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C
Below Standard

The Greens at Spruce Pines

218 Laurel Creek Court · Spruce Pine, NC 28777

8287657312 · For profit - Corporation

127 beds102.3 residents257 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

The Greens at Spruce Pines receives an overall staffing grade of C (Below Standard). With 3.4576 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5564 HPRD, below the recommended 0.75. It is 0.44 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 15.54% compared to weekdays. The facility relies heavily on temporary agency staff (32.89% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4576 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.5564 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️32.89% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (1)

✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.4576hrs/resident/day▼ 0.44
CMS benchmark: 3.48
RN HPRD
0.5564hrs/resident/day▼ 0.13
Recommended: 0.75
Weekend Drop-off
15.54%
3.6164 weekday → 3.0545 weekend
Agency Staff
32.89%
30.37% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9341hrs/resident/day
Direct care aides
LPN HPRD
0.8401hrs/resident/day
Licensed practical nurses
Consistency
0.4019std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Mitchell County Average+0.00 HPRD
3.46
03.46 HPRD
vs. North Carolina State Average-0.31 HPRD
3.77
03.46 HPRD
vs. National Average-0.44 HPRD
3.90
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
The Greens at Spruce Pines ★
Spruce Pine · This facility
—
C
3.45760.5564★★☆☆☆
Smoky Ridge Health and Rehabilitation
Burnsville
11.4 mi
C
3.15890.7832★★☆☆☆
Autumn Care of Marion
Marion
14.6 mi
C
3.18610.5995★★★★★
Life Care Center of Banner Elk
Banner Elk
20.6 mi
C
3.03930.4085★★★★★
Deer Park Health and Rehabilitation
Nebo
20.9 mi
B
3.61190.9032★☆☆☆☆
Mountain Ridge Health and Rehab
Black Mountain
24.1 mi
F
3.3860.2132★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
11
Total Deficiencies
$153,439
Fines Assessed
Feb 11, 2025Health
8 deficiencies cited· Includes actual harm
▼
Oct 23, 2024Health
1 deficiency cited
▼
Sep 28, 2023Health
2 deficiencies cited
▼

Penalty History

Feb 11, 2025Fine
$139,942
Sep 28, 2023Fine
$6,748
Sep 28, 2023Fine
$6,749
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.