The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 28777 · Mitchell County · 127 certified beds · avg 107 residents/day · certified since Dec 18, 1987
Part of chain: CCH HEALTHCARE (33 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Feb 11, 2025 · F-0825 · triggered by a complaint
The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
Why it matters: Without needed therapy, a resident may fail to recover strength or skills they could have regained.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Feb 22, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (12)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 14, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Feb 11, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Feb 11, 2025 | E · Potential for harm, repeated | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · from a complaint |
| Feb 11, 2025 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint |
| Feb 11, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Feb 11, 2025 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint |
| Feb 11, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint |
| Feb 11, 2025 | D · Potential for harm, one-off | The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · from a complaint |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 28, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 28, 2023 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 1 | 0 | D |
| 2025 | 8 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $153,439.
| Date | Type | Amount / length |
|---|---|---|
| Feb 11, 2025 | Fine | $139,942 |
| Sep 28, 2023 | Fine | $6,748 |
| Sep 28, 2023 | Fine | $6,749 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.99 | 4.01 | 3.95 | top 31% in North Carolina; top 40% in the U.S. |
| Registered Nurse hours | 0.82 | 0.64 | 0.69 | top 18% in North Carolina; top 26% in the U.S. |
| Weekend total nurse staffing | 3.68 | 3.56 | 3.50 | top 28% in North Carolina; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.65 | 0.41 | 0.48 | top 12% in North Carolina; top 19% in the U.S. |
| Total nursing staff turnover (%) | 62.8 | 49.0 | 45.8 | bottom 18% in North Carolina; bottom 12% in the U.S. |
| RN turnover (%) | 57.9 | 45.7 | 42.9 | bottom 31% in North Carolina; bottom 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.47, RN 0.71, weekend 3.20. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bync Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2022 |
| Starlight Healthcare LLC | Organization | 5% or Greater Indirect Ownership Interest | 50% | 07/01/2022 |
| Jeremias, Baruch | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Stern, Jacob | Individual | Corporate Director | NOT APPLICABLE | 07/01/2022 |
| Stern, Jacob | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2022 |
| Tinsley, Shelley | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you make sure residents — especially those who can't ask — get enough fluids throughout the day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Smoky Ridge Health and Rehabilitation | 11.4 mi | Burnsville, NC | ★★☆☆☆ | 2/5 | |
| Autumn Care of Marion | 14.7 mi | Marion, NC | ★★★☆☆ | 2/5 | |
| The Waters of Roan Highlands,llc | 19.7 mi | Roan Mountain, TN | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 345270.