Home / North Carolina / Spruce Pine
The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777 · Mitchell County · (828) 765-7312
127 certified beds, about 107 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1987
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345270 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 14, 2026, inspectors cited 1 health deficiency (the North Carolina average is 4.7, the national average 9.2).
Of 12 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $153,439 in the last three years; the largest was $139,942, and the latest is dated February 11, 2025.
Nurses and nurse aides worked 3.47 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.71 of those hours.
62.8% 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.
209/23
110/24
802/25
105/26
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
0F
Potential for minimal harm
0A
0B
0C
May 14, 2026Standard inspection · 1 citation
- D 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 maintain a clean floor and walls in of 1 of 1 kitchen dry food storage room.
February 11, 2025Standard inspection, Complaint inspection · 8 citations
- J Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on record review, observations, and interviews with staff, Speech Therapist (ST), Physician Assistant (PA), and Medical Director, the facility failed to provide speech therapy evaluation and services to Resident #70 during his stay. Resident #70 was admitted to the facility from the hospital on [DATE] with a recent history of aspiration pneumonitis (a type of lung infection that is due to a relatively large amount of material from the stomach or mouth entering the lungs) and acute hypoxic respiratory failure (a medical condition where the body rapidly fails to adequately oxygenate the blood, leading to a severe lack of oxygen in the tissues). Resident #70 required a mechanical soft diet with nectar thickened liquids when he was admitted on [DATE]. On 12/18/24 Resident #70 was diagnosed with pneumonia at the facility and treated with a 7-day course of antibiotics. [...]
- 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 clean and maintain the reach-in refrigerator, walk-in refrigerator and the steam table knobs in the kitchen. The facility also failed to remove expired tube feeding containers from 1 of 2 nourishment rooms. This practice had the potential to affect residents in the facility.
- E Keep all essential equipment working safely.
Inspectors wroteBased on observations and staff interviews, the facility failed to maintain and repair 1 of 1 leaking steam cooker for 1 of 1 steam cooker observed.
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, observation, and staff interviews, the facility failed to develop an accurate baseline care plan for a resident (Resident #70) when the care plan did not include the type of thickened liquids ordered for Resident #70. This deficient practice occurred for 1 of 1 resident reviewed for baseline care plans.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, staff and Physician Assistant (PA) interviews, the facility failed to provide thickened liquids as ordered to a resident (Resident #70) when Nurse Aide (NA) #1 gave Resident #70 nectar thick liquids to drink instead of honey thick liquids. Resident #70 required honey thick liquids due to his risk of aspiration and history of aspiration pneumonia. This deficient practice occurred for 1 of 3 residents reviewed for accident hazards.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, record review, staff, Physician Assistant (PA), and Pharmacist interviews the facility failed to maintain a medication error rate of less than 5% by having 3 errors out of 35 opportunities which resulted in an 8.57% medication error rate. This affected 1 of 4 residents observed for medication administration (Resident #19).
- 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 observations and staff interviews, the facility failed to ensure the 400-hall medication cart was secured while unattended. This was for 1 of 5 medication carts observed (400 hall).
- D Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Inspectors wroteBased on observation, record review, and staff interviews, the facility failed to provide drinks consistent with the resident's needs for 1 of 1 sampled resident (Resident #70) reviewed for drinks available to meet resident needs.
October 23, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review and staff interviews the facility failed to provide a hazard-free environment by leaving a pair of blunt tipped scissors unsecured in the dining room of the locked memory care unit, resulting in a resident obtaining the scissors and making multiple superficial cuts to his penis. This deficient practice occurred for 1 of 3 residents reviewed for accidents (Resident #1).
September 28, 2023Standard inspection · 2 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 remove expired food items stored for use in the walk-in freezer, cooler, and dry goods storage room in the kitchen and failed to remove and/or label and date food items available for use in 1 of 2 nourishment rooms (100 Hall nourishment room). These practices had the potential to affect food served to residents.
- 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 observations, record review, and staff and resident interviews the facility failed to label a tube feeding formula bag for 1 of 2 residents (Resident # 204).
Fire safety inspections
7 fire safety citations on file: 1 on May 14, 2026, 3 on February 11, 2025, 3 on September 28, 2023.
Every fire safety citation7 citations
- D Have properly installed electrical wiring and gas equipment.
- D Use approved construction type or materials.
- D Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- 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 properly installed electrical wiring and gas equipment.
- D Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| February 11, 2025 | Fine | $139,942 |
| September 28, 2023 | Fine | $6,748 |
| September 28, 2023 | Fine | $6,749 |
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) | 3.47 | 3.85 | 3.86 |
| Registered nurses | 0.71 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.42 | 3.42 |
| Nurse aides | 2.09 | ||
| Licensed practical nurses | 0.67 | ||
| Nursing staff turnover (share who left in a year) | 62.8% | 49.0% | 45.8% |
| Registered nurse turnover | 57.9% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.33 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 3.58 on weekdays and 3.20 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.37 in April to June 2025 to 3.47 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 | 3.47 | 0.71 | 3.58 | 3.20 | 33.5% | 0 of 90 | 107 |
| Oct to Dec 2025 | 3.44 | 0.68 | 3.58 | 3.09 | 34.4% | 0 of 92 | 104 |
| Jul to Sep 2025 | 3.46 | 0.56 | 3.62 | 3.06 | 32.9% | 0 of 92 | 102 |
| Apr to Jun 2025 | 3.37 | 0.61 | 3.52 | 2.98 | 32.4% | 0 of 91 | 103 |
| 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 | 11.5 | 15.6 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.7 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.3 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 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 | 13.1 | 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 | 7.1 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 25.2 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.1 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 1.8 | 1.8 |
Owners and operators
Legal business name: GREENS AT SPRUCE PINES 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 |
| Tinsley, Shelley | 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.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on May 14, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 11, 2025: "Provide or get specialized rehabilitative services as required for a resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 11, 2025: "Ensure medication error rates are not 5 percent or greater."
- Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on February 11, 2025: "Keep all essential equipment working safely."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Smoky Ridge Health and Rehabilitation Burnsville, 11.4 mi · 2 of 5 stars · 22 citations
- Autumn Care of Marion Marion, 14.7 mi · 2 of 5 stars · 8 citations
- The Waters of Roan Highlands,llc Roan Mountain, 19.7 mi · 5 of 5 stars · 0 citations
- Life Care Center of Banner Elk Banner Elk, 20.6 mi · 4 of 5 stars · 7 citations
- Deer Park Health and Rehabilitation Nebo, 20.9 mi · 1 of 5 stars · 39 citations
- Center on Aging and Health Erwin, 23.9 mi · 3 of 5 stars · 10 citations
- Christian Care Center of Unicoi County Erwin, 24 mi · 4 of 5 stars · 7 citations
- Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain, 24.2 mi · 1 of 5 stars · 13 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 Spruce Pines's Medicare star rating?
- CMS rates The Greens at Spruce Pines 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Greens at Spruce Pines get at its last inspection?
- 1 health deficiency at the standard inspection on May 14, 2026. The North Carolina average is 4.7.
- Has The Greens at Spruce Pines been fined?
- Yes. CMS lists 3 fines totaling $153,439 in the last three years.
- Does The Greens at Spruce Pines 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 Spruce Pines?
- CMS lists 6 owners and managers, and links the home to Cch Healthcare. Legal business name: GREENS AT SPRUCE PINES 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.