Nursing HomeInspections

The Greens at Spruce Pines

Nursing home in Spruce Pine, NC

Medicare & Medicaid certified3★ overall (CMS)

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Public-record details

Address
218 Laurel Creek Court, Spruce Pine, NC 28777
Phone
(828) 765-7312
Listed under
For-profit
Medicare CCN
345270
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
3 of 5
Staffing rating
3 of 5
Quality measures rating
4 of 5
Certified beds
127
Average residents per day
105
Ownership
For-profit, limited Liability company
Legal business name
Greens at Spruce Pines LLC
Chain
Cch Healthcare (33 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 18, 1987
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 345270. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: May 14, 2026. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to May 14, 2026): 9 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Feb 11, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 11, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 11, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 11, 2025Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 11, 2025Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 11, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 11, 2025Keep all essential equipment working safely.
Environmental · complaint inspection		E
Potential for more than minimal harm, pattern
Feb 11, 2025Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Oct 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure 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.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 28, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $139,942 in the last three years.

Feb 11, 2025Fine: $139,942

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.30 hours
Registered nurse (RN) time per resident per day
0.64 hours
Nurse aide time per resident per day
1.93 hours
Total nurse staffing on weekends
3.06 hours
Nursing staff turnover (yearly)
60%
RN turnover (yearly)
53%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error