The Greens at Spruce Pines
218 Laurel Creek Court · Spruce Pine, NC · 28777 · 8287657312
127 certified beds For profit - Corporation Chain: Cch Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Federal penalties on record: $139,942 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$139,942 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.44 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.68 | 0.55–0.75 |
| Weekend hours / resident-day | 3.09 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 3 · $153,439 |
Inspection citations (11 in the current record)
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Immediate jeopardy · J February 11, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · D February 11, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 11, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 22, 2025 · Quality of Life and Care
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Potential for harm · D February 11, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected February 22, 2025 · Pharmacy Service
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Potential for harm · D February 11, 2025 · found via complaint
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.
Corrected February 22, 2025 · Pharmacy Service
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Potential for harm · D February 11, 2025 · found via complaint
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Corrected February 22, 2025 · Nutrition and Dietary
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Potential for harm · E February 11, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 22, 2025 · Nutrition and Dietary
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Potential for harm · E February 11, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected February 22, 2025 · Environmental
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Potential for harm · D October 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 25, 2024 · Quality of Life and Care
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Potential for harm · D September 28, 2023
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.
Corrected November 27, 2023 · Quality of Life and Care
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Potential for harm · E September 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 27, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 11, 2025 | Fine | $139,942 |
| September 28, 2023 | Fine | $6,748 |
| September 28, 2023 | Fine | $6,749 |
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 345270 · certified since December 18, 1987. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.