Mitchell County, North Carolina · Nursing home
The Greens at Spruce Pines
3 of 5 overall from CMS
218 Laurel Creek Court, Spruce Pine, NC 28777
At a glance
- Overall rating 3 of 5 Above the state average of 2.9
- Nurse time per resident, per day 3.47 hours Below the state average of 3.85
- Nursing staff who left in a year 62.8% Above the state average of 49.0%
- Health citations, last 3 inspection cycles 12 1 at the harm level or above
- Fines in 3 years $153,439 3 fines
- Certified beds in use 83.9% of 127 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
The Greens at Spruce Pines is a 127-bed nursing home in Spruce Pine, North Carolina (Mitchell County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.47 nurse staffing hours per resident per day, below the North Carolina average of 3.85. CMS lists 3 fines totaling $153,439 in the past three years.
- Certified beds
- 127
- Residents per day (average)
- 106.6
- Certified since
- 1987 (39 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Cch Healthcare (33 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask The Greens at Spruce Pines
Chosen from this home's public data.
- CMS lists 3 fines totaling $153,439 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 62.8%, above the North Carolina average of 49.0%. How often would the same aides care for my relative?Turnover in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 North Carolina average 2.9
- Health inspections 3 of 5 North Carolina average 2.9
- Staffing 3 of 5 North Carolina average 2.7
- Quality measures 4 of 5 North Carolina average 3.3
The vertical line marks the North Carolina average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.47 h North Carolina average 3.85
- Nurse aides 2.09 h North Carolina average 2.34
- Licensed practical nurses 0.67 h North Carolina average 0.89
- Registered nurses 0.71 h North Carolina average 0.62
- All staff, weekends 3.20 h North Carolina average 3.42
How much nurse staffing is enough? All bars share one scale, 0 to 13 hours. The vertical line marks the North Carolina average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover62.8%
- North Carolina average49.0%
- Registered nurse turnover57.9%
- North Carolina average45.6%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the North Carolina and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 11.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.2% | 7.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% | 0.7% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 6.9% | 5.9% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% | 3.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.6% | 92.0% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 13.1% | 18.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 22.1% | 21.3% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 79.8% | 94.1% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 5.5% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 31.7% | 20.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 7.1% | 14.0% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.91 | 1.78 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.95 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | North Carolina | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% | 80.6% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% | 1.4% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 33.3% | 78.1% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% | 22.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 20.1% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 12 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 9 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Feb 11, 2025: Provide or get specialized rehabilitative services as required for a resident.
| Standard inspection | Health | Fire safety |
|---|---|---|
| May 14, 2026 | 1 | 1 |
| Feb 11, 2025 | 9 | 3 |
| Sep 28, 2023 | 2 | 3 |
North Carolina homes averaged 4.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (12)
-
DPotential for more than minimal harm, isolated
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (May 23, 2026)
-
JImmediate jeopardy, isolated
Provide or get specialized rehabilitative services as required for a resident.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 22, 2025)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 22, 2025)
-
EPotential for more than minimal harm, pattern
Keep all essential equipment working safely.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Feb 22, 2025)
-
DPotential for more than minimal harm, isolated
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Feb 22, 2025)
Show 7 more
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure medication error rates are not 5 percent or greater.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Feb 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Feb 22, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Oct 25, 2024)
-
EPotential for more than minimal harm, pattern
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 27, 2023)
-
DPotential for more than minimal harm, isolated
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 27, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Feb 11, 2025 | Fine | $139,942 |
| Sep 28, 2023 | Fine | $6,748 |
| Sep 28, 2023 | Fine | $6,749 |
North Carolina homes averaged 1.2 fines and $36,617 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within North Carolina
- Size101 of 419 by certified beds
- North Carolina average residents per day86.9
- ChainCch Healthcare
- Chain average overall rating2.5 of 5
- Resident or family councilResident
- Homes in Mitchell County1
Common questions
What is the CMS star rating for The Greens at Spruce Pines?
The Greens at Spruce Pines has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 4.
How many beds does The Greens at Spruce Pines have?
The Greens at Spruce Pines has 127 certified beds. It averages 106.6 residents per day, about 83.9% of its certified beds.
How much nursing care do residents get at The Greens at Spruce Pines?
The home reports 3.47 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The North Carolina average is 3.85 hours and 0.62 hours from registered nurses.
Has The Greens at Spruce Pines been fined?
Yes. CMS lists 3 fines totaling $153,439 in the past three years.
Does The Greens at Spruce Pines accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Smoky Ridge Health and Rehabilitation 140beds 72.2%in use 3.08nurse hours a day
- 2 of 5 Autumn Care of Marion 110beds 93.5%in use 3.18nurse hours a day
- 5 of 5 The Waters of Roan Highlands,llc 80beds 89.9%in use 3.32nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Mitchell County
Who to call in North Carolina
These offices serve residents of every nursing home in North Carolina.
- Long-term care ombudsman North Carolina Long-Term Care Ombudsman Program 919-855-3400 (Office of the State Long-Term Care Ombudsman, Raleigh. Regional ombudsmen (16 offices in Area Agencies on Aging) are listed by county in a document linked from the program page.) An advocate for residents and their families.
- File a complaint about a nursing home Complaint Intake Unit (Complaint Hotline) 1-800-624-3004 (Within N.C.; or 919-855-4500. Hours: 9 a.m.-12 p.m. and 1-4 p.m. weekdays, except holidays. Also by fax (919-715-7724), mail (Complaint Intake Unit, 2711 Mail Service Center, Raleigh, NC 27699-2711) or email; a printable complaint form is on the page.) The state agency that inspects nursing homes.
North Carolina staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 345270. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.