About Hickory Falls Health And RehabilitationHickory Falls Health And Rehabilitation is located at 100 Sunset Street, Granite Falls, NC, reachable at (828) 396-2387. This For profit – Limited Liability company facility operates 120.0 certified beds and serves an average of 114 residents per day. It is part of the Sanstone Health & Rehabilitation network (17 facilities nationwide). Medicare and Medicaid services have been provided since 1985-12-03. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
#4903 of 14703 nationally – #98 of 418 in North Carolina
Who Is This Facility Best For?
Hickory Falls Health And Rehabilitation is a strong choice for families in the Granite Falls, NC area seeking a well-inspected, high-quality care environment. It is particularly well-suited for long-term residents based on its Quality Measure scores. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 2 out of 5.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★4 / 5
Staffing Rating
★★★★★2 / 5
Quality Measures (QM)
★★★★★4 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
★★★★★3 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightHickory Falls Health And Rehabilitation currently provides 3 hours 9 minutes of total nurse staffing per resident per day, including 23 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is 34.8%, near the national average.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 9 minutes
Nurse Aide Hours2 hours 16 minutes
Licensed Practical Nurse (LPN) Hours30 minutes
Registered Nurse (RN) Hours23 minutes
Physical Therapist Hours5 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 44 minutes
Weekend Registered Nurse (RN) Hours14 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $51,188. One substantiated complaint was recorded across the 5-year period.
Nationally, Hickory Falls Health And Rehabilitation ranks 4903rd out of 14,703 facilities (composite score: 77.2/100), placing it in the above average nationwide. Within NC, it ranks 98th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #12,354 nationally and RN hours rank #11,298 nationally (#302 in NC).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NC State Rank
Note
2022
2.76
#12,917 / 14,703
#370 / 418
⚠️ Bottom 25%
2023
3.05
#11,588 / 14,703
#319 / 418
⚠️ Bottom 25%
2024
3.23
#10,798 / 14,703
#305 / 418
Below average
2025
3.42
#9,595 / 14,703
#258 / 418
Below average
2026
3.15
#12,354 / 14,703
#355 / 418
⚠️ Bottom 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
NC State Rank
Note
2022
0.39
#10,902 / 14,703
#289 / 418
Below average
2023
0.58
#6,576 / 14,703
#147 / 418
Above average
2024
0.55
#7,165 / 14,703
#155 / 418
Above average
2025
0.38
#11,198 / 14,703
#313 / 418
⚠️ Bottom 25%
2026
0.38
#11,298 / 14,703
#302 / 418
⚠️ Bottom 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Hickory Falls Health And Rehabilitation is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1985-12-03. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (828) 396-2387 or your local Medicaid office to verify current eligibility.
Hickory Falls Health And Rehabilitation holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 77.2/100, placing it #4903 of 14703 facilities nationally and #98 of 418 in North Carolina. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Hickory Falls Health And Rehabilitation receives a reported average of 3 hours 9 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 23 minutes; Licensed Practical Nurse (LPN) — 30 minutes; Nurse Aide — 2 hours 16 minutes. On weekends, total nurse staffing is 2 hours 44 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 34.8%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $51,188. One substantiated complaint was recorded across the 5-year period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $51,188, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 11.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Hickory Falls Health And Rehabilitation ranks 4903rd out of 14,703 facilities (composite score: 77.2/100), placing it in the above average nationwide. Within NC, it ranks 98th out of 418 nursing homes. For 2026 staffing: total nurse hours rank #12,354 nationally and RN hours rank #11,298 nationally (#302 in NC). Our composite quality score of 77.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Granite Falls, visit: https://nursinghomesnearme.org/north_carolina/granite-falls/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.