The nursing home failed to provide or arrange the specialized rehabilitation services a resident needed. Cited February 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 825 — 42 CFR §483.65 — S/S: J
Nursing home report
The Greens at Spruce Pines
Spruce Pine, NC · Medicare-certified · 127 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
The Greens at Spruce Pines has a 2-star overall rating, with 2 stars for health inspections, 3 stars for staffing, and 4 stars for quality measures. It reports 3.47 nurse hours per resident per day versus the 4.1 federal benchmark, and it had $139,942 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.4687 hrs/resident/day
Quality measures
Last inspection: February 11, 2025Penalties, last 24 months: $139,942recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4687.
Staffing detail
- Registered nurses
- 0.71
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.09
- Weekend nursing
- 3.20
Hours per resident per day.
Total staff turnover: 63%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
4.3%10%Worsening
Residents with a fall causing major injury
6.8%0%Improving
Residents with pressure ulcers (bedsores)
0%3.7%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%9.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
8.7%9.9%Worsening
Residents whose ability to walk got worse
2.6%15.9%Worsening
Long-stay residents on antianxiety or sleep medication
27.5%18.1%Improving
Short-stay residents newly given an antipsychotic
3.2%0%Improving
Residents with a long-term catheter
1%0%Improving
Residents with new or worsening incontinence
38.6%35.2%Improving
Residents with depressive symptoms
9.7%10.5%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—79.8%—
Long-stay residents given the pneumonia vaccine
95.5%94.7%Worsening
Short-stay residents given the seasonal flu vaccine
—33.3%—
Short-stay residents given the pneumonia vaccine
90.1%91.8%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep essential equipment working safely. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: D
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $139,942 was recorded.
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $153,439 in total fines.
- $139,942
Federal fine
Feb 11, 2025
- $6,749
Federal fine
Sep 28, 2023
- $6,748
Federal fine
Sep 28, 2023
Operator & ownership
Recent ownership change · Jul 1, 2022
Now operated by The Greens at Spruce Pines, previously Brian Center Health and Rehabilitation / Spruce Pine.
- Ownership
- For profit - Corporation
- Chain
- Part of CCH HEALTHCARE · 33 homes · 2.5 stars avg
- Occupancy
- 106.6 residents on an average day (84% of 127 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.