Madison Health: Food Safety Violations Pattern - NC
Bins of sugar, flour, and cornmeal sat open with no date markings. An opened bag of submarine sandwich rolls in the dry storage room had no date. At 9:31 a.m., the inspector looked at the ice machine. Pink and brown substances were scattered across the entire baffle, the white plastic piece that manages the flow of ice into the bin.
Six minutes later, she opened the walk-in cooler.
Nineteen four-ounce yogurt cups, in assorted flavors, were sitting on a cart and on a shelf. Their use-by date was January 29, 2026. The inspection was February 8. A box of eight heads of lettuce showed brown discoloration throughout.
The Dietary Manager, interviewed that afternoon, said she had told second-shift staff to throw out the lettuce on February 6, two days before inspectors arrived. She could not recall which staff members she had told. She said dish aides were responsible for checking yogurt dates and discarding them on or before expiration. The cooks, she said, were responsible for labeling and dating everything else.
On the ice machine, she said Maintenance handled the interior cleaning — but added she would expect the machine to be clean. The Administrator, interviewed separately, said the dietary department was responsible for the ice machine interior and Maintenance for the filter. The two accounts did not match.
When inspectors returned on February 10, the Administrator offered an explanation for the expired and unlabeled food: staff had felt overwhelmed because of a recent ice storm that forced some employees to shelter inside the facility.
The lettuce the Dietary Manager had ordered discarded on February 6 was still in the cooler on February 8.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Madison Health and Rehabilitation from 2026-02-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
Madison Health and Rehabilitation in Mars Hill, NC was cited for violations during a health inspection on February 11, 2026.
Bins of sugar, flour, and cornmeal sat open with no date markings.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.