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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E7 | F4 |
| Minimal | A· | B1 | 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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 26, 2026 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Mar 20, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Mar 20, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Mar 20, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 5, 2024 | Fire safety | Fire Safety Complaint | 1 | Potential harm | — | Open → |
| Dec 1, 2023 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 1, 2023 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| Jun 8, 2022 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Mar 20, 2024 | Civil money penalty (fine) | $59,631 | — | 345305|Fine|42374 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G1 | H· | I· |
| Potential harm | D17 | E7 | F4 |
| Minimal | A· | B1 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 17, 2026 | |
| Jun 26, 2026 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 17, 2026 | |
| Mar 20, 2025 | K-0222 |
“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.
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.
CMS legal business name of the certified provider. Operates this facility only.
8 facilities in 2 states. CMS chain ID 848.
Chain average overall rating (CMS): 1.3
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ctnc Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| David Fischer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Jun 11, 2025 |
| Zev Lefkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Jun 11, 2025 |
| Etnc Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Cynthia Treff | Individual | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| Esther Treff | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Ctnc Holdings LLC | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 38% | Jun 11, 2025 |
| David Fischer | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Jun 11, 2025 |
| Zev Lefkowitz | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 29% | Jun 11, 2025 |
| Etnc Holdings LLC | Organization | Direct owner | DIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| Cynthia Treff | Individual |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Glenbridge Health and Rehabilitation 211 Milton Brown Heirs Road, Boone, NC 28607 CCN 345163 | 134 | Mar 27, 2026 | 451 IJ2 open | $27k | |
| Deer Park Health and Rehabilitation 306 Deer Park Road, Nebo, NC 28761 CCN 345233 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| The Greens at Spruce Pines 218 Laurel Creek Court, Spruce Pine, NC 28777 CCN 345270 | 18.4 km | 127 | May 14, 2026 | 191 IJ | $140k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 345305 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 345305 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 18, 2025 |
| Mar 20, 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 18, 2025 |
| Mar 20, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jun 18, 2025 |
| Mar 20, 2025 | 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 Apr 14, 2025 |
| Mar 20, 2025 | 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 | Past non-compliance Dec 12, 2024 | Complaint |
| Mar 20, 2025 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2025 |
| Mar 20, 2025 | 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 Apr 14, 2025 |
| Mar 20, 2025 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 14, 2025 |
| Mar 20, 2024 | 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 | G · Actual harm Isolated | Corrected Apr 5, 2024 | Complaint |
| Mar 5, 2024 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 6, 2024 | Complaint |
| Dec 1, 2023 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2024 |
| Dec 1, 2023 | 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 | D · Potential harm Isolated | Corrected Jan 24, 2024 |
| Dec 1, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 24, 2024 |
| Dec 1, 2023 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | 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 Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0761 | Ensure 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. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | 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 | F · Potential harm Widespread | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 1, 2024 | Complaint |
| Dec 1, 2023 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | B · Minimal Pattern | Corrected Jan 1, 2024 | Complaint |
| Jun 8, 2022 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 11, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.23 (case-mix index 1.41).
| Indirect owner |
| 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| 38% |
| Jun 11, 2025 |
| Esther Treff | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jun 11, 2025 |
| David Fischer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 4, 2022 |
| David Fischer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2022 |
| Carla Shade | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 4, 2022 |
| 310 Pensacola Rd LLC | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | Mar 4, 2022 |
| 310 Pensacola Rd LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Brighton Management LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Ctnc Holdings LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| David Fischer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Zev Lefkowitz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Carla Shade | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Cynthia Treff | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 4, 2022 |
| Timothy Turbett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 13, 2023 |
| 140 |
| Aug 6, 2026 |
527 IJ3 harm1 open |
| $273k |
| River Bend Health and Rehabilitation 213 Richmond Hill Drive, Asheville, NC 28806 CCN 345432Abuse icon | 100 | Feb 26, 2026 | 747 harm2 open | $141k |