The Greens at Hickory

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 74 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 71.8% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 78 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.19 therapist hours per resident per day in 2026Q1 — more than 19% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 150 beds and averages 114.0 residents a day — about 76% occupied, or roughly 36 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.44 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.33 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.31 hrs/resident/day on weekends vs 3.91 on weekdays — 15% thinner on weekends. RN hours go from 0.49 to 0.31 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 42% is about the same as the national median of 45%. 3 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2026-01-28 · tag F0658 — failed to meet professional standards of care — pattern
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews, and resident, family member, staff, and Medical Director interviews, the facility failed to ensure medications were administered as prescribed by the physician when Nurse #8 administered medications to Resident #83 prescribed for Resident #33 which included Metformin (an antidiabetic agent), Coreg (beta-blocker that affects the heart and circulation), Trazadone (an antidepressant), Melatonin (hormone that regulates sleep), Senna (plant-based product used as laxative) and Tizanidine (muscle relaxant). In addition, Nurse #6 administered medications to Resident #139 prescribed for Resident #23 which included Tylenol (an analgesic) and Buspar (an anti-anxiety medication). This deficient practice affected 2 of 6 residents reviewed for medication errors. The findings included: 1. Resident #83 was admitted to the facility on [DATE] with diagnoses that included diabetes mellitus, hypertension, constipation, restless leg syndrome, hallucinations and major depressive disorder. Review of Resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-28 · tag F0759 — failed to keep medication error rate low — pattern
  Ensure medication error rates are not 5 percent or greater.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record reviews and staff interviews, the facility failed to have a medication error rate of less than 5% as evidenced by 2 medication errors out of 28 opportunities, resulting in a medication error rate of 7.14% for 2 of 4 residents observed during medication administration (Resident #62 and Resident #112).The findings included:1. The manufacturer's instructions for prefilled Tresiba insulin pen indicated the pen contained long-acting insulin that was injected once daily subcutaneously in the thigh, abdomen or upper arm. Prime the pen with 2 units before each dose. Priming the pen (essential): turn the dose selector to 2 units, hold the pen with the needle up, tap gently, and press the button until the counter shows 0 and a drop of insulin appears. Resident #112's medical record revealed a physician order dated 12/06/25 for Tresiba insulin via pen injector, inject 20 units subcutaneously one time a day for diabetes mellitus. On 01/22/26 at 9:10 AM an observation was made of Nurse #5 preparing to administer insulin to Resident #112 via an insulin pen. The Nurse…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review and staff interviews, the facility failed to provide a dignified dining experience when the Speech Therapist (ST) stood in the hallway beside a dependent resident while assisting him during a meal 1 of 8 residents reviewed for dignity (Resident #70). The reasonable person concept was applied to this deficiency as individuals might feel a lack of dignity when staff assisted them in the hallway and when standing over them. Findings included:Resident #70 was admitted to the facility 11/23/22 with diagnoses including malnutrition and feeding difficulty. The significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #70 had severe cognitive impairment and required partial/moderate staff assistance with eating. A continuous observation of the lunch meal was conducted on 01/20/26 from 1:13 PM through 1:18 PM. Resident #70 was sitting in his wheelchair in the hall directly across from the nurse's station with his meal tray on an overbed table in front of him.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record reviews and staff interviews, the facility failed to obtain consent and inform the resident or responsible party in advance of the risks and benefits of psychotropic medications (any medication that affects behavior, mood, thoughts, or perception) prior to the initiation of the anticonvulsant and mood-stabilizing medication divalproex sodium for 3 of 6 residents reviewed for unnecessary medications (Resident #8, Resident #11, and Resident #16).The findings included:1. Resident #8 was admitted to the facility on [DATE] with diagnoses of unspecified dementia, psychotic mood disturbance and anxiety, depression, and anxiety disorder.An admission Minimum Data Set (MDS) dated [DATE] revealed Resident #8 was severely cognitively impaired. The MDS indicated Resident #8 received antianxiety, antidepressant, and antipsychotic medications on a routine basis during the 7-day look back period. A Psychiatric Nurse Practitioner progress note dated 12/16/25 indicated Resident #8 had increased aggressive behavior…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0578 — failed to honor advance directives / code status — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to have advanced directives accurate throughout the medical record for 2 of 2 residents reviewed for advanced directives (Resident #8 and Resident #32). The findings included: 1. Resident #32 was admitted to the facility on [DATE]. Resident #32's care plan initiated on 04/18/25 indicated Resident #32's health directive was a full code. Interventions included to call 911 immediately and to intercede rapidly and begin immediate resuscitative efforts utilizing all life-sustaining measures available if the resident's heart stops beating, or the resident stops breathing such as cardiopulmonary resuscitation, oxygen administration and defibrillation. The quarterly Minimum Data Set assessment dated [DATE] indicated Resident #32's cognition was intact. A review of Resident #32's medical record indicated a physician's order dated 01/12/26 for Do Not Resuscitate (DNR). On 01/20/26 at 3:20 PM a review of the advance directive binder at the nurses' station…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to have evidence that a request for an evaluation for a Level II Preadmission Screening and Resident Review (PASRR) was submitted for a resident with a newly identified diagnosis of a serious mental health disorder for 1 of 2 residents reviewed for PASRR (Resident #3).Findings included:Resident #3 was admitted to the facility on [DATE].Review of Resident #3's Level I PASRR dated 04/13/22.Review of Resident #3's list of cumulative diagnoses revealed active diagnoses of Post Traumatic Stress Disorder (PTSD) dated 03/14/24 and Major Depressive Disorder, Recurrent Severe without Psychotic Features dated 03/19/24.The annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #3 was not currently considered by the state Level II PASRR process to have a serious mental illness or intellectual disability. Resident #3's active psychiatric/mood disorder diagnoses included depression and PTSD. He received antidepressant medications during the MDS…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and staff interviews, the facility failed to complete thorough skin assessments to identify and obtain orders for the care of a reddened area on the right palm caused by the resident's middle fingernail extending 1/4 inch beyond the end of his finger and pressing into the palm of his hand for 1 of 3 residents reviewed for contracture care (Resident #24). The findings included:Resident #24 was admitted to the facility on [DATE] with diagnoses which included chronic obstructive pulmonary disease, diabetes mellitus, contracture of left hand, contracture of right hand and dementia.A physician order dated 01/30/24 specified a head-to-toe skin assessment every Tuesday on 3:00 PM to 11:00 PM shift. Review of Resident #24's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed he was severely cognitively impaired and required total assistance with all activities of daily living except eating for which he required partial to moderate assistance. The assessment also…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0804 — failed to serve food at safe, palatable temperature — isolated
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews with the Resident Council, staff and residents, the facility failed to provide a meal that was palatable in taste and temperature for 3 of 4 residents reviewed for palatable food (Resident #9, Resident #10, and Resident #23). The findings included:1.Resident #9 was admitted to the facility on [DATE].Resident #9's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 was cognitively intact.Review of facility provided grievance logs revealed Resident #9 filed a grievance on 07/02/25 regarding the presentation and appealing nature of the meal trays being served. Per the grievance, Resident #9 complained that there was excess liquid saturating the meal plates. The facility investigated the grievance and determined that there was excess liquid from the vegetables and indicated that vegetables would be served separately moving forward.An interview with Resident #9 on 01/20/26 at 12:15 PM revealed he had multiple concerns about the quality and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0808 — failed to follow doctor-ordered diets — isolated
  Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, record review, and interviews with the resident, Registered Dietitian (RD) and staff, the facility failed to follow the physician's diet order to provide double portions for 2 of 5 residents reviewed for nutrition (Resident #10 and Resident #2).Findings included: 1. Resident #10 was admitted to the facility 07/08/25 with a diagnosis including hypothyroidism (underactive thyroid). Resident #10 had a physician order dated 07/09/25 for a regular diet with double portions for weight management. A summary of the Registered Dietitian (RD) note dated 11/04/25 was as follows: Resident #10 was seen for a significant weight change and skin review. Resident #10 had a good appetite with his current diet order (regular, cardiac/no salt, double portions) and usually ate 75-100% of meals. The RD note further stated she added double portions to all meals for weight management and increased kilocalorie (unit of energy) intake and this helped stabilize Resident #10's weight. The care plan for nutrition last…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-28 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and staff interviews, the facility failed to maintain a complete and accurate medical record that included the medications given in error for 1 of 1 resident reviewed for accuracy of medical records (Resident #83).The findings included:Resident #83 was admitted to the facility on [DATE].Review of Resident #83's medical record revealed a Change in Condition form dated 11/06/25 and completed by the Director of Nursing (DON) which indicated that the form was being completed because of a medication variation on the night of 11/06/25. Resident #83's vital signs were taken after the medication variation at 10:14 PM and recorded as blood pressure 130/62 (normal range is between 120/80 and 90/60), pulse 66 (normal pulse is between 60 and 100 beats per minute), respiratory rate 18 (normal range is between 12 to 20 breaths per minute), temperature 98.2 (normal body temperature is between 97.0 and 99.0), oxygen saturation 94% (normal oxygen saturation level is between 95% and 100%) and blood glucose…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to CCH HEALTHCARE — 33 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 6 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 80% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.6M paid to related parties — landlords or management companies under common ownership — equal to about 12% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NC