Macgregor Downs Health Center by Harborview

2910 Macgregor Downs Road · Greenville, NC · 27834 · 2527584121

152 certified beds For profit - Limited Liability company Chain: Harborview Health Systems

  • Inspection results have improved across recent cycles.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 47
Serious harm & abuse 20% 94
Staffing 20% 63
Federal penalties 15% 76
Trend 10% 81
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day2.98≈ weekday level
Nursing turnover / year55%median 45%
Fines (3-yr window)1 · $10,023

Inspection citations (36 in the current record)

  • Potential for harm · D April 30, 2026 · found via complaint

    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.

    Corrected May 28, 2026 · Resident Rights

  • Potential for harm · D April 30, 2026 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected May 28, 2026 · Resident Rights

  • Potential for harm · D February 13, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected March 13, 2025 · Resident Rights

  • Potential for harm · D February 13, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 13, 2025 · Resident Rights

  • Potential for harm · D February 13, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 13, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · D February 13, 2025

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

    Corrected March 13, 2025 · Nutrition and Dietary

  • Potential for harm · E February 13, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 13, 2025 · Nutrition and Dietary

  • Potential for harm · E February 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected March 13, 2025 · Infection Control

  • Potential for harm · D February 13, 2025 · found via complaint

    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.

    Corrected March 13, 2025 · Resident Rights

  • Potential for harm · D February 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 13, 2025 · Quality of Life and Care

  • No harm found · B February 13, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 13, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · K August 2, 2024 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected August 19, 2024 · Environmental

  • Potential for harm · D August 2, 2024 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 19, 2024 · Quality of Life and Care

  • Potential for harm · D December 22, 2023

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected January 24, 2024 · Resident Rights

  • Potential for harm · E December 22, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 24, 2024 · Nutrition and Dietary

  • Potential for harm · E December 22, 2023

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected January 24, 2024 · Administration

  • Potential for harm · D December 22, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected January 24, 2024 · Infection Control

  • Potential for harm · D December 22, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected January 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 22, 2023 · found via complaint

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected January 24, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 22, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected January 24, 2024 · Quality of Life and Care

  • No harm found · B December 22, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 24, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F January 26, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected February 22, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
August 2, 2024Fine$10,023

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345168 · certified since November 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.