Home / North Carolina / Pinehurst
The Greens at Pinehurst Rehabilitation & Living Ce
205 Rattlesnake Trail, Pinehurst, NC 28374 · Moore County · (910) 295-1781
120 certified beds, about 95 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1977
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345177 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 9 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
Of 24 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $41,844 in the last three years; the largest was $41,844, and the latest is dated September 28, 2023.
Nurses and nurse aides worked 3.54 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.55 of those hours.
54.8% 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.
1109/23
412/24
903/26
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
15D
2E
2F
Potential for minimal harm
0A
3B
1C
March 19, 2026Standard inspection, Complaint inspection · 9 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of medications for 2 of 5 residents who were reviewed for unnecessary medication (Residents #93 and #13).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on record review and staff interviews, the facility failed to obtain a Level II Preadmission Screening and Resident Review (PASRR) evaluation after the initial approval for nursing home placement expired for 1 of 1 resident reviewed for PASRR (Resident #3).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record reviews, observations, and interviews with resident representatives, resident and staff, the facility failed to provide resident representatives and/or residents with the opportunity to participate in the care planning process for 2 of 3 residents reviewed for care plan participation (Residents #77 and #13).
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, and interviews with the Medical Director and staff, the facility failed to administer scheduled medications as ordered by the physician for 1 of 6 residents reviewed for medication administration (Resident #12).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observations, record review, and resident and staff interviews, the facility failed to provide nail care for 1 of 2 dependent residents reviewed for activities of daily living (ADL) (Resident #6).
- D 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.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to clean and dry the syringe used to administer medications and water flushes through a gastrostomy tube/G-tube (a tube that delivers liquid nutrition and medications directly to the stomach) before storing it in a dry plastic bag for 1 of 2 residents reviewed for G-tube feeding management (Resident #12). This deficient practice had the potential to cause bacterial growth and contamination.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interviews with staff and the Medical Director, the facility failed to prevent a significant medication error when Nurse #2 did not administer scheduled medication as ordered. Resident #12 was prescribed scheduled anti-seizure medications to be administered every morning at 8:00 AM and 9:00 AM and Nurse #2 administered the medications 3 and 4 hours late. This deficient practice had the potential to increase seizure activity and affected 1 of 1 resident reviewed for significant medication error (Resident #12).
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, and interviews with staff and the Nurse Practitioner, the facility failed to follow its infection control policies and procedures for hand hygiene when the Assistant Director of Nursing failed to change gloves and perform hand hygiene during wound care for Resident #12 and Resident #4. The deficient practice occurred for 1 of 4 staff observed for infection control practices (Assistant Director of Nursing).
- C Post nurse staffing information every day.
Inspectors wroteBased on record review, observations, and staff interviews, the facility failed to post accurate staffing information as compared to the daily staff scheduled for licensed and unlicensed nursing staff for 7 out of 30 days reviewed (2/16/26, 2/22/26, 2/23/26, 2/25/26, 3/1/26, 3/8/26 and 3/15/26). The facility also failed to post the daily nurse staffing sheet for 1 out of 5 days observed (3/16/26).
December 5, 2024Standard inspection · 4 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations and staff interviews, the facility failed to date leftover food items stored for use in the dry goods storage area and in 1 of 1 walk-in coolers. This practice had the potential to affect food served to residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to code the Minimum Data Set (MDS) assessment accurately in the area of accidents (Residents #63, #64 and #17). This was for 3 of 22 residents whose MDS assessments were reviewed.
- 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.
Inspectors wroteBased on manufacturer's recommendations, observations, record review and staff, and Consultant Pharmacist interviews, the facility failed to discard expired medications in 1 of 2 medication carts (Masters Hall Medication Cart) reviewed for medication storage and labeling.
- D Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure Nursing Assistants (NAs) received annual Dementia training. This was for 4 (NA #1, NA #2, NA #3 and NA #4) of 5 NAs reviewed for staffing.
September 28, 2023Standard inspection, Complaint inspection · 11 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on record reviews and interviews with staff, Physician Assistant (PA), Wound Nurse Practitioner, and Medical Director (MD), the facility failed to implement preventative measures for a resident assessed to be moderate to high risk for development of pressure ulcers. The resident developed a deep tissue injury to the sacrum, 2 deep tissue injuries to the left lateral foot, as well as a deep tissue injury to the left ankle. Deterioration of the sacral wound was not communicated to the MD or the PA. The resident was admitted to the hospital with septic shock for 1 of 8 residents (Resident #178) reviewed for pressure injuries.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on record review, observations and interviews with staff, Dishwasher Repairman, and Regional Dietary Director, the facility failed to label opened food items stored in 1 of 1 walk in coolers, 1 of 1 reach in coolers, and 1 of 1 walk in freezers and failed to maintain water temperature during the wash and rinse cycles of the high-temp dishwasher according to manufacturer ' s instructions for 3 of 4 observations. This practice had the potential to affect food served to residents.
- F Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Inspectors wroteBased on record reviews, observations, Pharmacy Consultant, Hospice Aide, Physician's Assistant, Wound Nurse Practitioner, Dishwasher Repairman, Regional Dietary Director, resident and staff interviews, the facility's Quality Assurance and Performance Improvement (QAPI) committee failed to maintain implemented procedures and monitor interventions the committee put into place following an annual recertification and complaint survey on 9/20/21. This was for five deficiencies that were cited in the areas of Accuracy of Assessments, Treatment/Services to Prevent/Heal Pressure Ulcers, Free of Accident/Hazards/Supervision/Devices, Free from Unnecessary Psychotropic Medications, and Food Procurement/Store/Prepare/Serve-Sanitary. [...]
- E Ensure that residents are free from significant medication errors.
Inspectors wroteBased on record review and interviews with staff, Physician Assistant (PA) and Medical Director (MD), the facility failed to provide scheduled antianxiety medication resulting in multiple missed days of a significant medication for 1 of 5 (Resident #26) reviewed for unnecessary medications.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observations, resident and staff interviews, and record review, the facility failed to apply a left lower extremity (LLE) brace as ordered. This was for 1 (Resident #44) of 1 resident reviewed for range of motion (ROM).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff and Hospice Aide #1 interviews along with record review, the facility failed to provide care safely which resulted in a fall without injury when Hospice Aide #1 left Resident #68's on his side in bed to retrieve a washcloth and failed to ensure two staff were presence for bed mobility. This was for 1 (Resident #68) of 8 reviewed for accidents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review, Physician Assistant and staff interviews, the facility failed to transcribe pulse parameters for a heart medication for 1 of 5 residents whose medications were reviewed (Resident #73).
- 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 review and interviews with the Pharmacy Consultant, Physician's Assistant and staff, the facility failed to have an adequate clinical indication for the use of an antipsychotic medication (Resident #73). This was for 1 of 5 residents whose medications were reviewed.
- B Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on record reviews and staff interviews, the facility failed to provide written notification regarding bed hold to the resident's responsible party when residents were hospitalized for 3 of 3 residents reviewed for hospitalization (Residents #43, #45 and #73).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record reviews, resident and staff interviews, the facility failed to code the Minimum Data Set (MDS) accurately in the area of bathing for 1 of 20 residents reviewed (Resident #6).
- B Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review and staff interviews, the facility failed to revise the care plan for an antidepressant medication (#73) and for bed mobility (Resident #68). This was for 2 of 20 residents reviewed.
Fire safety inspections
15 fire safety citations on file: 2 on March 19, 2026, 3 on December 5, 2024, 10 on September 28, 2023.
Every fire safety citation15 citations
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have generator or other power source capable of supplying service within 10 seconds.
- 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 Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F 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.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
- D Install corridor and hallway doors that block smoke.
- D Have properly installed electrical wiring and gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 28, 2023 | Fine | $41,844 |
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) | 3.54 | 3.85 | 3.86 |
| Registered nurses | 0.55 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.42 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.85 | ||
| Nursing staff turnover (share who left in a year) | 54.8% | 49.0% | 45.8% |
| Registered nurse turnover | 63.6% | 45.6% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.88 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 3.69 on weekdays and 3.19 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 19.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.44 in April to June 2025 to 3.54 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 | 3.54 | 0.55 | 3.69 | 3.19 | 19.9% | 0 of 90 | 95 |
| Oct to Dec 2025 | 3.54 | 0.53 | 3.69 | 3.18 | 10.0% | 0 of 92 | 87 |
| Jul to Sep 2025 | 3.45 | 0.50 | 3.62 | 3.01 | 5.2% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.44 | 0.55 | 3.60 | 3.03 | 4.9% | 0 of 91 | 91 |
| 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 | 1.9 | 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 | 1.0 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 1.1 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.2 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.4 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 23.0 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: PINEHURST OPCO, LLC. CMS links this home to Cch Healthcare, a group of 33 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Pinehurst Opco, LLC | 5% or greater direct ownership interest | Organization | 07/26/2018 | |
| Jeremias, Baruch | 5% or greater direct ownership interest | Individual | 07/26/2018 | |
| Pinehurst Nc Investments, LLC | 5% or greater indirect ownership interest | Organization | 50% | 07/26/2018 |
| Starlight Healthcare LLC | 5% or greater indirect ownership interest | Organization | 50% | 07/26/2018 |
| Gorham, Kelly | W-2 managing employee | Individual | 07/26/2018 | |
| Pinehurst Opco, LLC | Operational/managerial control | Organization | 07/26/2018 | |
| Gorham, Kelly | Operational/managerial control | Individual | 07/26/2018 | |
| Jeremias, Baruch | Operational/managerial control | Individual | 07/26/2018 | |
| Stern, Jacob | Operational/managerial control | Individual | 07/26/2018 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on March 19, 2026: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on March 19, 2026: "Ensure that residents are free from significant medication errors."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 2 problems in this area, most recently on March 19, 2026: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the North Carolina average of 3.42.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Saint Joseph of the Pines Health Center Pinehurst, 1.3 mi · 5 of 5 stars · 7 citations
- Pinehurst Healthcare & Rehabilitation Center Pinehurst, 2.4 mi · 2 of 5 stars · 17 citations
- Inn at Quail Haven Village Pinehurst, 2.4 mi · 4 of 5 stars · 20 citations
- Penick Village Southern Pines, 5.1 mi · 5 of 5 stars · 8 citations
- Dahlia Gardens Center for Nursing and Rehabilitati Aberdeen, 6 mi · 2 of 5 stars · 33 citations
- Peak Resources - Pinelake Carthage, 9.2 mi · 4 of 5 stars · 18 citations
- Autumn Care of Raeford Raeford, 19.9 mi · 2 of 5 stars · 4 citations
- Autumn Care of Biscoe Biscoe, 21.4 mi · 4 of 5 stars · 14 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 Pinehurst Rehabilitation & Living Ce's Medicare star rating?
- CMS rates The Greens at Pinehurst Rehabilitation & Living Ce 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Greens at Pinehurst Rehabilitation & Living Ce get at its last inspection?
- 9 health deficiencies at the standard inspection on March 19, 2026. The North Carolina average is 4.7.
- Has The Greens at Pinehurst Rehabilitation & Living Ce been fined?
- Yes. CMS lists 1 fine totaling $41,844 in the last three years.
- Does The Greens at Pinehurst Rehabilitation & Living Ce 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 Pinehurst Rehabilitation & Living Ce?
- CMS lists 9 owners and managers, and links the home to Cch Healthcare. Legal business name: PINEHURST OPCO, 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.