Nursing homeActive
The Greens at Spruce Pines
218 Laurel Creek Court, Spruce Pine, NC 287778287657312127 certified beds · 107 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
● 0● 11● 1
Penalties · 3 yrs
$153,439
3 fines
Last survey
2026-05-14
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · North Carolina Division of Health Service Regulation · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-14 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-02-11 | Standard | 071 | CMS-2567 (Care Compare) | — |
| 2024-10-23 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-28 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · North Carolina Division of Health Service Regulation publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-23Record 345270-20260514-F812
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-02-22Record 345270-20250211-F825
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F655
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F759
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F761
F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F807
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F812
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-22Record 345270-20250211-F908
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-25Record 345270-20241023-F689
F693Ensure 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-27Record 345270-20230928-F693
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-27Record 345270-20230928-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-02-11 | Civil money penalty | $139,942 | CMS · Penalties |
| 2023-09-28 | Civil money penalty | $6,748 | CMS · Penalties |
| 2023-09-28 | Civil money penalty | $6,749 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.71
Facility
North Carolina
National
North Carolina 0.61 · National 0.69
Total nurse hours per resident day3.47
Facility
North Carolina
National
North Carolina 3.83 · National 3.86
Weekend total nurse hours3.20
Facility
North Carolina
National
North Carolina 3.40 · National 3.42
Total nursing staff turnover63%
Facility
North Carolina
National
North Carolina 49% · National 46%
Registered nurse turnover58%
Facility
North Carolina
National
North Carolina 46% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | North Carolina | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.2% | 5.5% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 7.1% | 14.0% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.3% | 2.3% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.5% | 15.6% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.2% | 7.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 22.1% | 21.3% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Bync Holdings LLC Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Starlight Healthcare LLC Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | — | — |
| Jeremias, Baruch Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stern, Jacob Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stern, Jacob Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Tinsley, Shelley Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Part of a chain
Cch Healthcare — 33 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or North Carolina.
No county cost figures on file for Mitchell.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Smoky Ridge Health and Rehabilitation Burnsville | 11.4 mi | 2026-06-26 | 1201 |
| Autumn Care of Marion Marion | 14.7 mi | 2026-03-26 | 061 |
| The Waters Of Roan Highlands,LLC Roan Mountain | 19.7 mi | 2026-05-13 | 000 |
| Deer Park Health and Rehabilitation Nebo | 20.9 mi | 2025-08-14 | 12510 |
| Life Care Center of Banner Elk Banner Elk | 20.6 mi | 2025-08-06 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |