The nursing home failed to provide or arrange the specialized rehabilitation services a resident needed. Cited February 2025 — isolated incident, immediate jeopardy to residents.
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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
1 of 5 overall
The Greens at Spruce Pines has a 1-out-of-5 overall rating, with 1-star staffing and 2-star health inspections, even though quality measures are rated 4 stars. It has had $139,942 in fines in the last 24 months and a recent federal penalty; cited issues included specialized rehabilitative services, food safety/handling, and keeping essential equipment working safely.
Facility ratings
Health inspections
Staffing
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 not reported.
Staffing detail
Total staff turnover: 66%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
5.8%Worsening
Residents with a fall causing major injury
4.3%Improving
Residents with pressure ulcers (bedsores)
2.3%Improving
Residents with a urinary tract infection
0.3%Worsening
Residents who lost too much weight
2.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
8.8%Worsening
Residents whose ability to walk got worse
9.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
23.7%Improving
Short-stay residents newly given an antipsychotic
1.5%Worsening
Residents with a long-term catheter
0.7%Worsening
Residents with new or worsening incontinence
31.9%Improving
Residents with depressive symptoms
6.3%Improving
Long-stay residents given the seasonal flu vaccine
79.8%Steady
Long-stay residents given the pneumonia vaccine
94.5%Improving
Short-stay residents given the seasonal flu vaccine
33.3%Steady
Short-stay residents given the pneumonia vaccine
88.9%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.
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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.
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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
- 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
- Ownership
- For profit - Corporation
- Chain
- Part of CCH HEALTHCARE · 32 homes · 2.6 stars avg
- Occupancy
- 104.2 residents on an average day (82% 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.