All states › North Carolina › Spruce Pine › The Greens at Spruce Pines
218 Laurel Creek Court Spruce Pine, NC 28777 · Mitchell County
CMS certification number 345270 · See this home on Medicare Care Compare
Is The Greens at Spruce Pines a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The Greens at Spruce Pines as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the North Carolina average of 3.0.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.30 hours per resident per day at The Greens at Spruce Pines, below the North Carolina median of 3.57 (US median: 3.72). About 0.64 of those hours are from registered nurses. On weekends it falls to 3.06 hours, 7% below its all-week average. 60% of nursing staff left within a year (North Carolina median 48.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at The Greens at Spruce Pines: Medicare and Medicaid
The Greens at Spruce Pines is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Carolina's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 14, 2026 and found 1 deficiency. In total, inspectors issued 12 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 12 citations at The Greens at Spruce Pines across 4 inspection dates, 9 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on February 11, 2025 (complaint inspection). The most common areas cited were nutrition and dietary (4) and quality of life and care (4). The most serious was cited under the CMS rule to "provide or get specialized rehabilitative services as required for a resident" (tag F0825, level J, February 11, 2025).
May 14, 2026 · 1 citation
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
February 11, 2025 · 8 citations, includes immediate jeopardy · includes complaint inspection
JProvide or get specialized rehabilitative services as required for a resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EKeep all essential equipment working safely.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
DEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
October 23, 2024 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 28, 2023 · 2 citations
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure 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.
Questions to ask on a tour of The Greens at Spruce Pines
- Inspectors cited the home at the immediate-jeopardy level on February 11, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- Nursing staff turnover was 60% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $139,942 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 11, 2025 | Fine | $139,942 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near The Greens at Spruce Pines
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.4 mi
Blue Ridge Regional Hospital Spruce PineEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 55m for patients treated and sent home
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15.4 mi
Charles a Cannon Jr Memorial Hospital LinvilleEmergency roomMedian ER visit 1h 52m for patients treated and sent home
- 15.5 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Cch Healthcare nursing homes in North Carolina
- The Greens at Cabarrus · Concord · 5 stars
- The Greens at Weaverville · Weaverville · 4 stars
- The Greens at Maple Leaf · Statesville · 4 stars
- The Greens at Viewmont · Hickory · 3 stars
- The Greens at Pinehurst Rehabilitation & Living Center · Pinehurst · 3 stars
- The Greens at Hendersonville · Hendersonville · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 33 Cch Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.