Home / North Carolina / Asheville
The Laurels of Greentree Ridge
70 Sweeten Creek Road, Asheville, NC 28803 · Buncombe County · (828) 274-7646
90 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 1989
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 345303 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2025, inspectors cited 2 health deficiencies (the North Carolina average is 4.7, the national average 9.2).
None of its 15 health citations since December 2022 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 3.72 hours per resident per day, against 3.85 across North Carolina and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
40.8% of nursing staff left within the year CMS measured (North Carolina average 49.0%).
CMS links it to Ciena Healthcare/Laurel Health Care, an affiliated group of 81 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.
212/22
212/23
902/24
205/25
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 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
2E
0F
Potential for minimal harm
0A
2B
0C
May 7, 2025Standard 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 discard food items that were beyond the manufacturer's expiration date in 2 of 2 walk-in coolers (cooler #1 and cooler #2) in the kitchen and 1 of 1 dry food storage areas. These deficient practices had the potential to affect food served to residents.
- 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, staff and Physician Assistant interviews, the facility failed to ensure an as needed (PRN) psychotropic medication, Lorazepam, prescribed for anxiety had a stop date 14 days or less for 1 or 5 residents (Resident #17) reviewed for unnecessary medications.
February 27, 2024Standard inspection, Complaint inspection · 9 citations
- 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, resident, staff, Physician Assistant and Medical Director interviews, the facility failed to clarify and update medical records to reflect the desired advanced directives for 2 of 3 residents reviewed for code status (Resident #30 and Resident #75).
- D Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteBased on record review, and staff and Detective interviews, the facility failed to protect a resident's right to be free from misappropriation of property when a staff member (Nurse Aide #1) used Resident #283's personal credit card to make multiple purchases without the resident's consent. The deficient practice was for 1 of 3 residents reviewed for misappropriation of resident property (Resident #283).
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review and staff interviews, the facility failed to submit an initial and 5-day investigation report to the State Survey Agency after confirming Nurse Aide #1 had used a resident's credit card for personal purchases for 1 of 3 residents reviewed for misappropriation of resident property (Resident #283).
- 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 ensure a Preadmission Screening and Resident Review (PASRR) was completed for residents with new mental health diagnoses for 1 of 3 residents (Resident #55) reviewed for PASRR.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review, observation, and interviews with resident, staff and the Nurse Practitioner, the facility failed to follow a resident's care plan and allowed a resident who was assessed as unsafe to self-administer medications for 1 of 1 resident observed with medication at the bedside (Residents #22).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on record review, observations, and interviews with resident, staff, and the Medical Director, the facility failed to provide a nutritional supplement ordered by the physician for 2 of 4 residents (Resident #19 and Resident #12) reviewed for nutrition.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, staff and Medical Director interviews, the facility failed to obtain orders for the use of supplemental oxygen for 1 of 1 resident reviewed for oxygen (Resident # 30).
- B Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessments in the areas of cognitive patterns, mood, and the Pre-admission Screening and Resident Review (PASRR) level for 4 of 6 residents (Resident #35, Resident #75, Resident #53 and Resident #30) whose MDS were reviewed.
- B Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wrote2. Resident #12 was admitted to the facility on [DATE]. A physician's order dated 2/14/23 for Resident #12 was on a pureed texture, regular consistency diet, frozen nutritional supplement at lunch, 2 handled cup and divided plate. The Medication Administration Record (MAR) showed that on 2/21/24 at 12:00 PM Nurse #5 signed that the frozen nutritional supplement was on the lunch tray. Observations of Resident #12's lunch tray was observed on 2/19/24 at 1:07 PM, 2/20/24 at 12:54 PM and 2/21/24 at 12:49 PM and no frozen nutritional supplement was on the tray. The frozen nutritional supplement was listed on the tray ticket. During an interview on 2/21/24 at 2:20 PM with Nurse #5 it was revealed that he did sign off that Resident #12 received the frozen nutritional supplement on her lunch tray. [...]
December 7, 2023Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, record reviews, and Resident, Physician Assistant, Psychologist, Health Care Personnel Investigator and staff interviews, the facility failed to protect a vulnerable female resident (Resident #1) from inappropriate intimacy from an employee (Medication Aide #1) for 1 of 3 residents reviewed for abuse. On or around 09/27/23, Resident #1 alleged Medication Aide #1 kissed her on her mouth.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility record review and staff interviews the facility failed to implement their abuse policy and procedure in the area of investigation when the facility became aware of a previous employee (Med Aide #1) being investigated for inappropriate sexual behavior with a resident at a sister facility for 1 of 3 residents reviewed for abuse (Resident #1).
December 8, 2022Standard 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 date, label, and remove expired foods from 3 of 3 facility refrigerators (walk-in refrigerator, the 100/200-unit nourishment room refrigerator, and the 300/400-unit nourishment room refrigerator) This practice had the potential to affect all residents in the facility.
- 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 and staff interviews the facility failed to date and label a tube feeding bag for 1 of 1 resident reviewed for tube feeding management (Resident #24).
Fire safety inspections
14 fire safety citations on file: 3 on May 7, 2025, 6 on February 27, 2024, 5 on December 8, 2022.
Every fire safety citation14 citations
- 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 approved installation, maintenance and testing program for fire alarm systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Have exits that are accessible at all times.
- D Install proper backup exit lighting.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
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) | 3.72 | 3.85 | 3.86 |
| Registered nurses | 0.86 | 0.62 | 0.69 |
| All nursing staff on weekends | 3.26 | 3.42 | 3.42 |
| Nurse aides | 2.12 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 40.8% | 49.0% | 45.8% |
| Registered nurse turnover | 33.3% | 45.6% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.44 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 3.26 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.86 in April to June 2025 to 3.72 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 | 3.72 | 0.86 | 3.91 | 3.26 | 0.1% | 0 of 90 | 84 |
| Oct to Dec 2025 | 3.78 | 0.87 | 4.00 | 3.24 | 0.2% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.79 | 1.00 | 4.03 | 3.19 | 0.1% | 0 of 92 | 85 |
| Apr to Jun 2025 | 3.86 | 1.03 | 4.07 | 3.32 | 0.3% | 0 of 91 | 81 |
| 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 | 9.7 | 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 | 2.1 | 2.3 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 1.4 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.7 | 18.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 5.5 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.6 | 14.0 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.3 | 22.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.4 | 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 | 1.1 | 1.8 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available. CMS links this home to Ciena Healthcare/Laurel Health Care, a group of 81 nursing homes averaging 2.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on February 27, 2024: "Protect each resident from the wrongful use of the resident's belongings or money."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 27, 2024: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on February 27, 2024: "Provide enough food/fluids to maintain a resident's health."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on May 7, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the North Carolina average of 3.42.
Other nursing homes nearby
- Stonecreek Health and Rehabilitation Asheville, 1.4 mi · 3 of 5 stars · 16 citations
- Elevate Health and Rehabilitation Asheville, 1.4 mi · 1 of 5 stars · 28 citations
- The Laurels of Summit Ridge Asheville, 3.2 mi · 4 of 5 stars · 17 citations
- Aston Park Health Care Center Asheville, 3.5 mi · 5 of 5 stars · 5 citations
- Deerfield Episcopal Retirement Asheville, 3.7 mi · 5 of 5 stars · 3 citations
- Givens Health Center Asheville, 4.3 mi · 5 of 5 stars · 19 citations
- River Bend Health and Rehabilitation Asheville, 4.5 mi · 1 of 5 stars · 52 citations
- Bear Mountain Health and Rehabilitation Asheville, 5.4 mi · 3 of 5 stars · 16 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 Laurels of Greentree Ridge's Medicare star rating?
- CMS rates The Laurels of Greentree Ridge 5 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did The Laurels of Greentree Ridge get at its last inspection?
- 2 health deficiencies at the standard inspection on May 7, 2025. The North Carolina average is 4.7.
- Has The Laurels of Greentree Ridge been fined?
- CMS lists no fines in the last three years.
- Does The Laurels of Greentree Ridge 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 Laurels of Greentree Ridge?
- CMS lists 1 owner or manager, and links the home to Ciena Healthcare/Laurel Health Care. Legal business name: Legal Business Name Not Available.
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.