The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777
The Greens at Spruce Pines, a 127-bed for profit - limited liability company nursing facility in Spruce Pine, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #176 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: 8287657312
Build a private shortlist as you compare, saved on this device, no account needed.
Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.
- 3 / 5
- Average · CMS overall · nat'l 3.0
- #176 of 415
- In-state rank among rated NC homes
- 3.47
- Below average · nurse hrs/day · nat'l 3.86
- 12
- Inspection findings · 1 serious
If a nursing-home resident is in immediate danger, call 911.
For elder abuse or neglect concerns, contact your state's Adult Protective Services (search "APS" + your state) or call the Eldercare Locator at 1-800-677-1116. For facility advocacy, reach your Long-Term Care Ombudsman. CMS ratings and inspection data below are a research screen, not an emergency channel.
The verdict
The Greens at Spruce Pines, a 127-bed for profit - limited liability company nursing facility in Spruce Pine, NC, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #176 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.
- 3 / 5
- CMS overall · national 3.0
- #176 of 415
- In-state rank among rated NC homes
- 3.47
- Nurse hrs/resident-day · national 3.86
- 12
- 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 - Limited Liability company. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 345270
- Ownership
- For profit - Limited Liability company
- Provider Type
- Medicare and Medicaid
- Beds
- 127
- Residents
- 107
- In Hospital
- No
- County
- Mitchell
- Last Inspection
- May 14, 2026
Staffing Data
How the 3.47 total nursing hours per resident-day are staffed:
- RN Hours
- 0.71 (nat'l avg: 0.69)
- LPN Hours
- 0.67
- CNA Hours
- 2.09
- Total Nursing Hours
- 3.47 (nat'l avg: 3.86)
- PT Hours
- 0.04
- Nursing Turnover
- 62.8%
- RN Turnover
- 57.9%
What the CMS Record Reveals About The Greens at Spruce Pines
According to CMS Nursing Home Compare, The Greens at Spruce Pines ranks #176 of 415 rated nursing homes in NC on overall stars (tie-broken by health+staffing+quality, then fewer fines). The Greens at Spruce Pines operates 127 certified beds in Spruce Pine, NC with approximately 107 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 3★ · staffing 3★ · quality 4★).
The inspection file contains 12 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 3 penalties totaling $153K levied against this facility. Reported nurse staffing runs 3.47 total hours per resident day (national average 3.86); RN hours specifically are 0.71 per resident day.
Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, The Greens at Spruce Pines falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 62.8% (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 (12 most recent)
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: May 23, 2026
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Category: Nutrition and Dietary Deficiencies
Corrected: Feb 22, 2025
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.
Category: Pharmacy Service Deficiencies
Corrected: Feb 22, 2025
Ensure medication error rates are not 5 percent or greater.
Category: Pharmacy Service Deficiencies
Corrected: Feb 22, 2025
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: Feb 22, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 22, 2025
Keep all essential equipment working safely.
Category: Environmental Deficiencies
Corrected: Feb 22, 2025
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: Feb 22, 2025
Provide or get specialized rehabilitative services as required for a resident.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 22, 2025
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: Oct 25, 2024
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.
Category: Quality of Life and Care Deficiencies
Corrected: Nov 27, 2023
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: Nov 27, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.5% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.3% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.6% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 7.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.6% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.2% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 6.9% | 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 | 94.6% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 22.1% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 79.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 31.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.5% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 33.3% | No |
Penalty History 3 penalties totaling $153K
| Date | Type | Amount |
|---|---|---|
| Feb 11, 2025 | Fine | $140K |
| Sep 28, 2023 | Fine | $7K |
| Sep 28, 2023 | Fine | $7K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for The Greens at Spruce Pines, both outside NC so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NC (127 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NC (3.99 here).
Nearby Nursing Homes in NC
418 other nursing homes are on record in NC; 6 are shown here.
Abbotts Creek Center
Lexington, NC
Abernathy Laurels
Newton, NC
Accordius Health at Gastonia
Gastonia, NC
Accordius Health at Rose Manor LLC
Durham, NC
Adams Farm Living & Rehabilitation
Jamestown, NC
Ahoskie Health and Rehabilitation Center
Ahoskie, NC
Understanding Nursing Home Data
What the CMS records show for The Greens at Spruce Pines
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 127 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 The Greens at Spruce Pines?
Where does The Greens at Spruce Pines rank among nursing homes in NC?
What are the staffing levels at The Greens at Spruce Pines?
How many beds does The Greens at Spruce Pines have?
Does The Greens at Spruce Pines have any deficiencies on record?
Has The Greens at Spruce Pines received any fines or penalties?
Who owns The Greens at Spruce Pines?
When was The Greens at Spruce Pines last inspected?
What quality measures are tracked for The Greens at Spruce Pines?
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.
Read our methodology - how this data is sourced, computed, and verified.
