Average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Greens At Weaverville during CMS and state inspections, most recent first.
Expired and improperly maintained food items were found in the kitchen and storage areas. A left-over container of cream soup was past the facility’s 7-day limit, cornmeal was past its use-by date, and unopened thickened liquids were stored past expiration. Surveyors also observed a dirty walk-in refrigerator fan cover and a juice dispenser nozzle with buildup, and the DQM stated the items had been overlooked or she did not know when they were last cleaned.
Failure to Check BP Before Metoprolol Administration: A resident with HTN and CHF received metoprolol despite an order to hold the medication if systolic BP was below 100. The nurse documented the dose as given without confirming a BP reading beforehand, and the resident’s BP was later recorded as 90/52. The NP confirmed the order required BP to be checked before administration, and the DON described the missed check as an oversight.
Failure to Provide Timely Incontinence Care: A resident with cognitive impairment, CKD, BPH, and frequent bowel and bladder incontinence was found wet in bed with urine-soaked clothing and linens, no brief on, and urine in a trash can. Staff reported they did not check for wetness during rounds, delayed changing him when urine odor was noted, and the resident later had red, macerated areas on his buttocks and lower back.
A resident's room contained a container of 70% rubbing alcohol and a container of cleaning degreaser beside the bed, despite the resident not being approved to have them there. The resident, who was cognitively intact and independent with transfers, said he brought the items in himself and had kept them in the room for months. Staff confirmed the items were not provided by the facility, and the DON stated they should have been locked up.
Failure to implement RD-recommended nutritional supplements for a resident with a stage 3 pressure ulcer, DTI, and venous/arterial wounds. The RD documented the resident was only meeting about 60% to 80% of estimated nutritional needs and recommended a daily nutritional drink plus a therapeutic protein powder BID, but no orders were entered. The NP agreed the supplements should have been started, and the DON stated she did not recall reviewing the recommendations and that transcription to the MAR was the Unit Manager's responsibility.
Expired flu vaccine and an undated open vial of TB skin testing solution were found in the 400 Hall med refrigerator during observation with the DON present. The DON confirmed six multi-dose flu vaccine vials were past the manufacturer expiration date and that the open Aplisol vial had no opened-on or use-by date, despite the expectation that multi-dose vials be dated when opened and discarded per manufacturer instructions.
A resident discharged from rehab while awaiting AL placement was sent to the receiving facility with an FL-2 that listed another resident’s meds and incorrect allergies. The SW copied meds from the wrong chart, the NP signed the form without fully reviewing it, and the AL facility used the FL-2 until the PCP identified the discrepancies and the resident’s meds were corrected.
Surveyors found that the facility did not remove expired and spoiled yellow squash from the walk-in refrigerator. The Dietary Manager, responsible for daily checks, overlooked the spoiled produce, which was discovered during an inspection. The Administrator confirmed that such food should have been discarded.
A resident with an adjustment disorder and a physician's order for quetiapine was not provided with a care plan addressing antipsychotic medication use. Although the resident's MDS showed antipsychotic administration and the order was present, staff confirmed the care plan omission occurred when the new order was missed during the IDT review.
The facility failed to maintain a clean kitchen environment, properly date opened food items, and adequately clean and sanitize ice scoops and holders. Observations revealed a sticky kitchen floor, undated nutritional supplements and shredded cheese, and an ice scoop in dirty water. The cleaning schedule was not effectively monitored, leading to potential risks for all residents.
The facility failed to complete PASRR Level II for two residents with mental health diagnoses. One resident had a diagnosis of bipolar disorder added without a corresponding PASRR Level II, and another resident's PASRR Level II was not completed despite a significant change in status. The Social Services Director identified communication breakdowns and the Administrator acknowledged system failures.
A resident with diabetes and a pressure ulcer experienced significant weight loss due to the facility's failure to provide a nutritional supplement and double protein as ordered by the RD. Observations and interviews revealed that the resident's meal tray did not include the required supplements, and communication issues within the facility's dietary order system contributed to the oversight.
Expired Food and Unsanitary Food Equipment Conditions
Penalty
Summary
Food was not stored, prepared, and maintained in accordance with professional standards in the kitchen and storage areas. During an observation in the walk-in refrigerator, a left-over container of cream soup was found on a food storage rack and was dated 7/12. The District Dietary Manager stated left-over foods were kept for a maximum of 7 days and that the cream soup should have been discarded by 7/18/26, but it had been overlooked by the weekend cook who checked storage dates. In the same refrigerator, the circulatory fan cover was observed with a buildup of clumpy debris that was moving while the fan was running, and the District Dietary Manager stated she did not know when it had last been cleaned. In the dry storage room, a container of cornmeal was found labeled with a date of 4/7/25 and a use-by date of 4/7/26, and 12 unopened containers of thickened liquid were also stored with an expiration date of May 2026. The District Dietary Manager stated the cornmeal should have been disposed of and that the thickened liquids were not rotated, were overlooked, and should have been discarded when they expired. In the main kitchen, the inside of the juice dispenser nozzle was observed with a multi-color buildup of gunk, and the District Dietary Manager stated the nozzle was supposed to be cleaned daily but she did not know when it had last been cleaned. The Administrator later stated the expired food should have been disposed of and the kitchen needed to be cleaned as scheduled.
Failure to Check Blood Pressure Before Administering Metoprolol
Penalty
Summary
The nursing facility failed to follow a physician’s order for Resident #136, who was admitted with diagnoses including hypertension and chronic systolic congestive heart failure and had severely impaired cognition. The order for metoprolol 12.5 mg daily included a parameter to hold the medication if the systolic blood pressure was less than 100. On 06/15/26 at 9:00 AM, Nurse #1 documented that the metoprolol was administered, but the resident’s vital signs record did not show a blood pressure reading at the time the medication was given, and there was no indication of when the vital signs were taken. The resident’s electronic vital signs record later showed a blood pressure of 90/52 at 10:47 AM that same day. During interview, Nurse #1 stated she typically checked vital signs before giving medications but could not confirm the blood pressure was checked before the metoprolol was administered, and said the low blood pressure was identified after the morning medications were given. The NP confirmed the order required blood pressure to be checked before administration and that she was notified when the blood pressure was 90/52. The DON stated that not checking the blood pressure before giving metoprolol was an oversight.
Failure to Provide Timely Incontinence Care
Penalty
Summary
The facility failed to provide incontinence care for a dependent resident who had diagnoses including chronic kidney disease, mild cognitive impairment, and benign prostatic hyperplasia. The resident’s care plan directed staff to assist with toileting and dressing as needed, check and change him on routine rounds, assist to the bathroom or provide incontinence care as needed, and keep his skin clean and dry. The quarterly MDS indicated frequent bowel and bladder incontinence, dependence for toileting hygiene and bathing, and substantial assistance needs for transfers and toileting transfers. During an observation, the resident was found in bed with a strong urine odor in the room. He stated he was wet and could not explain how long he had been wet. He was wearing sweat pants partially pulled down over his hips and was not wearing a brief or undergarment. His blanket, top sheet, sweat pants, draw sheet, and bottom sheet were wet and smelled of urine. No incontinence pad or used brief was seen in the bed or room, and a trash can beside the bed contained yellow liquid with the appearance of urine. The resident stated he did not know where his call bell was, and the call bell was observed clipped to the fitted sheet above his left shoulder and partly covered by the top sheet. Record review showed only one urinary entry overnight, documenting a continent urination. Staff interviews indicated the resident had been assigned to multiple nurse aides across shifts, and one aide stated she had been told in report that he used the toilet, did not like briefs, and sometimes urinated in a cup, but she did not check whether he was wet during rounds because of what she had been told. Another aide stated he had put a brief on the resident earlier in the evening but had not changed him when he smelled urine in the morning because briefs were not available at that moment and he planned to change him later. The nurse confirmed the resident was wet through his clothing and bedding, that urine was in the trash can, and that the resident had red marks on his buttocks and lower back consistent with maceration when he was later assisted to the bathroom for toileting and incontinence care.
Unsafe Chemicals Left in Resident Room
Penalty
Summary
The facility failed to keep a resident's room free from accident hazards when a container of 70% rubbing alcohol and a container of cleaning degreaser were found beside Resident #64's bed behind the trash can. Resident #64 was admitted with diagnoses including type 2 diabetes and chronic kidney disease, and his annual MDS coded him as cognitively intact, independent with transfers, and always continent of bowel and bladder. His care plan, last revised on 7/3/26, identified a self-care performance deficit with supervision needed for bathing and using stairs, and included using the call bell for assistance. On 7/20/26, survey observations found both containers in the resident's room while he was not present, and the items remained in place during a later observation the same day. A nurse verified the items as rubbing alcohol and degreaser cleaner and stated they were not provided by the facility and were not supposed to be in the room. The assigned nurse stated she had been in the room earlier and had not seen the containers, and the resident stated he had brought the rubbing alcohol into the facility and had kept both items beside his bed for months without telling staff. The DON stated the items should have been locked up and the resident was not approved to have them in his room, and the Administrator stated the facility did daily rounds and the items should have been reported by staff.
Failure to Implement RD-Recommended Nutritional Supplements
Penalty
Summary
The facility failed to implement nutritional supplements recommended by the RD for a resident with multiple wounds. Resident #136 was admitted with a stage 3 sacrum pressure ulcer, a left heel deep tissue injury, and non-pressure chronic venous/arterial ulcers of both legs. The care plan identified the resident as at risk for malnutrition related to dementia, pressure ulcer wounds, and non-pressure wounds, and the admission MDS showed severe cognitive impairment, supervision assistance with eating, one stage 3 pressure ulcer, one deep tissue injury present on admission, and four venous/arterial ulcers. The RD evaluated the resident and documented that she was meeting only about 60 to 80% of estimated nutritional needs. The RD recommended a 120 ml daily nutritional drink supplement and a therapeutic nutritional powder twice daily to provide additional calories and meet 100% of nutritional needs. Review of physician orders showed no order for either supplement. During interviews, the RD stated the recommendations were emailed to facility leadership, the NP confirmed the supplements should have been put in place, and the DON stated she did not recall reviewing the recommendations and that it was the Unit Manager's responsibility to ensure they were transcribed to the MAR.
Expired Vaccines and Undated Open TB Solution in Medication Refrigerator
Penalty
Summary
The facility failed to discard six expired 5 mL multi-dose vials of influenza vaccine stored in the 400 Hall medication refrigerator. During observation with the DON present, the six boxed vials were found with a manufacturer expiration date of 6/30/26, and the DON confirmed they were expired. She stated nurses were supposed to routinely check the medication refrigerator and remove expired medications, but the flu vaccines had probably been missed. The facility also failed to date an open 1 mL multi-dose vial of Aplisol TB skin testing solution in the same medication refrigerator. The vial had no cap on the rubber stopper, no opened-on or use-by date on the box or vial, and the solution was about 2/3 full. The DON confirmed the vial appeared to have had doses removed and stated nurses were supposed to date multi-dose vials when opened and discard unused solution according to manufacturer instructions; she also stated TB solution was supposed to be discarded 30 days after opening and that without an opened-on date it would not be known when the vial had been open for 30 days.
Incorrect FL-2 Medication List Sent to Assisted Living
Penalty
Summary
The facility failed to provide an accurate medication list on an FL-2 sent to an assisted living facility for a resident who had been discharged home while waiting for assisted living placement. The resident had been admitted for short-term rehabilitation after a surgical amputation of the right second toe and had diagnoses including Alzheimer's dementia, essential hypertension, and hyperlipidemia. His discharge instructions included a current medication summary signed by the responsible party and listed medications such as acetaminophen, donepezil, escitalopram, famotidine, fenofibrate, losartan, melatonin, memantine, and nystatin powder, with allergies to hydrochlorothiazide and Tricor. The FL-2 completed by the facility social worker and signed by the NP contained a different medication list that did not match the resident's discharge medications. The FL-2 listed medications such as anastrozole, apixaban, aspirin, atorvastatin, bupropion, diazepam, furosemide, metoprolol, sacubitril-valsartan, tramadol, acetaminophen 500 mg, vitamin B12, and vitamin D3. The additional information section also contained handwritten hydrochlorothiazide and flagyl, and the attached medication order summary belonged to another resident. The social worker stated she mistakenly copied medications from another resident's electronic record onto this resident's FL-2 and emailed the incorrect form to the assisted living facility. Interviews showed the nurse who completed the discharge did not see the FL-2 and only reviewed the discharge medication list with the responsible party. The NP confirmed signing the FL-2 but did not remember reviewing it and stated the anastrozole entry would have been a red flag. The assisted living DON stated the facility used the FL-2 it received and later learned of medication discrepancies from the resident's PCP. The PCP reported the resident had been taking the wrong medications and that the abrupt medication changes involved stopping stable dementia and mood medications and starting multiple new medications at once. The consultant pharmacist and pharmacist supervisor reviewed the medication differences and noted several mismatches, including diazepam, apixaban, and the dementia medications, while the administrator stated she was unaware of the error until it was brought to her attention.
Expired and Spoiled Food Not Removed from Storage
Penalty
Summary
Surveyors observed that the facility failed to remove expired and spoiled food from storage in the walk-in refrigerator. During an inspection with the Dietary Manager (DM), a box of yellow squash dated 7/9 was found beneath another box dated 7/14. The squash from 7/9 exhibited dark, splotchy, and sunken areas, was not firm to the touch, and one piece was broken and mushy. The DM acknowledged that the squash should have been discarded and stated it was his responsibility to check all food storage areas daily, but he had overlooked the spoiled squash during his check earlier that day. The Administrator confirmed that expired or spoiled food should have been discarded.
Failure to Care Plan Antipsychotic Medication Use
Penalty
Summary
The facility failed to develop and implement a care plan for a resident who had a physician's order for an antipsychotic medication. The resident was admitted with a diagnosis that included adjustment disorder and was assessed as cognitively intact. The admission Minimum Data Set (MDS) indicated the resident had received an antipsychotic during the look-back period, and a physician's order for quetiapine fumarate was documented. Despite this, a review of the resident's care plan showed no care plan addressing the use of antipsychotic medication. Interviews with staff confirmed that the antipsychotic order was not incorporated into the care plan, as it was missed during the interdisciplinary team (IDT) meeting where new orders are reviewed.
Sanitation and Food Labeling Deficiencies
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment, as evidenced by observations of the kitchen floor covered with a black substance and sticky residue, which persisted over multiple observations. Additionally, food and other debris were found underneath and around food prep tables. The facility also failed to properly date opened nutritional supplements and food items in the 300-nourishment room refrigerator, and an ice scoop was found in a container with water containing black and brown specks. The ice scoop was not properly cleaned and sanitized, and the responsibility for maintaining the ice carts was unclear between the kitchen and nursing staff. Furthermore, an opened bag of shredded cheese in the walk-in refrigerator was not dated, and the Dietary Manager acknowledged that the cheese was used for meal preparation without proper dating. The cleaning schedule for the kitchen was not effectively monitored, as tasks were assigned to job roles rather than individual staff members, and the cleaning list was not signed or marked upon completion of tasks. The District Food Service Manager, Dietary Aide, and Director of Nursing provided conflicting accounts of the procedures for maintaining cleanliness and sanitation of the ice carts and nourishment rooms. The Administrator acknowledged that a performance improvement project had been initiated to address proper dating and labeling of food, but audits revealed ongoing issues. The lack of proper dating and labeling of food items, along with inadequate cleaning and sanitation practices, had the potential to affect the quality of food served to all residents in the facility.
Failure to Complete PASRR Level II for Residents
Penalty
Summary
The facility failed to ensure a Preadmission Screening and Resident Review (PASRR) Level II was completed for two residents reviewed for PASRR. Resident #80 was originally admitted to the facility and later readmitted with a diagnosis of bipolar disorder added to her medical record. However, there was no PASRR Level II completed for this diagnosis. The Social Services Director (SSD) acknowledged the absence of PASRR information in Resident #80's medical record and identified a communication breakdown with the psychiatric provider as the cause. The Minimum Data Set (MDS) Coordinator confirmed that the psychiatric provider was supposed to communicate new mental health disorder diagnoses to the Social Worker, who would then apply for a PASRR Level II. The Administrator admitted to a system failure and stated that a full audit of all residents was being conducted to address the issue. Resident #86 was readmitted to the facility with diagnoses of anxiety disorder and bipolar disorder. The admission Minimum Data Set (MDS) indicated that Resident #86 was moderately cognitively intact and displayed no behaviors. The SSD found that the PASRR for Resident #86, dated September 7, 2023, indicated no further screening was required unless a significant change occurred. However, the SSD later acknowledged that a PASRR Level II should have been completed back on that date. The Administrator was unable to provide specific details about the PASRRs but confirmed that the SSD was diligently reviewing all PASRRs to ensure their accuracy.
Failure to Provide Nutritional Supplements as Ordered
Penalty
Summary
The facility failed to provide a nutritional supplement and double protein as ordered by the Registered Dietitian (RD) for a resident diagnosed with diabetes and a pressure ulcer. The resident, who was alert and cognitively intact, experienced significant weight loss over several months. Despite a physician's order for double protein and fortified pudding to address the resident's malnutrition risk, these items were not provided. Observations revealed that the resident's meal tray did not include the required supplements, and the lunch ticket was incorrect. Interviews with the RD, Medical Director (MD), and other staff confirmed the oversight and highlighted communication issues within the facility's dietary order system. The RD acknowledged the error and noted that the fortified pudding and double protein were intended to increase the resident's caloric intake due to weight loss and a pressure ulcer. The MD and Unit Manager were unaware of the specific dietary orders, and the Dietary District Manager (DDM) confirmed that an email regarding the diet order was not received, leading to the incorrect meal ticket. The facility's Director of Nursing (DON) mentioned that a weekly meeting to review residents with weight loss issues was missed due to an ongoing survey, which could have identified the diet order change. The Administrator stated that the facility would review the system to ensure dietary orders are not missed in the future.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 121 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Weaverville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Emerald Ridge Health And Rehabilitation | 4.1 mi | ★★★★★ | 19 | 1 |
| Bear Mountain Health And Rehabilitation | 4.8 mi | ★★★★★ | 5 | 0 |
| River Bend Health And Rehabilitation | 6.3 mi | ★★★★★ | 4 | 0 |
| Elderberry Health Care | 7.9 mi | ★★★★★ | 3 | 0 |
| Elevate Health And Rehabilitation | 8.8 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.