What is The Greens at Maple Leaf's Medicare star rating?

CMS rates The Greens at Maple Leaf 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did The Greens at Maple Leaf get at its last inspection?

3 health deficiencies at the standard inspection on July 31, 2026. The North Carolina average is 4.7.

Does The Greens at Maple Leaf 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 Maple Leaf?

CMS lists 6 owners and managers, and links the home to Cch Healthcare. Legal business name: GREENS AT MAPLE LEAF LLC.

The Greens at Maple Leaf: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on July 31, 2026, inspectors cited 3 health deficiencies (the North Carolina average is 4.7, the national average 9.2).

Of 13 health citations since May 2024, 2 were rated as actual harm or immediate jeopardy to residents.

CMS lists 2 fines totaling $18,655 in the last three years; the largest was $9,620, and the latest is dated December 22, 2025.

Nurses and nurse aides worked 3.96 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

28.4% 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.

605/24

307/25

112/25

307/26

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 13 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

July 31, 2026Standard inspection, Complaint inspection · 3 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Not yet corrected

Inspectors wroteBased on observation and staff interviews, the facility failed to maintain sanitary conditions in 1 of 1 walk-in cooler, 1 of 1 walk-in freezer, and 1 of 1 dry storage area. These practices had the potential to affect food served to residents. The findings Included:a. [...]
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Not yet corrected

Inspectors wroteBased on record review, observation and staff interviews, the facility failed to remove expired medications from 1 of 4 medication carts reviewed for medication storage (100 Hall Medication Cart).
D

Keep all essential equipment working safely.

F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Not yet corrected

Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to keep essential equipment clean and in safe operating order for 2 of 2 dryers (dryer #1 and dryer #2) observed for safe operating conditions.

December 22, 2025Complaint inspection · 1 citation

G

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observations, record reviews and interviews with staff, Nurse Practitioner (NP) and Medical Director, the facility failed to provide care in a safe manner when Resident #1 rolled out of her bed and hit the floor during incontinence care. Resident #1 was sent to the Emergency Department (ED) and diagnosed with an occult (subtle hip bone break often in older adults that often does not show up on imagining but causes pain, tenderness, and difficulty walking) nondisplaced (the bone breaks but maintains it proper alignment) left hip fracture, distal left femur fracture (fracture of the lower portion of the thighbone near the knee joint) and a left side scalp hematoma (bruise that occurs when blood pools outside blood vessels). The deficient practice occurred for 1 of 3 sampled residents reviewed for supervision to prevent accidents (Resident #1).

July 3, 2025Standard inspection · 3 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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2025

Inspectors wroteBased on manufacturer guidelines, observations and staff interviews, the facility failed to remove loose and unsecured pills of various shapes, sizes and colors from 2 of 6 medication carts (100 and 200 Hall) and failed to label DuoNeb solution (inhalation breathing solution) with a open date and store DuoNeb solution according to the manufacturer's guidelines for 1 of 6 medication carts (200 Hall) reviewed for medication storage.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2025

Inspectors wroteBased on record reviews and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment for 1 of 5 residents reviewed for unnecessary medications (Resident #1) and 1 of 1 resident (Resident #22) reviewed for anticoagulant medication.
D

PASARR screening for Mental disorders or Intellectual Disabilities

F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2025

Inspectors wroteBased on record review and staff interviews, the facility failed to submit a request for an evaluation for an updated Preadmission Screening and Resident Review (PASRR) determination for a resident who was admitted to the facility with mental health disorders for 1 of 2 residents reviewed for PASRR (Resident #33).

May 15, 2024Standard inspection, Complaint inspection · 6 citations

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Corrected (the home has a date of correction) May 22, 2024

Inspectors wroteBased on observations, record review, resident, staff, and Nurse Practitioner interviews the facility failed to protect a resident's right to be free from abuse when Resident #17 asked Nurse Aide (NA) #1 multiple times to let go of his right arm during incontinent care and when she did not Resident #17 pulled his right arm away from NA #1 and during the interaction received a small skin tear with a red/purple bruise that was approximately the size of a half dollar on his right forearm for 1 of 3 residents reviewed for accidents. Resident #17 stated that NA #1 ignored his request to let go of his arm and then laughed at him. The skin tear required a treatment with calcium alginate (dressing used for management of draining wounds) three times weekly and as needed.
D

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2024

Inspectors wroteBased on observation, record review, resident, and staff interview this facility failed to identify abuse and then failed to implement and follow their abuse policy and procedures in in the areas of reporting and protection for 1 of 3 residents reviewed for accidents (Resident #17).
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it

Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to prevent a resident with severe cognitive impairment from exiting the facility unsupervised and without knowledge of the staff. On 04/23/24 between the hours of 6:00 PM and 7:00 PM Resident #325 was observed by Nurse Aide (NA) #2 in the back parking lot walking away from the building approximately 30 yards away from the exit door.
D

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.

F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2024

Inspectors wroteBased on observations, record reviews and staff interviews, the facility failed to remove expired medications available for use from a medication refrigerator in 1 of 1 medication room reviewed for medication storage.
D

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2024

Inspectors wroteBased on observations, record reviews and staff interviews, the facility's Quality Assessment and Assurance (QAA) committee failed to maintain implemented procedures and monitor interventions the committee put into place following the Recerfification and Compliant Survey on 03/01/23. This failure was for 2 deficiencies that were originally cited in the areas of (F600) Free from Abuse and Neglect and (F880) Infection Control that were subsequently recited on the current Recertification and Complaint Survey on 05/15/24. The repeat deficiencies during the 2 surveys of record showed a pattern of the facility's inability to sustain an effective QAA program.
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 22, 2024

Inspectors wroteBased on observations, record reviews and interviews the facility failed to follow their infection control policy when the Wound Nurse failed to change her gloves after removing a soiled dressing that contained a moderate amount of brown drainage and before cleansing a sacral wound on 1 of 4 residents (Resident #18) reviewed for pressure ulcers. The facility also failed to follow their hand hygiene policy when the Unit Manager failed to change her gloves and preform hand washing hygiene after she provided incontinent care of stool and before she applied a moisture barrier cream and touched other environmental surfaces for 1 of 3 residents (Resident #54) reviewed for incontinence care.

Fire safety inspections

8 fire safety citations on file: 2 on May 15, 2024, 5 on March 1, 2023, 1 on December 30, 2021.

Every fire safety citation8 citations

D
Use approved construction type or materials.

K 161 · May 15, 2024 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · May 15, 2024 · Corrected (the home has a date of correction)
F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

K 521 · March 1, 2023 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · March 1, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · March 1, 2023 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · March 1, 2023 · Corrected (the home has a date of correction)
D
Meet requirements for the installation and maintenance of electrical systems.

K 911 · March 1, 2023 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · December 30, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
December 22, 2025	Fine	$9,620
May 15, 2024	Fine	$9,035

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

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)	3.96	3.85	3.86
Registered nurses	0.39	0.62	0.69
All nursing staff on weekends	3.37	3.42	3.42
Nurse aides	2.72
Licensed practical nurses	0.86
Nursing staff turnover (share who left in a year)	28.4%	49.0%	45.8%
Registered nurse turnover	14.3%	45.6%	42.9%
Administrators who left	0

CMS expects 3.78 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 4.20 on weekdays and 3.37 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.94 in April to June 2025 to 3.96 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	3.96	0.39	4.20	3.37	0.0%	0 of 90	85
Oct to Dec 2025	3.99	0.38	4.20	3.44	0.0%	0 of 92	84
Jul to Sep 2025	3.98	0.42	4.22	3.38	0.0%	0 of 92	86
Apr to Jun 2025	3.94	0.39	4.21	3.25	0.0%	0 of 91	85
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	8.8	15.6	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.7	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	2.3	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	6.5	3.5	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	1.6	1.4	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	12.2	18.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	2.2	5.5	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	12.0	14.0	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	15.9	22.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	5.7	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.2	1.8	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.4	1.8	1.8

Owners and operators

Legal business name: GREENS AT MAPLE LEAF 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
Afton, Megan	W-2 managing employee	Individual		07/01/2022
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 31, 2026: "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."
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 December 22, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on July 3, 2025: "Ensure each resident receives an accurate assessment."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on May 15, 2024: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.37 hours per resident per day, below the North Carolina average of 3.42.

Other nursing homes nearby

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Davie Nursing and Rehabilitation Center
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Crestview Health & Rehabilitation
Mooresville, 16.3 mi · 1 of 5 stars · 52 citations
Glenwood Health & Rehabilitation
Mooresville, 16.8 mi · 1 of 5 stars · 29 citations
The Laurels of Salisbury
Salisbury, 19.7 mi · 3 of 5 stars · 14 citations
Valley Nursing and Rehabilitation Center
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Meadowbrook Health & Rehabilitation
Salisbury, 21.5 mi · 1 of 5 stars · 37 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 Maple Leaf's Medicare star rating?: CMS rates The Greens at Maple Leaf 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did The Greens at Maple Leaf get at its last inspection?: 3 health deficiencies at the standard inspection on July 31, 2026. The North Carolina average is 4.7.
Has The Greens at Maple Leaf been fined?: Yes. CMS lists 2 fines totaling $18,655 in the last three years.
Does The Greens at Maple Leaf 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 Maple Leaf?: CMS lists 6 owners and managers, and links the home to Cch Healthcare. Legal business name: GREENS AT MAPLE LEAF 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.