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Nursing HomeMedicaid Investigative

The Greens at Spruce Pines

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

218 Laurel Creek Court, Spruce Pine, NC 28777127 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 17 Google reviews

5
4
3
2
1

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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (8 vs median 4.0)
  • High staff turnover (64%)
  • High RN turnover (60%)

Bottom 25% in NC · Worst in CCH HEALTHCARE chain · $153,439 in fines

Source: Medicare data

What this means for your family

While the facility is frequently praised for its clean environment and effective physical therapy, the recent, severe allegations of neglect and patient weight loss are deeply concerning. If you are considering this facility, we strongly recommend conducting an unannounced visit and asking specifically about the facility's recent state survey results and their protocols for monitoring patient nutrition and skin integrity.

Google Reviews

Google Reviews

17 reviews analyzed
The Greens at Spruce Pines receives polarized feedback, with many praising the rehabilitation services and facility cleanliness, while others report severe neglect and safety concerns. Families should be aware of serious allegations regarding patient hygiene, weight loss, and staff responsiveness that contrast sharply with the positive experiences of rehab patients. The facility appears to be a strong choice for short-term therapy, but long-term care quality remains a point of significant contention.

Quality Themes

Tap a score for details
Food1.0Staff5.0Clean9.0ActivitiesN/AMeds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • Effective rehabilitation and physical therapy programs
  • Clean and well-maintained facility environment
  • Supportive and helpful admissions team
  • Friendly and caring nursing staff (noted by multiple reviewers)

Concerns

  • Severe neglect including pressure ulcers and lack of hygiene (mentioned by 2 reviewers)
  • Significant, unexplained weight loss in residents (mentioned by 2 reviewers)
  • Understaffing or lack of staff presence (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.52023(8)4.52024(8)3.02025(4)3.02026(2)

Distribution

5
13
4
0
3
0
2
0
1
4

How They Respond to Reviews

100%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the facility has a very active admissions team; how do you maintain that same level of communication and responsiveness with families once their loved one has moved in?
  • 2Given the recent focus on physical therapy and rehabilitation here, what specific protocols do you have in place to ensure consistent monitoring of resident nutrition and weight management during their stay?
  • 3With your current staffing levels, how do you ensure that residents receive timely assistance with daily hygiene and skin integrity checks to prevent complications like pressure ulcers?
  • 4I see that you are very active in responding to feedback online; what is your process for addressing family concerns regarding medication management or dining experiences once they are brought to your attention?
  • 5Could you walk me through a typical day for a resident here, and how does the staff ensure that those who need extra support are engaged and cared for throughout the afternoon and evening?
  • 6In the event of a medical emergency or a sudden change in a resident's health status, what is your specific protocol for notifying the family and coordinating with the attending physician?

Personalized based on this facility's data


Key Review Excerpts

My 85 year old grandmother was admitted after hip surgery and experienced severe neglect. She was left immobile in bed for approximately three days, resulting in a pressure ulcer, and was not properly checked on during the first two days of her stay.

Long-term resident's family · 2026☆☆☆☆

The facility was very clean, the nurses and CNA’s were friendly, caring, knowledgeable and, Physical Therapy was centered and focused on each patient’s needs.

Rehab patient · 2025★★★★★

My husband did nothing but decline and lost 10 to 15 pound in the 2 months he was there. The food is disgusting.

Long-term resident's family · 2023☆☆☆☆
Source: 17 Google reviews

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

11

measures

Worse Than Avg

4

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility79.8%
Worse than Avg
Here
79.8%
US
95.5%
NC
94.1%
Mitchell
93.8%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.8%
Better than Avg
Here
5.8%
US
15.4%
NC
14.1%
Mitchell
19.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.9%
Worse than Avg
Here
31.9%
US
19.4%
NC
21.0%
Mitchell
20.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.8%
Better than Avg
Here
8.8%
US
14.4%
NC
16.4%
Mitchell
19.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility9.9%
Better than Avg
Here
9.9%
US
15.3%
NC
20.2%
Mitchell
19.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.7%
Mixed vs Avgs
Here
23.7%
US
19.5%
NC
21.5%
Mitchell
30.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility33.3%
Worse than Avg
Here
33.3%
US
79.7%
NC
78.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility88.9%
Better than Avg
Here
88.9%
US
81.8%
NC
80.1%
Mitchell
79.0%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
1.6%
NC
1.5%
Mitchell
3.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
3penalties
Above state avg (5.6)
9 complaint-triggered
$153,439 in fines

Families have filed multiple complaints triggering 9 deficiencies, with recurring issues in accident prevention appearing across surveys in 2024 and 2025, suggesting ongoing safety concerns. The facility also shows problems with medication management, food service, and care planning, though all violations have been corrected. Consider asking about their quality improvement measures during your visit.

Feb 11, 2025Complaint
8
0825SevereCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0759MinorCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0807MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Feb 11, 2025Routine
3
0161MinorCorrected

Construction Deficiencies

Use approved construction type or materials.

0352MinorCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0372MinorCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Oct 23, 2024Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

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

Sep 28, 2023Routine
5
0812ModerateCorrected

Nutrition and Dietary Deficiencies

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

0693MinorCorrected

Quality of Life and Care Deficiencies

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.

0321MinorCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0511MinorCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0914MinorCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Federal Penalties

Fine

Feb 11, 2025

$139,942

Fine

Sep 28, 2023

$6,748

Fine

Sep 28, 2023

$6,749

Ownership & Operations

Who Operates This Facility

Owner / Operator

The Greens at Spruce Pines

Organization Type

for profit

Chain Affiliation

Chain Name

Cch Healthcare

Chain Size

32 facilities nationwide

Chain avg rating: 2.5/5 · Rank 29 of 32 (Worst)

Ownership & Management

Owners

Bync Holdings LLC

Owner · Organization

100%

Capital Holdings Trust

Owner (parent company) · Organization

50%

Starlight Healthcare LLC

Owner (parent company) · Organization

50%

Key personnel

Tinsley, ShelleyW-2 Managing EmployeeJeremias, BaruchOfficer / DirectorStern, JacobOfficer / DirectorStern, JacobOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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