North Carolina › Mitchell County › Spruce Pine
The Greens At Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 127 beds, The Greens At Spruce Pines serves Spruce Pine in Mitchell County, North Carolina and has taken Medicare and Medicaid residents since 1987.
CMS gives it 3 of 5 stars overall, equal to the North Carolina median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (1, 9, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.4 per 100 beds, fewer than the state median of 15.6.
CMS lists 3 penalties in the period covered: fines totalling $153K.
Reported nurse staffing is 3.5 hours per resident per day (0.7 RN), close to the North Carolina median of 3.5; nursing staff turnover is 62.8%.
Compared with county, state and nation
| Measure | This facility | Mitchell Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 12 | 16 | 28.7 |
| Citations per 100 beds | 9.4 | 9.4 | 15.6 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.5 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.5 | 0.7 |
| Nursing staff turnover | 62.8% | 62.8% | 48.6% | 45.8% |
| Fines listed | $153,439 | $153,439 | $8,512 | — |
County and state figures are medians across facilities (1 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 11 Feb 2025.
Severity mix: J ×1 D ×8 E ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 23 May 2026 |
| 11 Feb 2025 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | J | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0908 | Keep all essential equipment working safely. | E | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0761 | 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. | D | Complaint investigation | 22 Feb 2025 |
| 11 Feb 2025 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 22 Feb 2025 |
| 23 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 25 Oct 2024 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 27 Nov 2023 |
| 28 Sep 2023 | F0693 | 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. | D | Standard survey | 27 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 11 Feb 2025 | Fine | $139,942 | |
| 28 Sep 2023 | Fine | $6,749 | |
| 28 Sep 2023 | Fine | $6,748 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 62.8%, RNs 57.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Greens At Spruce Pines Llc. Chain: Cch Healthcare (33 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bync Holdings LLC | 5% or greater direct ownership interest | 100% | 07/01/2022 |
| Starlight Healthcare LLC | 5% or greater indirect ownership interest | 50% | 07/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has The Greens At Spruce Pines been cited for?
12 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has The Greens At Spruce Pines been fined?
Yes. CMS lists fines totalling $153K in the period covered.
How does staffing at The Greens At Spruce Pines compare?
Reported total nurse staffing is 3.5 hours per resident per day against a North Carolina median of 3.5 and a national average of 3.9.
Who operates The Greens At Spruce Pines?
It is part of the Cch Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Bync Holdings LLC and Starlight Healthcare LLC. Individual owners and managers are not listed on this site.
When was The Greens At Spruce Pines last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.