Skilled nursing · Greenville, NC

Macgregor Downs Health Center by Harborview

2910 Macgregor Downs Road, Greenville, NC 27834

2 / 5CMS 152 bedsCapacity Apr 2026Inspected
PALMELLE

31

Below median

Federal · State

Serious issues

The Palmelle read

Worth a closer look. Macgregor Downs Health Center by Harborview carries a Palmelle Clarity Score of 31 out of 100, derived from federal CMS Care Compare data plus North Carolina state records. Health inspection rating sits at 2-star, staffing at 2-star, quality measures at 2-star. Long-stay antipsychotic prescribing is at 13.6 percent, in line with the 14 percent national median. Long-stay sedative prescribing is at 10.5 percent, below the 15 percent national median. RN coverage is 0.58 hours per resident per day. Nurse turnover 55 percent.

Generated by Palmelle · updated monthly · sources: federal CMS Care Compare, North Carolina DPH

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In their own words

No operator description yet.

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Services

What they offer.

Levels of care

Skilled nursing

Amenities

Operator has not yet shared amenities

What the data shows

The safety record, by the numbers.

Going right

5-star health inspection

Top federal score on the most recent inspection.

RN hours per resident, daily

This
0.58
National
0.78

Annual nurse turnover

This
55%
National
53%

Worth asking about

Antipsychotic, long-stay

This
13.6%
National
14%

Ask what behaviors the medication targets and what non-medication options were tried first.

Federal CMS + North Carolina state data

The full inspection record.

Federal CMS ratings

Overall★★★★★2 / 5
Health inspection★★★★★2 / 5
Staffing★★★★★2 / 5
Quality measures★★★★★2 / 5

Staffing

RN hours per resident, daily

This
0.58
Nat
0.78

Total nurse hours / resident, daily

This
3.54
Nat
3.62

Annual nurse turnover

This
55%
Nat
53%

Annual RN turnover

This
52%
Nat
47%

Quality measures · long-stay residents

Antipsychotic

This
13.6%
Nat
14%

Sedative / sleep med

This
10.5%
Nat
15%

Physical restraint

This
0.0%
Nat
1.1%

Falls with major injury

This
2.5%
Nat
1.6%

Penalties & status

No abuse iconNot special focusInspection current$10,023 in fines (1)

Identity & licensing

CMS ID345168
OwnershipFor profit - Limited Liability company
ChainIndependent
Beds152
Avg residents138
NC licenseOn file · #NH0271
State administratorJames P Carlone
State bed count152

Citations · last 36 months

  • Flagged by CMS data

    Unplanned weight loss rate is 12.4% — above the national median of about 6%. In long-stay facilities this is almost always a feeding-assistance failure: residents who need help eating aren't getting it, especially at dinner when staffing thins. Worth asking how dinner-hour staffing compares to lunch.

    From the latest CMS Care Compare reconcile

Sources: federal CMS Care Compare, North Carolina DPH · Last reconciled May 29, 2026

State record

North Carolina licensing.

License number

NH0271

License expires

12/31/2021

Licensed beds

152

Administrator

James P Carlone

Owner

Greenville Operating Company LLC

County

Pitt

NH-only beds

152

Source: North Carolina Department of Health · last scraped 2026-05-29

Questions families ask

Common questions.

What is the CMS rating for Macgregor Downs Health Center by Harborview?

Macgregor Downs Health Center by Harborview has an overall CMS Care Compare rating of 2 out of 5 stars. It scores 2 of 5 on health inspection, 2 of 5 on staffing, and 2 of 5 on quality measures. The overall rating averages these subscores with health inspection weighted more heavily.

Has Macgregor Downs Health Center by Harborview been cited for resident harm?

It has $10,023 in federal fines across 1 penalty on record in the last 36 months. CMS data flagged 1 concern on the latest reconcile. The full record for Macgregor Downs Health Center by Harborview appears in the record section above.

Does Macgregor Downs Health Center by Harborview use antipsychotic medications?

13.6 percent of long-stay residents at Macgregor Downs Health Center by Harborview are on antipsychotic medications, in line with the 14 percent national median (CMS measure 481). Sedative and sleep-medication use is near the national median at 10.5 percent. Medications can be appropriate, but they are also commonly used to manage dementia-related behaviors instead of staffing or non-medication approaches. Worth asking on a tour: what behaviors the medication targets and what non-medication options were tried first.

What is Macgregor Downs Health Center by Harborview's Palmelle Clarity Score?

Macgregor Downs Health Center by Harborview has a Palmelle Clarity Score of 31 out of 100, putting it below the national median. The score is a composite of federal CMS and North Carolina state inspection data. Higher is better.

How can I tour or contact Macgregor Downs Health Center by Harborview?

Macgregor Downs Health Center by Harborview is located at 2910 Macgregor Downs Road, Greenville, NC 27834. Phone: (252) 758-4121. Tour hours: contact facility for current schedule. If you would like a Palmelle senior placement advisor to compare this facility with two others on your shortlist and call them on your behalf, use Help Me Choose.

Is Macgregor Downs Health Center by Harborview a special focus facility?

Macgregor Downs Health Center by Harborview is not on the federal Special Focus Facility list, but it does have $10,023 in federal fines on record. See the penalties and status section above.

What does F-689 mean on Macgregor Downs Health Center by Harborview's record?

F-689 is a federal CMS deficiency code for inadequate supervision resulting in actual resident harm. If Macgregor Downs Health Center by Harborview has any active citations or CMS conflict flags, they appear with their details in the record section above, along with any operator response.

How does Macgregor Downs Health Center by Harborview compare to other Greenville skilled nursing facilities?

Macgregor Downs Health Center by Harborview holds a Palmelle Clarity Score of 31. Browse the full Greenville directory to compare more facilities by score, staffing, and inspection record.

Can Palmelle help with hospital discharge to skilled nursing at Macgregor Downs Health Center by Harborview?

Yes. Palmelle handles hospital discharge placement and emergency senior placement with a single Placement Specialist owning the case from intake to recommendation. Typical timeline: intake Monday, written recommendation Thursday, follow-up Friday. Call (888) 282-7256 to start, or use Help Me Choose for a comparison report on Macgregor Downs Health Center by Harborview and two other facilities on your shortlist.

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