State assisted-living licensing record · North Carolina DHSR · record as pulled October 1, 2026· Not the federal nursing home survey
Mitchell House
13681 Hwy 226 South, Spruce Pine, NC 28777 · Mitchell County · 80 licensed beds
DHSR facility ID 120180 · licence HAL-061-011 · licensed through December 31, 2026
The licence
Licensed by DHSR · Adult care home · managed by Mitchell House One, LLC
Licence details, as listed by DHSR
- Licensed as
- Adult care home
- Licence
- HAL-061-011
- Licence expires
- December 31, 2026
Position within North Carolina
20 citations — more than 85% of the 568 licensed assisted living facilities in North Carolina. Compared only within North Carolina: a citation from DHSR means what it means in North Carolina, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated
Not in this record
Severity, the regulation text, the surveyor's narrative, the star rating, and penalties. DHSR assigns no severity on these statements; the plan of correction is the facility's own text and is not republished, and the star rating and the penalties DHSR lists on the same page are not republished. What is here is unusual among states: DHSR's Construction Section inspects the building and its fire safety itself and posts those statements per home, so this record carries a real life safety section. Family care homes, two to six beds, are also licensed by DHSR and are not included.
Get an email about Mitchell House
One email when it happens, from the DHSR record as it is pulled each month. No account; stop it any time with one click.
Life safety and building citations
The citations about the building itself — fire and life safety, physical plant and emergency management. Usually the maintenance side’s to fix.
- C189 Building Equipment Maintained Safe, OperatingApril 22, 2025
- D079 Housekeeping and FurnishingsJune 20, 2024
- C133 Bathrooms-Hand GripsMay 30, 2024
- C135 Bathrooms-Not to Be Utilized for StorageMay 30, 2024
- C143 Janitor's Closets-LockedMay 30, 2024
- C154 Entrances/Exits-Wanderer AlarmsMay 30, 2024
- C164 Housekeeping and Furnishings-Clean, RepairedMay 30, 2024
- C166 Housekeeping-Maintained Free of HazardsMay 30, 2024
- C189 Building Equipment Maintained Safe, OperatingMay 30, 2024
- C191 Unvented & Portable Elec. Heaters ProhibitedMay 30, 2024
- C199 Exhaust VentilationMay 30, 2024
How that compares
Compared with the median licensed assisted living facility in North Carolina. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 20 |
| Median facility in North Carolina | 6 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| May 30, 2024 | Construction Section building and fire safety inspection | 9 |
| June 20, 2024 | annual inspection, complaint investigation, follow-up | 5 |
| September 5, 2024 | complaint investigation, follow-up | 3 |
| April 22, 2025 | Construction Section follow-up | 1 |
| September 18, 2025 | annual inspection, complaint investigation, follow-up | 2 |
What the citations cover
- Physical plant 10
- Medication 5
- Resident care 2
- Staffing and training 2
- Other 1
| Category | Citations |
|---|---|
| Physical plant | 10 |
| Medication | 5 |
| Resident care | 2 |
| Staffing and training | 2 |
| Life safety | 1 |
Every visit on file since October 2023
As published by DHSR, newest first, including visits that cited nothing. The wording is DHSR’s own.
September 18, 2025 — annual inspection, complaint investigation, follow-up, 2 citations
April 22, 2025 — Construction Section follow-up, 1 citation
| Tag | What DHSR checks |
|---|---|
| C189 | Building Equipment Maintained Safe, Operating |
September 5, 2024 — complaint investigation, follow-up, 3 citations
June 20, 2024 — annual inspection, complaint investigation, follow-up, 5 citations
May 30, 2024 — Construction Section building and fire safety inspection, 9 citations
| Tag | What DHSR checks |
|---|---|
| C133 | Bathrooms-Hand Grips |
| C135 | Bathrooms-Not to Be Utilized for Storage |
| C143 | Janitor's Closets-Locked |
| C154 | Entrances/Exits-Wanderer Alarms |
| C164 | Housekeeping and Furnishings-Clean, Repaired |
| C166 | Housekeeping-Maintained Free of Hazards |
| C189 | Building Equipment Maintained Safe, Operating |
| C191 | Unvented & Portable Elec. Heaters Prohibited |
| C199 | Exhaust Ventilation |
DHSR also holds 19 older citations for this facility from before October 2023, outside the 3-year window these pages use. They are on the state’s own record.
Reflects the DHSR record as pulled October 1, 2026. A recent visit may not appear yet. This is the North Carolina state licensing record; it is not the federal nursing home survey and the two are never combined.