The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777 · (828) 765-7312
For profit - Limited Liability company · 127 certified beds
The Greens at Spruce Pines has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 1 citation (the North Carolina average is 4.7). It was fined 3 times in the last three years, $153,439 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · Average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 14, 2026 found 1 citation. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 14, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedFebruary 11, 2025 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 11, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.February 11, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.February 11, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.February 11, 2025 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 11, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide or get specialized rehabilitative services as required for a resident.February 11, 2025 · F0825 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Keep all essential equipment working safely.February 11, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $139,942February 11, 2025
- Fine of $6,748September 28, 2023
- Fine of $6,749September 28, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | North Carolina average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.47 | 3.85 | 3.86 |
| Registered nurses (RN) | 0.71 | 0.62 | 0.69 |
| Licensed practical nurses (LPN) | 0.67 | 0.89 | 0.86 |
| Nurse aides | 2.09 | 2.34 | 2.32 |
| Total nursing staff turnover | 62.8% | 49% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 127 |
| Average residents per day | 106.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Biltmore Haven Nursing and Rehabilitation Arden · ★★★★★ 1 out of 5 stars
- Black Mountain Neuro-Medical Treatment Center Black Mountain · ★★★★★ 5 out of 5 stars
- Highland Farms Black Mountain · ★★★★★ 5 out of 5 stars
- NC State Veterans Home - Black Mountain Black Mountain · ★★★★★ 5 out of 5 stars
- Mountain Ridge Rehabilitation and Healthcare Cente Black Mountain · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from The Greens at Spruce Pines on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.