PlainNursing
CMS Nursing Home Compare · August 2026

Macgregor Downs Health Center by Harborview

2910 Macgregor Downs Road, Greenville, NC 27834

Macgregor Downs Health Center by Harborview, a 152-bed for profit - corporation nursing facility in Greenville, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #321 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2527584121

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2 / 5
Below average · CMS overall · nat'l 3.0
#321 of 415
In-state rank among rated NC homes
3.39
Below average · nurse hrs/day · nat'l 3.86
25
Inspection findings · 1 serious

The verdict

Macgregor Downs Health Center by Harborview, a 152-bed for profit - corporation nursing facility in Greenville, NC, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #321 of 415 rated homes in NC on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#321 of 415
In-state rank among rated NC homes
3.39
Nurse hrs/resident-day · national 3.86
25
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 419 NC nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
345168
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
152
Residents
143
In Hospital
No
County
Pitt
Last Inspection
Apr 30, 2026

Staffing Data

How the 3.39 total nursing hours per resident-day are staffed:

RN Hours
0.54 (nat'l avg: 0.69)
LPN Hours
0.72
CNA Hours
2.13
Total Nursing Hours
3.39 (nat'l avg: 3.86)
PT Hours
0.04
Nursing Turnover
50.0%
RN Turnover
53.8%

What the CMS Record Reveals About Macgregor Downs Health Center by Harborview

According to CMS Nursing Home Compare, Macgregor Downs Health Center by Harborview ranks #321 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). Macgregor Downs Health Center by Harborview operates 152 certified beds in Greenville, NC with approximately 143 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 2★ · quality 2★).

The inspection file contains 25 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $10K against this provider. Staffing is reported at 3.39 total nursing hours per resident day (national average 3.86), with RN coverage at 0.54 per resident day.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Macgregor Downs Health Center by Harborview falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 50.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (25 most recent)

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: May 28, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0584

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Category: Resident Rights Deficiencies

Corrected: May 28, 2026

D - Isolated - Minimal harm Apr 30, 2026 Tag: 0553

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Category: Resident Rights Deficiencies

Corrected: May 28, 2026

B - Pattern - No harm Feb 13, 2025 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Feb 13, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Mar 13, 2025

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 13, 2025

E - Pattern - Minimal harm Feb 13, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Aug 2, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 19, 2024

K - Pattern - Jeopardy Aug 2, 2024 Tag: 0925

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Category: Environmental Deficiencies

Corrected: Aug 19, 2024

B - Pattern - No harm Dec 22, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jan 24, 2024

D - Isolated - Minimal harm Dec 22, 2023 Tag: 0883

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Category: Infection Control Deficiencies

Corrected: Jan 24, 2024

D - Isolated - Minimal harm Dec 22, 2023 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jan 24, 2024

D - Isolated - Minimal harm Dec 22, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 24, 2024

D - Isolated - Minimal harm Dec 22, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jan 24, 2024

D - Isolated - Minimal harm Dec 22, 2023 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jan 24, 2024

E - Pattern - Minimal harm Dec 22, 2023 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jan 24, 2024

E - Pattern - Minimal harm Dec 22, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jan 24, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 8.2% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 3.1% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.1% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 23.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 5.5% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 10.5% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 4.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 88.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 89.2% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 15.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 80.3% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 59.7% No

Penalty History 1 penalties totaling $10K

Date Type Amount
Aug 2, 2024 Fine $10K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Macgregor Downs Health Center by Harborview, both outside NC so the neighborhoods are not the same-state geography list below.

What the CMS records show for Macgregor Downs Health Center by Harborview

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The NC registry aggregates state averages and the highest-rated homes in this cohort. View NC registry
  • Peer homes near 152 beds show how CMS stars vary at a similar scale in NC. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Macgregor Downs Health Center by Harborview?
Macgregor Downs Health Center by Harborview has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (2★), and quality measures (2★).
Where does Macgregor Downs Health Center by Harborview rank among nursing homes in NC?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Macgregor Downs Health Center by Harborview ranks 321st among 415 rated nursing homes in NC (#321 of 415). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Macgregor Downs Health Center by Harborview?
Macgregor Downs Health Center by Harborview reports 3.39 total nursing hours per resident day (national average: 3.86). RN hours are 0.54 per resident day (national average: 0.69). Nursing staff turnover is 50.0%.
How many beds does Macgregor Downs Health Center by Harborview have?
Macgregor Downs Health Center by Harborview has 152 certified beds with approximately 143 residents. The facility is located at 2910 Macgregor Downs Road, Greenville, NC 27834.
Does Macgregor Downs Health Center by Harborview have any deficiencies on record?
Yes, Macgregor Downs Health Center by Harborview has 25 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Macgregor Downs Health Center by Harborview received any fines or penalties?
Yes, Macgregor Downs Health Center by Harborview has received 1 penalties totaling $10K.
Who owns Macgregor Downs Health Center by Harborview?
Macgregor Downs Health Center by Harborview is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Macgregor Downs Health Center by Harborview last inspected?
The most recent health inspection for Macgregor Downs Health Center by Harborview was on Apr 30, 2026. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Macgregor Downs Health Center by Harborview?
Macgregor Downs Health Center by Harborview is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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