The Greens at Spruce Pines: Staffing, Turnover, and Inspection Record
The Greens at Spruce Pines is a 127-bed for-profit nursing home in Spruce Pine, North Carolina, part of CCH Healthcare. In the CMS August 2026 release it reported 2.09 nurse aide hours per resident per day, 11% below the North Carolina average of 2.34, and 62.8% nursing staff turnover (North Carolina average 49.0%).
The Greens at Spruce Pines
218 Laurel Creek CourtSpruce Pine, NC 28777
Mitchell County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At The Greens at Spruce Pines, nurse aides logged 2.09 hours per resident per day, 11% below the North Carolina average. With about 107 residents a day, that works out to roughly 223 aide hours a day, or about 28 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | North Carolina avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.09 | 2.34 | 2.32 |
| Licensed practical nurses | 0.67 | 0.89 | 0.86 |
| Registered nurses | 0.71 | 0.61 | 0.69 |
| All nursing staff | 3.47 | 3.83 | 3.86 |
| All nursing staff, weekends | 3.20 | 3.40 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.8% of nursing staff at The Greens at Spruce Pines left over the year CMS measured, against a North Carolina average of 49.0% and a US average of 45.8%. Registered nurse turnover was 57.9%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 1 health deficiency (North Carolina average 4.8). CMS lists 3 fines totaling $153,439 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 11, 2025 | Fine | $139,942 |
| Sep 28, 2023 | Fine | $6,748 |
| Sep 28, 2023 | Fine | $6,749 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. The Greens at Spruce Pines holds 3 of 5 overall; the North Carolina average is 2.9.
About The Greens at Spruce Pines
- Ownership: For profit - Limited Liability company
- Chain: CCH Healthcare, 33 homes
- Legal name: Greens at Spruce Pines LLC
- Medicare and Medicaid certified since: Dec 18, 1987
- Councils: resident council
- Area: rural
Nursing homes near The Greens at Spruce Pines
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Smoky Ridge Health and Rehabilitation Burnsville | 11.4 | 140 | 1.79 | 3.08 | 51.6% | 2 | $59,631 |
| Autumn Care of Marion Marion | 14.7 | 110 | 1.84 | 3.18 | 35.6% | 3 | $10,364 |
| The Waters of Roan Highlands,llc Roan Mountain | 19.7 | 80 | 1.93 | 3.32 | 29.2% | 5 | None |
| Life Care Center of Banner Elk Banner Elk | 20.6 | 118 | 1.67 | 3.18 | 17.6% | 4 | None |
| Deer Park Health and Rehabilitation Nebo · SFF candidate · abuse citation | 20.9 | 140 | 2.26 | 3.41 | 78.5% | 1 | $273,467 |
| Center on Aging and Health Erwin | 23.9 | 120 | 2.41 | 4.29 | 43.1% | 3 | None |
| Christian Care Center of Unicoi County Erwin | 24.0 | 50 | 2.23 | 4.37 | 29.2% | 4 | None |
| Black Mountain Neuro-Medical Treatment Center Black Mountain | 24.2 | 163 | — | — | — | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.