The Greens at Maple Leaf
1101 Maple Care Lane, Statesville, NC 28625 · CCN 345340
Ratings
- Overall
- ★★★☆☆ 3
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 94
- Avg residents/day
- 85.6
- Phone
- 7048710705
Inspection history vs North Carolina & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Carolina avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-07-03 | 4 | 5.6 | 9.5 | -1.6 better |
| 2 | 2024-05-15 | 6 | 7.2 | 9.8 | -1.2 better |
| 3 | 2023-03-01 | 12 | 7.4 | 9.3 | +4.6 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.98 | 32.1% |
| RN staffing (reported) | 0.42 | 33.3% |
| Total nurse staffing (adjusted) | 4.15 | — |
Fines & penalties
- Total fines
- $23,835
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- CCH HEALTHCARE
- Facilities in chain
- 32
- Chain avg overall
- 2.50 / 5
Inspection citations (22)3 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-22 · Health
Actual harm
- DF0641Ensure each resident receives an accurate assessment.2025-07-03 · Health · corrected 2025-07-10
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-07-03 · Health · corrected 2025-07-10
Potential for more than minimal harm
- EF0761Ensure 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.2025-07-03 · Health · corrected 2025-07-10
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-15 · Health · corrected 2024-05-22
Actual harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-15 · Health · corrected 2024-05-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-15 · Health · corrected 2024-04-25
Potential for more than minimal harm
- DF0761Ensure 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.2024-05-15 · Health · corrected 2024-05-22
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-15 · Health · corrected 2024-05-22
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-05-15 · Health · corrected 2024-05-22
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0578Honor 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.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-03-01 · Health · corrected 2023-03-24
Actual harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-03-01 · Health · corrected 2023-03-24
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BYNC HOLDINGS LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 |
| 10-26 NATIONWIDE TR | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 |
| CAPITAL HOLDINGS TRUST | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 |
| STARLIGHT HEALTHCARE, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 |
| JEREMIAS, BARUCH | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 |
| STERN, JACOB | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2022-07-01 |
| JEREMIAS, BARUCH | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| STERN, JACOB | Individual | CORPORATE DIRECTOR | — | 2022-07-01 |
| STERN, JACOB | Individual | CORPORATE OFFICER | — | 2022-07-01 |
| AFTON, MEGAN | Individual | W-2 MANAGING EMPLOYEE | — | 2022-07-01 |
Other facilities in Statesville
| Name | Overall | Beds |
|---|---|---|
| Autumn Care of Statesville | ★★★☆☆ | 103 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.