Home / North Carolina / Hickory
The Greens at Hickory
3031 Tate Boulevard Se, Hickory, NC 28602 · Catawba County · (828) 322-3343
150 certified beds, about 114 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1982
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345232 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 28, 2026, inspectors cited 11 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 18 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.74 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.
41.5% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Cch Healthcare, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
108/23
611/24
1101/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 18 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
3E
0F
Potential for minimal harm
0A
1B
0C
January 28, 2026Standard inspection, Complaint inspection · 11 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record reviews, and resident, family member, staff, and Medical Director interviews, the facility failed to ensure medications were administered as prescribed by the physician when Nurse #8 administered medications to Resident #83 prescribed for Resident #33 which included Metformin (an antidiabetic agent), Coreg (beta-blocker that affects the heart and circulation), Trazadone (an antidepressant), Melatonin (hormone that regulates sleep), Senna (plant-based product used as laxative) and Tizanidine (muscle relaxant). In addition, Nurse #6 administered medications to Resident #139 prescribed for Resident #23 which included Tylenol (an analgesic) and Buspar (an anti-anxiety medication). This deficient practice affected 2 of 6 residents reviewed for medication errors.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 28 opportunities, resulting in a medication error rate of 7.14% for 2 of 4 residents observed during medication administration (Resident #62 and Resident #112).
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, record review and staff interviews, the facility failed to provide a dignified dining experience when the Speech Therapist (ST) stood in the hallway beside a dependent resident while assisting him during a meal 1 of 8 residents reviewed for dignity (Resident #70). The reasonable person concept was applied to this deficiency as individuals might feel a lack of dignity when staff assisted them in the hallway and when standing over them.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to obtain consent and inform the resident or responsible party in advance of the risks and benefits of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) prior to the initiation of the anticonvulsant and mood-stabilizing medication divalproex sodium for 3 of 6 residents reviewed for unnecessary medications (Resident #8, Resident #11, and Resident #16).
- 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.
Inspectors wroteBased on record review and staff interviews, the facility failed to have advanced directives accurate throughout the medical record for 2 of 2 residents reviewed for advanced directives (Resident #8 and Resident #32).
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on record review and staff interviews, the facility failed to have evidence that a request for an evaluation for a Level II Preadmission Screening and Resident Review (PASRR) was submitted for a resident with a newly identified diagnosis of a serious mental health disorder for 1 of 2 residents reviewed for PASRR (Resident #3).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observations, record review, and staff interviews, the facility failed to complete thorough skin assessments to identify and obtain orders for the care of a reddened area on the right palm caused by the resident's middle fingernail extending 1/4 inch beyond the end of his finger and pressing into the palm of his hand for 1 of 3 residents reviewed for contracture care (Resident #24).
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, record review, and interviews with the Resident Council, staff and residents, the facility failed to provide a meal that was palatable in taste and temperature for 3 of 4 residents reviewed for palatable food (Resident #9, Resident #10, and Resident #23).
- D Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Inspectors wroteBased on observations, record review, and interviews with the resident, Registered Dietitian (RD) and staff, the facility failed to follow the physician's diet order to provide double portions for 2 of 5 residents reviewed for nutrition (Resident #10 and Resident #2).
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews, the facility failed to maintain a complete and accurate medical record that included the medications given in error for 1 of 1 resident reviewed for accuracy of medical records (Resident #83).
- 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.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain a sanitary wheelchair and sanitary geriatric chairs for 3 of 4 residents reviewed for safe, clean, comfortable and homelike environment (Resident #70, Resident #13, and Resident #68).
November 15, 2024Standard inspection · 6 citations
- E 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.
Inspectors wroteBased on observations and staff interviews the facility failed to remove expired medications and intravenous fluids stored for use in 3 of 4 medication storage rooms (East, North, and Memory Care) reviewed for medication storage.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and resident and staff interviews, the facility failed to accurately code Minimum Data Set (MDS) assessments in the areas of opioid medications and bowel continence for 2 of 2 residents reviewed for Preadmission Screening and Resident Review (PASRR) (Resident #65 and Resident #67).
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review and staff and Resident interviews, the facility failed to ensure supplemental oxygen was delivered at the physician prescribed rate for 1 of 1 resident reviewed for respiratory care (Resident #61).
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record reviews and staff and Consultant Pharmacist interviews, the facility failed to follow the pharmacy recommendation to add side effect monitoring to an antipsychotic medication (used to treat mental disorders) for 1 of 5 residents (Resident #96) reviewed for unnecessary medications.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record reviews and staff and Consultant Pharmacist interviews, the facility failed to identify the lack of monitoring for side effects and behaviors for an antipsychotic medication (used to treat mental disorders) for 1 of 5 residents reviewed for unnecessary medications (Resident #96).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to implement their policy for handwashing/hygiene when Nurse Aide (NA) #1 failed to sanitize her hands after removing soiled gloves during incontinent care. The facility also failed to handle soiled linen in a manner to prevent the spread of infection when Nurse Aide #2 threw soiled linen on the floor after providing incontinent care. This occurred for 2 of 2 staff members observed for infection control practices (NA #1 and NA #2).
August 17, 2023Standard inspection · 1 citation
- D 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.
Inspectors wroteBased on observations and staff interviews the facility failed to maintain a safe homelike environment when an electrical outlet was not secured to the wall (room [ROOM NUMBER]) and failed clean side rails on resident beds (room [ROOM NUMBER] B, room [ROOM NUMBER] A, room [ROOM NUMBER] A, and room [ROOM NUMBER] B) this affected 1 of 4 units in the facility (North).
Fire safety inspections
9 fire safety citations on file: 3 on January 28, 2026, 2 on November 15, 2024, 4 on August 17, 2023.
Every fire safety citation9 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have properly installed electrical wiring and gas equipment.
- D Meet requirements for the installation and maintenance of electrical systems.
- 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.
- 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 exits that are accessible at all times.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Carolina | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.74 | 3.85 | 3.86 |
| Registered nurses | 0.44 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.31 | 3.42 | 3.42 |
| Nurse aides | 2.33 | ||
| Licensed practical nurses | 0.97 | ||
| Nursing staff turnover (share who left in a year) | 41.5% | 49.0% | 45.8% |
| Registered nurse turnover | 28.6% | 45.6% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.65 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.91 on weekdays and 3.31 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 18.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.83 in April to June 2025 to 3.74 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.74 | 0.44 | 3.91 | 3.31 | 18.4% | 0 of 90 | 114 |
| Oct to Dec 2025 | 3.48 | 0.42 | 3.63 | 3.13 | 13.2% | 0 of 92 | 118 |
| Jul to Sep 2025 | 3.67 | 0.51 | 3.81 | 3.31 | 6.2% | 0 of 92 | 110 |
| Apr to Jun 2025 | 3.83 | 0.51 | 3.95 | 3.53 | 15.0% | 0 of 91 | 109 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Carolina, Jan to Mar 2026 | 3.65 | 0.53 | 3.82 | 3.25 | 8.0% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Carolina | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.1 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.2 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.7 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.4 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.9 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.6 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.8 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.6 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.8 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: GREENS AT HICKORY LLC. CMS links this home to Cch Healthcare, a group of 33 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bync Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 07/01/2022 |
| Starlight Healthcare LLC | 5% or greater indirect ownership interest | Organization | 50% | 07/01/2022 |
| Webb, Lasheena | W-2 managing employee | Individual | 10/31/2022 | |
| Jeremias, Baruch | Corporate director | Individual | 07/01/2022 | |
| Stern, Jacob | Corporate director | Individual | 07/01/2022 | |
| Stern, Jacob | Corporate officer | Individual | 07/01/2022 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on January 28, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on January 28, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on January 28, 2026: "Ensure medication error rates are not 5 percent or greater."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 28, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.31 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Trinity Village Hickory, 2.3 mi · 5 of 5 stars · 5 citations
- The Greens at Viewmont Hickory, 2.8 mi · 2 of 5 stars · 19 citations
- Conover Nursing and Rehabilitation Center Conover, 4.2 mi · 5 of 5 stars · 4 citations
- Trinity Ridge Hickory, 4.3 mi · 5 of 5 stars · 5 citations
- Abernathy Laurels Newton, 8.6 mi · 5 of 5 stars · 3 citations
- Carolina Rehab Center of Burke Connelly Spring, 9.6 mi · 3 of 5 stars · 20 citations
- Hickory Falls Health and Rehabilitation Granite Falls, 9.7 mi · 4 of 5 stars · 3 citations
- Valley Nursing and Rehabilitation Center Taylorsville, 11.1 mi · 1 of 5 stars · 28 citations
North Carolina contacts for a concern about a nursing home
These are the official offices in North Carolina. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: NC Division of Health Service Regulation, Nursing Home Licensure and Certification Section, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Carolina Long-Term Care Ombudsman Program. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: NC DHSR Regulated Facilities search (Statements of Deficiencies), where North Carolina publishes its own records on licensed homes.
Common questions
- What is The Greens at Hickory's Medicare star rating?
- CMS rates The Greens at Hickory 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Greens at Hickory get at its last inspection?
- 11 health deficiencies at the standard inspection on January 28, 2026. The North Carolina average is 4.7.
- Has The Greens at Hickory been fined?
- CMS lists no fines in the last three years.
- Does The Greens at Hickory accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns The Greens at Hickory?
- CMS lists 6 owners and managers, and links the home to Cch Healthcare. Legal business name: GREENS AT HICKORY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.