Greentree Ridge Health & Rehab Center — nursing home in Asheville, NC

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 90 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 80.7 CMS, MDS-derived
CMS Certification Number: 345303
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): May 17, 1989
Ownership type: For profit - Corporation
Operator (legal business name): CMS reports the legal business name as not available.
CMS chain: Ciena Healthcare/Laurel Health Care 80 facilities
Phone: (828) 274-7646
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 20, 2026

Citations

28

14 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E1	F5
Minimal	A·	B2	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 345303
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 90
First approved: May 17, 1989
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for North Carolina.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Aug 20, 2026	Health	Health Standard	1	Potential harm	1	Open →
May 7, 2025	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
May 7, 2025	Health	Health Standard	2	Potential harm	—	Open →
Feb 27, 2024	Fire safety	Fire Safety Standard	6	Potential harm	—	Open →
Feb 27, 2024	Health	Health Complaint, Health Standard	9	Potential harm	2	Open →
Dec 7, 2023	Health	Health Complaint	2	Potential harm	—	Open →
Dec 8, 2022	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E1	F5
Minimal	A·	B2	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 20, 2026	F-0847	Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records	F · Potential harm Widespread	Plan of correction, not yet verified Sep 17, 2026
May 7, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 20, 2025
May 7, 2025	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 20, 2025
May 7, 2025	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jun 20, 2025
May 7, 2025	F-0758	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 8, 2025
May 7, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 8, 2025
Feb 27, 2024	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	K-0281	Install proper backup exit lighting. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 10, 2024
Feb 27, 2024	F-0578	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 20, 2024
Feb 27, 2024	F-0602	Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 11, 2024	Complaint
Feb 27, 2024	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 25, 2024	Complaint
Feb 27, 2024	F-0644	Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 21, 2024
Feb 27, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 20, 2024
Feb 27, 2024	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 6, 2024
Feb 27, 2024	F-0695	Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 1, 2024
Feb 27, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Mar 21, 2024
Feb 27, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	B · Minimal Pattern	Plan of correction, not yet verified Mar 6, 2024
Dec 7, 2023	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 3, 2024	Complaint
Dec 7, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jan 3, 2024	Complaint
Dec 8, 2022	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2023
Dec 8, 2022	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 13, 2023
Dec 8, 2022	K-0511	Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2023
Dec 8, 2022	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2023
Dec 8, 2022	K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 13, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 2.7

Quality measuresstate 3.5

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.87

State avg 3.87US avg 3.90

Registered nurse (RN)0.97

State avg 0.62US avg 0.69

Licensed practical nurse0.77

State avg 0.88US avg 0.86

Nurse aide2.12

State avg 2.37US avg 2.35

Weekend total nurse3.23

State avg 3.40US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.31 (case-mix index 1.64).

Staff turnover

Total nursing staff turnover40.7%

State avg 48.7%US avg 45.3%

Registered nurse turnover42.1%

State avg 45.7%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Aug 20, 2026
Cycle 1 health score: 16
Total weighted score: 19

Operating entity

CMS reports the legal business name as not available.

CMS chain

Ciena Healthcare/Laurel Health Care

80 facilities in 4 states. CMS chain ID 144.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.9

Ownership disclosures

Disclosures

0

Organizations

0

Individuals

0

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

No ownership disclosures in the CMS Ownership file for this CCN.

Same chain in North Carolina

All 79 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
The Laurels of Pender 311 S Campbell Street, Burgaw, NC 28425 CCN 345298	98	Jan 15, 2026	23	—
The Laurels of Hendersonville 290 Clear Creek Road, Hendersonville, NC 28792 CCN 345322	100	Jun 5, 2026	272 IJ1 open	$36k
The Laurels of Forest Glenn 1101 Hartwell Street, Garner, NC 27529 CCN 345389	120	Jul 15, 2026	244 IJ1 harm	$182k
The Laurels of Chatham 72 Chatham Business Park, Pittsboro, NC 27312 CCN 345421	140	Jul 8, 2025	392 harm1 open	$11k
The Laurels of Salisbury 215 Lash Drive, Salisbury, NC 28147 CCN 345428	80	Feb 13, 2026	241 IJ2 harm1 open	$17k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 70 Sweeten Creek Road, Asheville, NC 28803
ZIP: 28803
County: Buncombe County FIPS 37021
State: North Carolina
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Stonecreek Health and Rehabilitation 455 Victoria Road, Asheville, NC 28801 CCN 345204	2.2 km	120	Jun 17, 2026	282 IJ6 open	$38k
Elevate Health and Rehabilitation 91 Victoria Road, Asheville, NC 28801 CCN 345174	2.3 km	120	Dec 22, 2025	585 IJ	$174k
The Laurels of Summit Ridge 100 Riceville Road, Asheville, NC 28805 CCN 345438	5.1 km	68	Jul 2, 2026	341 harm	—
Aston Park Health Care Center 380 Brevard Road, Asheville, NC 28806 CCN 345198	5.7 km	120	Apr 16, 2026	279 open	—
Deerfield Episcopal Retirement 1617 Hendersonville Road, Asheville, NC 28803 CCN 345556	5.9 km	62	Jun 4, 2026	10	—
Givens Health Center 600 Barrett Lane, Asheville, NC 28803 CCN 345328	6.9 km	70	Mar 18, 2026	32	—
River Bend Health and Rehabilitation 213 Richmond Hill Drive, Asheville, NC 28806 CCN 345432Abuse icon	7.3 km	100	Feb 26, 2026	747 harm2 open	$141k
Bear Mountain Health and Rehabilitation 500 Beaverdam Road, Asheville, NC 28804 CCN 345010	8.7 km	77	Jul 15, 2026	382 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	345303	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	345303	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 345303

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction