The Greens at Hendersonville

1870 Pisgah Drive · Hendersonville, NC · 28791 · 8286939796

120 certified beds For profit - Corporation Chain: Cch Healthcare

Why this verdict

  • Federal penalties on record: $16,985 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 61
Serious harm & abuse 20% 62
Staffing 20% 68
Federal penalties 15% 18
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.453.48 min · 4.1 strong
RN hours / resident-day0.900.55–0.75
Weekend hours / resident-day3.19≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)3 · $106,208

Inspection citations (34 in the current record)

  • Potential for harm · D January 16, 2026

    Ensure each resident receives an accurate assessment.

    Corrected February 4, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 16, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected February 4, 2026 · Resident Assessment and Care Planning

  • Immediate jeopardy · J February 5, 2025 · found via complaint

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · J February 5, 2025 · found via complaint

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

    Corrected January 28, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 5, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected February 13, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 1, 2024

    Reasonably accommodate the needs and preferences of each resident.

    Corrected November 11, 2024 · Resident Rights

  • Potential for harm · D November 1, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 11, 2024 · Quality of Life and Care

  • Potential for harm · E November 1, 2024

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected November 11, 2024 · Pharmacy Service

  • Potential for harm · D November 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected November 11, 2024 · Infection Control

  • Potential for harm · D November 1, 2024 · found via complaint

    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.

    Corrected November 11, 2024 · Resident Rights

  • Potential for harm · F November 1, 2024 · found via complaint

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

    Corrected November 11, 2024 · Nutrition and Dietary

  • Potential for harm · D June 21, 2024 · found via complaint

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

    Corrected July 10, 2024 · Quality of Life and Care

  • Actual harm · G April 25, 2024 · found via complaint

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

    Corrected June 21, 2024 · Quality of Life and Care

  • Potential for harm · D April 25, 2024 · found via complaint

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

    Corrected June 21, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected June 21, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 25, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected June 21, 2024 · Nursing and Physician Services

  • Potential for harm · D October 16, 2023 · found via complaint

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

    Corrected October 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D October 16, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected October 19, 2023 · Quality of Life and Care

  • Potential for harm · D October 16, 2023 · found via complaint

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected October 19, 2023 · Nutrition and Dietary

  • Potential for harm · D October 16, 2023 · found via complaint

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

    Corrected October 19, 2023 · Administration

  • Potential for harm · D August 4, 2023

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

    Corrected October 16, 2023 · Resident Rights

  • Potential for harm · D August 4, 2023

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

    Corrected October 16, 2023 · Resident Rights

  • Potential for harm · D August 4, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected October 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 4, 2023

    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

    Corrected October 16, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 4, 2023

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected October 16, 2023 · Resident Assessment and Care Planning

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 5, 2025Fine$16,985
April 25, 2024Fine$84,748
April 25, 2024Payment Denial47 days
August 4, 2023Fine$4,475

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345312 · certified since November 17, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.