Nursing home
Macgregor Downs Health Center by Harborview
2910 Macgregor Downs Road, Greenville, NC 27834 · Map
For profit - Limited Liability company · Part of Harborview Health Systems (21 facilities) · 152 certified beds
Macgregor Downs Health Center by Harborview is a Medicare-certified nursing home in Greenville, North Carolina. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.74 hours per resident per day, below the North Carolina average of 3.78. Its most recent inspection on Feb 13, 2025 cited 12 deficiencies.
- 1 fine totaling $10,023In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Macgregor Downs Health Center by Harborview compares
This facility vs. the North Carolina and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | North Carolina avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.74 | 3.78 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.70 | 0.59 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.32 | 2.33 | 2.34 | below avg |
| Nursing staff turnover | 55.2% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 12.0 | 5.6 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $10,023, 1 total penalty.
What inspectors found at Macgregor Downs Health Center by Harborview
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · Feb 13, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Quality of Life and Care Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Feb 13, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Feb 13, 2025 · Full report (PDF) - Minimal
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Feb 13, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2910 Macgregor Downs Road
Greenville, NC 27834 - CMS certification #
- 345168
- Ownership
- For profit - Limited Liability company
- Certified beds
- 152
- Avg residents/day
- 136.7
- Provider type
- Medicare and Medicaid
- First certified
- 1980-11-01
- Chain
- Harborview Health Systems (21 facilities)
- Setting
- Urban
Part of Harborview Health Systems
Harborview Health Systems operates 21 nursing facilities across the United States. View all Harborview Health Systems facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Macgregor Downs Health Center by Harborview using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2023
Full public records, with dates and sources
Care and services
From the community’s website
What Macgregor Downs Health Center by Harborview says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-Hour Skilled Nursing Services and So Much More
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jan 1, 2023 to Nov 30, 2024. Violations found: Overtime. Back wages: $26,122 owed to 21 employees. Employer as DOL recorded it: MacGregor Downs Health Center (MacGregor Downs HealthCenter byHarborview LLC). Case 1992632.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Ecu Health Medical Center, Greenville. 1.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
- Nearest Medicare nursing home
- Greenville Health and Rehabilitation Center, Greenville. 0.7 miles away, straight line.
- Nearest home health agency office
- Bayada Home Health Care Inc, Greenville. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 1.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 27834 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fmc - Greenville Dialysis Center, Greenville, 0.8 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Fmc Dialysis Services East Carolina University, Greenville, 1.4 miles away, straight line (CMS rating 2 of 5 stars)
Fresenius Kidney Care Captains Cove, Winterville, 6.3 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 27834.
Amedisys Hospice, office in Greenville, 0.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Kindred Hospice, office in Tarboro, 21.4 miles away, straight line
Continuum Home Care & Hospice Of Lenior County, office in Kinston, 24.5 miles away, straight line - Nearest geriatric medicine practice
- Carteret Medical Group LLC, Newport. 64.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively high, inland flooding relatively low, coastal flooding very low, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Macgregor Downs Health Center by Harborview a good nursing home?
CMS gives Macgregor Downs Health Center by Harborview an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Macgregor Downs Health Center by Harborview staffed?
Macgregor Downs Health Center by Harborview reports 3.74 total nurse hours per resident per day, compared with the North Carolina average of 3.78.
Has Macgregor Downs Health Center by Harborview had inspection problems?
Its most recent CMS inspection cited 12 deficiencies.
How many beds does Macgregor Downs Health Center by Harborview have?
Macgregor Downs Health Center by Harborview is certified for 152 beds.