miles)

Hospitals

• Highland Hospital (16 miles)
• Mission Hospital Operating Room (18 miles)

Places of Worship

• St John's Episcopal Church (16.5 miles)

Cafes

• Green Sage Cafe Downtown (16.7 miles)
• High Five Coffee (16.7 miles)
• Pollen (17 miles)
• Vortex Doughnuts (17.1 miles)
• Starbucks (17.6 miles)
• Taco Billy (17.9 miles)
• BattleCat Coffee Bar (18.1 miles)