Nursing home
The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777 · Map
For profit - Corporation · Part of Cch Healthcare (32 facilities) · 127 certified beds
The Greens at Spruce Pines is a Medicare-certified nursing home in Spruce Pine, North Carolina. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Its most recent inspection on Feb 11, 2025 cited 8 deficiencies.
- 3 fines totaling $153,439In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How The Greens at Spruce Pines 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) | — | 3.78 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.59 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.33 | 2.34 | — |
| Nursing staff turnover | 64.2% | 50.4% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 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: 3 fines totaling $153,439, 3 total penalties.
What inspectors found at The Greens at Spruce Pines
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Feb 11, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Feb 11, 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 11, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Nutrition and Dietary Deficiencies · Feb 11, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Feb 11, 2025 · Full report (PDF)
Show all 11 deficiencies
- Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Feb 11, 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 11, 2025 · Full report (PDF) - Potential for harm
Create 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 Deficiencies · Feb 11, 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 · Oct 23, 2024 · 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 · Sep 28, 2023 - Potential for harm
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.
Quality of Life and Care Deficiencies · Sep 28, 2023
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
- 218 Laurel Creek Court
Spruce Pine, NC 28777 - CMS certification #
- 345270
- Ownership
- For profit - Corporation
- Certified beds
- 127
- Avg residents/day
- 102.3
- Provider type
- Medicare and Medicaid
- First certified
- 1987-12-18
- Chain
- Cch Healthcare (32 facilities)
- Setting
- Rural
Part of Cch Healthcare
Cch Healthcare operates 32 nursing facilities across the United States. View all Cch Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around The Greens at Spruce Pines using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, secured outdoor area
Full public records, with dates and sources
Care and services
From the community’s website
What The Greens at Spruce Pines says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
We offer short-term rehabilitation, long-term care and respite stays.
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24/7 nursing care
(page, checked Oct 15, 2026) - Has a secured outdoor area.
Beautifully landscaped, secured grounds offering peaceful outdoor areas for relaxation.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Blue Ridge Regional Hospital, Spruce Pine. 1.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Smoky Ridge Health and Rehabilitation, Burnsville. 11.4 miles away, straight line.
- Nearest home health agency office
- Pruitthealth At Home - Yancey, Burnsville. 12.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy;Cato. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 28777 as rural (rural area).
- Dialysis within 15 miles
- Davita Mayland Dialysis Center, Spruce Pine, 1.4 miles away, straight line (CMS rating 3 of 5 stars)
Davita Mcdowell County Dialysis, Marion, 14.3 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 28777.
Hospice & Palliative Care Of The Blue Ridge, Inc, office in Spruce Pine, 1.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Hospice Of Yancey County, office in Burnsville, 9.5 miles away, straight line (CMS family survey rating 5 of 5 stars)
Medi Home Hospice, office in Newland, 11.4 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Blue Ridge Healthcare Medical Group Inc, Morganton. 27.2 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 low, inland flooding relatively high, wildfire relatively low, tornado 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 | Nothing on record |
| 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 relatively 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 The Greens at Spruce Pines a good nursing home?
CMS gives The Greens at Spruce Pines an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has The Greens at Spruce Pines had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does The Greens at Spruce Pines have?
The Greens at Spruce Pines is certified for 127 beds.