Pricing ranges from
    $3,969 – 5,159/month

    Mitchell House

    13681 NC-226, Spruce Pine, NC 28777
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Highly recommended compassionate memory care

    I placed my mom in their memory care and have been very pleased. The staff - CNAs, nurses, housekeeping and hospice - are friendly, responsive and genuinely caring. The facility is clean, home-like and attractive with comfortable rooms, a porch and nice common areas; the meals are excellent and residents socialize well. Visitation was handled sensitively after COVID. I would confidently recommend this as a very good option for memory care.

    Loved one of resident
    Jul 2026

    Pricing

    Prices shown are estimates and subject to change. Contact your senior living advisor for current pricing.

    Schedule a Tour

    Date of Tour
    Time Window
    Tour Type

    You selected in-person tour on in the

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Memory care community services

    • Mild cognitive impairment
    • Specialized memory care programming

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.48·(25)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.6
    • Staff

      3.8
    • Meals

      4.6
    • Amenities

      4.3
    • Value

      3.0

    Pros

    • Attentive, compassionate nursing and caregiving staff
    • Clean, well-ventilated common areas
    • Nutritious, appealing meals and communal dining
    • Newly renovated wings and attractive decor
    • Private, spacious resident rooms with ample closet space
    • Assistance with laundry, grooming, and activities of daily living
    • Memory care and assisted living continuum
    • Outdoor seating and porch interaction opportunities
    • Housekeeping and hospice coordination
    • Homelike amenities (library, fireplace, TV room, rec room)
    • Convenient location and easy navigation
    • Structured therapy services (nurses and therapists available)

    Cons

    • Inconsistent staffing levels
    • Inconsistent personal-care and hygiene practices
    • Gaps in pressure-injury prevention and repositioning protocols
    • Variability in unit-level maintenance and furnishings
    • Uneven quality between memory-care and assisted-living units
    • Management professionalism and responsiveness
    • Delays and gaps in family communication and care coordination
    • Slow administrative and financial resolution processes
    • Roommate compatibility and shared-room challenges
    • Activities not consistently tailored to residents with advanced cognitive impairment
    • Allegations of staff misconduct and theft

    Summary of reviews

    The reviews present a mixed but informative picture of the facility. Many families and residents describe a clean, attractive environment—particularly in newer wings—paired with welcoming common spaces such as a library, fireplace, TV room, and outdoor seating. Dining is repeatedly cited as a strength: meals are described as nutritious and enjoyable, with communal dining and snack availability contributing to social interaction. Private rooms are often noted as roomy with good storage and accessibility features, and therapists and nursing staff are available for structured care needs.

    Care and staffing elicit split impressions. Numerous accounts praise attentive, compassionate caregiving staff, round-the-clock coverage, and helpful support for activities of daily living (laundry, grooming, bathing assistance, and therapy). At the same time, there are recurring concerns about inconsistent staffing levels and uneven personal-care practices. Specific operational gaps implied by reviewers include irregular bathing and dressing assistance, delays in attending to continence needs, and intermittent failures in pressure-injury prevention or turning schedules. These issues appear to be more pronounced in higher-dependency or dementia units, where some families felt the level of care did not match residents’ needs.

    Activity programming and social engagement are generally available and appreciated, but there is variability in appropriateness for residents with advanced cognitive impairment. While many residents participate in dining and group activities, a few families noted that certain activities can be upsetting to individuals with more advanced dementia, suggesting a need for more consistently tailored programming. Memory-care services are offered on-site, yet reviewers describe uneven quality between memory-care and assisted-living areas; some families were very satisfied with memory-care support, while others experienced challenges in that unit.

    Facility condition and management present a contrast across reviews. Several comments highlight newly renovated, well-maintained wings and responsive resolution of minor issues; others describe older sections with dated furnishings and maintenance needs. Management responsiveness appears variable: some reviewers praise prompt attention to concerns, whereas others raise issues about managerial professionalism, delayed communications with families, and slow administrative or financial processes (including refund handling). There are also serious allegations in a limited number of accounts concerning staff misconduct and theft; these are significant and warrant direct inquiry by prospective families.

    Overall pattern and guidance: prospective residents and families are likely to find strong points in the facility’s dining program, communal environment, and caring staff in many units—particularly in newer or renovated areas. However, variability in staffing consistency, personal-care routines, pressure-injury prevention, and unit maintenance suggests the facility’s operational performance can differ by unit and by shift. When evaluating placement, consider asking for current staffing ratios for the intended unit, documentation of pressure-injury prevention and repositioning protocols, sample activity schedules tailored for different cognitive levels, roommate-matching policies, recent inspection or incident records, and timelines for administrative concerns such as refunds. Direct observation during multiple times of day and conversations with unit-level staff and families can help clarify whether the facility’s strengths align with a prospective resident’s specific care needs.

    Reviews written on Mirador

    We have no reviews to show about Mitchell House.

    Help other families by writing a review about your experience with this community.

    Location

    Map showing location of Mitchell House

    Mitchell House is located at 13681 NC-226, Spruce Pine, NC, 28777.

    About Mitchell House

    Mitchell House is a senior living community dedicated to supporting individuals in Spruce Pine, North Carolina with an environment where residents can truly live their best life. Nestled in a quaint setting, Mitchell House offers high-quality care with a focus on both assisted living and memory care. The community takes pride in providing a home-like atmosphere, where every resident is treated like family and receives personal care that is tailored to their specific needs. This individualized approach ensures that each person’s unique preferences and requirements are addressed, fostering a sense of comfort, dignity, and belonging.

    The philosophy at Mitchell House centers on holistic well-being, recognizing that vibrant senior living goes beyond meeting daily needs. Diet and nutrition are prioritized as foundational elements of good health, with an understanding that a well-balanced approach can profoundly affect physical health and overall vitality. Residents have access to thoughtfully curated resources and programs aimed at supporting their wellness, independence, and happiness. From guidance on nutrition to the incorporation of non-pharmacological approaches for managing chronic pain, such as physical therapy and rehabilitation, Mitchell House empowers its residents to thrive and maintain their independence as much as possible.

    Life at Mitchell House is enriched by a nurturing community spirit and a staff committed to recognizing and celebrating the individuality of each resident. Gift ideas and activities are thoughtfully considered to foster engagement and joy, particularly during the holidays and special occasions. The focus remains on providing meaningful experiences and practical support that uplift daily living. With a dedication to creating a safe and vibrant environment, Mitchell House is a place where seniors can truly feel at home and embraced by a community that values each moment of their journey.

    About ALG Senior

    Mitchell House is managed by ALG Senior.

    ALG Senior, originally founded as Affinity Living Group in 1996 by Charles Trefzger, stands as one of the most significant senior living providers in the United States. Headquartered in Hickory, North Carolina, the company has grown from its humble beginnings to become the tenth largest provider of assisted living nationwide, the seventh largest provider of Alzheimer's and memory care services, and the largest senior housing operator in the southeastern United States. The company operates approximately 58-66 communities throughout the southeastern United States, with a primary geographic concentration in North Carolina, South Carolina, Virginia, Georgia, and Alabama.

    People often ask...

    Mitchell House offers competitive pricing, with rates starting at a cost of $3,969 per month.

    Mitchell House offers assisted living, memory care, and skilled nursing.

    There are 34 photos of Mitchell House on Mirador.

    The full address for this community is 13681 NC-226, Spruce Pine, NC 28777.

    No, Mitchell House does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Carolina, the Division of Health Service Regulation licenses adult care and assisted living facilities, posting annual, complaint, and follow-up inspection results.

    License number120180
    Facility typeAdult Care Home
    Capacity80 residents
    View the official license record

    Inspection Reports

    34

    Reports

    16

    Type A Citations

    10

    Type B Citations

    17

    Complaints

    11

    Years

    18 Sept 2025Follow-Up
    Investigated deficiencies in medication administration and documentation, including missing PCP notifications and improper eMAR entries over several months.
    • Medication administration oversight
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    18 Sept 2025Follow-Up
    Investigated a complaint and found failures in referral and follow-up for residents' routine and acute health care needs, and failures to administer medications as ordered.
    • 10A NCAC 13F .0902(b)Health Care - Referral and Follow-Up
    • 10A NCAC 13F .1004 (a)Medication Administration
    22 Apr 2025Follow-Up
    Observed deficiencies in the building's physical plant: an air handling unit motor was missing and the sprinkler drain was discharging water.
    • 10A NCAC 13F .0311Other Requirements (Physical Plant)
    • 10A NCAC 13F .0311Other Requirements (Physical Plant)
    22 Apr 2025Follow-Up
    Identified new deficiencies in the mechanical system and sprinkler system that require correction.
    • Type A10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    • Type A10A NCAC 13F .0311PHYSICAL PLANT - Other Requirements
    22 Apr 2025Follow-Up
    Identified deficiencies in building equipment safety and operation; a new Plan of Correction was required.
    • Type A10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    05 Sept 2024Follow-Up
    Found deficiencies in competency evaluation and validation for LHPS tasks. Also identified medication administration and MAR/documentation issues.
    • 10A NCAC 13F .0504(a & b)Competency Evaluation and Validation For Licensed Health Professional Support Tasks
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(j)Medication Administration
    05 Sept 2024Follow-Up
    Investigated deficiencies found with staff competency validation, and gaps in medication administration and resident monitoring.
    • 10A NCAC 13F .0504(a) & (b) Competency Eval & Validation For LHPS TasksLHPS competency evaluation and validation
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    • 10A NCAC 13F .1004(j) Medication AdministrationMedication Administration
    20 Jun 2024Follow-Up
    Investigation identified failures in housekeeping for the SCU, staff competency validation, medication administration, and SCU staffing levels.
    • 10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    • 10A NCAC 13F .0504(a & b)Competency Evaluation and Validation For LHPS Tasks
    • 10A NCAC 13F .1004(a)Medication Administration
    • 10A NCAC 13F .1004(i)Medication Administration
    • Type B10A NCAC 13F .1308Special Care Unit Staff
    20 Jun 2024Follow-Up
    Found multiple deficiencies in housekeeping, staffing, competency validation, and medication management during the investigation.
    • Type A10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings
    • Type A10A NCAC 13F .0504 (a & b)Competency Eval & Validation For LHPS Tasks
    • Type A10 NCAC 13F .0306(a)(5)Medication Administration/Documentation
    • Type A10 NCAC 13F .0306(a)(5) or similarMedication Administration/Documentation
    • Type A10A NCAC 13F .0504 (a&b)Staff Competency / LHPS Tasks
    • Type AStaffing and Resident Care
    27 Sept 2023Follow-Up
    Found that destruction of controlled substances was not witnessed by a licensed pharmacist, dispensing practitioner, or designee as required.
    • 10A NCAC 13F .1008 (c & d)Controlled Substances disposal/destruction
    27 Sept 2023Follow-Up
    Investigated the destruction of controlled substances; found destruction was not witnessed by a licensed pharmacist or designee and documentation was inadequate.
    • 10A NCAC 13F .1008 (c & d) Controlled SubstanceControlled Substances
    14 Aug 2023Follow-Up
    Investigated case found multiple deficiencies related to fall prevention, incident reporting, and staff background checks, with gaps in documentation and follow-up on residents' incidents and safety concerns.
    • Continued From page 1
    • Continued From page 3
    • Continued From page 18
    • Continued From page 25
    • Continued From page 28
    14 Aug 2023Follow-Up
    Investigated multiple programmatic and care deficiencies, including improper staff background checks, inadequate resident supervision leading to falls, mismanagement of medications and alcohol, and failures in reporting accidents, incidents, and guardian notifications.
    • 10A NCAC 13F .0407(a)(5)Other Staff Qualifications
    • A210A NCAC 13F .0901(b)Personal Care and Supervision
    • A210A NCAC 13F .0902(b)Health Care
    • A110A NCAC 13F .0909Resident Rights
    • A210A NCAC 13F .1004(a)Medication Administration
    • B10A NCAC 13F .1008(h)Controlled Substance
    • A210A NCAC 13F .1205Health Care Personnel Registry
    • A210A NCAC 13F .1212(b)(c)Reporting of Accidents and Incidents
    • A210A NCAC 13F .1212(e)Reporting of Accidents and Incidents
    12 Jun 2023Complaint
    Found multiple deficiencies in staffing, medication staff qualifications, diet planning and documentation, and resident care planning.
    • null10A NCAC 13F.0403(a)Qualifications of Medication Staff
    • Type A10A NCAC 13F .0604(e)(1)(A)(B)(C)Personal Care and Other Staffing
    • null10A NCAC 13F.0904(c)(3)Nutrition and Food Service
    • null10A NCAC 13F.1106(f)Settlement of Cost of Care
    • Type B10A NCAC 13F.0901(b)Personal Care and Supervision
    12 Jun 2023Complaint
    Identified deficiencies across medication staff qualifications, night shift staffing, resident supervision, nutrition recordkeeping, and settlement of funds after death. Noted significant staffing and supervision issues with wandering residents.
    • 10A NCAC 13F .0403(a)Qualifications Of Medication Staff
    • 10A NCAC 13F .0604 (e)(1)(A)(B)(C)Personal Care And Other Staffing
    • 10A NCAC 13F .0901(b)Personal Care and Supervision
    • 10A NCAC 13F .0904 (c)(3)Nutrition And Food Service
    • 10A NCAC 13F .1106 (f)Settlement Of Cost Of Care
    • 10A NCAC 13F .1308(a)Special Care Unit Staff
    24 Nov 2021Follow-Up
    Investigated; found failures to ensure referrals for acute health care needs and to notify physicians when care was refused or vital signs were out of range, along with medication documentation errors.
    • Type B10A NCAC 13F .0902(b) Health CareHealth Care
    • 10A NCAC 13F .1004(j) Medication AdministrationMedication Administration
    • G.S. 131D-21(2) Declaration of Residents' RightsDeclaration of Residents' Rights
    24 Nov 2021Follow-Up
    Found deficiencies in medication management and residents' rights, including undocumented refusals, incomplete MAR entries, and failures to inform and coordinate with physicians.
    • Type B10A NCAC 13F .0902(b) Health Care (Unabated Type B Violation)Healthcare (Unabated Type B Violation)
    • Type BG.S. 131D-21 Declaration of Residents' RightsDeclaration of Residents' Rights
    • Type B10A NCAC 13F .1004(i) Medication AdministrationMedication Administration
    20 Aug 2021Follow-Up
    Multiple deficiencies were identified regarding residents' rights, medication management, and therapies, including failure to ensure timely physical therapy for a resident and lapses in medication cart audits.
    • Therapy evaluation and treatment deficiency
    • 10A NCAC 13F .1004(a)Medication Administration
    • Medication cart management
    • G.S. 131D-21(2)Residents' Rights
    01 Sept 2020Complaint
    Investigated a complaint and identified deficiencies in feeding assistance and COVID-19 infection control, including improper glove use and inconsistent visitor screening.
    • 10A NCAC 13F .0904(f)(2)Nutrition and Food Service
    • 10A NCAC 13F .0909Resident Rights
    06 Feb 2019Follow-Up
    Identified multiple deficiencies affecting safety and maintenance. These included unclean ventilation components, unsafe fire safety measures, and nonfunctional exhaust ventilation.
    • 10A NCAC 13F .0306HOUSEKEEPING AND FURNISHINGS
    • 10A NCAC 13F .0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311Exhaust Ventilation
    06 Feb 2019Follow-Up
    Identified unsafe maintenance conditions including unclean mechanical systems, incomplete firestopping around cables, and nonworking exhaust ventilation in multiple areas.
    • Type A10A NCAC 13F.0311Housekeeping and Furnishings-Clean, Repaired
    • Type AFirestopping - incomplete
    • Type AExhaust Ventilation
    29 Nov 2018Construction
    Observed multiple life-safety and physical-plant deficiencies during a biennial survey, including obstructed corridors, unsafe storage of oxygen cylinders, damaged doors, inoperable ventilation, and use of portable heaters in restricted spaces.
    • 10A NCAC 13F .0305(g)(4)Corridors-free of equipment and obstructions
    • 10A NCAC 13F .0306Housekeeping and furnishings; clean and in repair
    • 10A NCAC 13F .0306(a)(5)Housekeeping-maintained free of hazards
    • 10A NCAC 13F .0309Plan for evacuation; fire drill rehearsals
    • 10A NCAC 13F .0311Other Requirements; building equipment maintained safe, operating
    • 10A NCAC 13F .0311(b)(2)Unvented & portable electric heaters prohibited
    • 10A NCAC 13F .0311(g)Exhaust ventilation
    29 Nov 2018Construction
    An inspection identified multiple deficiencies in the physical plant and safety systems, including obstructed corridors, incomplete fire-safety rehearsals, and ventilation/exhaust issues across several areas.
    • 10A NCAC 13F .0305(g)(4)Corridors-free of equipment and obstructions
    • 10A NCAC 13F .0305(g)(4)Corridors-free of equipment and obstructions
    • 10A NCAC 13F .0305(g)(4)Corridors-free of equipment and obstructions
    • 10A NCAC 13F .0309 Plan for EvacuationFire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F .0309 Plan for EvacuationFire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F .0311 Other RequirementsExhaust Ventilation
    25 Apr 2018Follow-Up
    Investigated and found two residents with mechanical soft orders received meals not prepared as ordered, including onions and celery in potato salad contrary to the diet guidelines.
    • 10A NCAC 13F .0904(e)(4)Nutrition and Food Service
    25 Apr 2018Follow-Up
    Verified a deficiency in dietary management; meals for residents with special diets were not consistently prepared according to diet orders and staff did not fully follow therapeutic diet instructions.
    • Dietary requirements not followed
    11 Jan 2018Inspection
    Found deficiencies related to supervision and care, including residents smoking electronic cigarettes indoors without adequate monitoring, plus failures to follow a physician order and dietary requirements.
    • Type B10A NCAC 13F .0901(b)Personal Care and Supervision
    • 10A NCAC 13F .0902(c)(3-4)Health Care
    • 10A NCAC 13F .0904(e)(4)Nutrition and Food Service
    • G.S. 131D-21(2)Declaration of Residents' Rights
    11 Jan 2018Inspection
    Identified multiple deficiencies related to supervision, diet and medical supplies, showing noncompliant practices during the inspection period. The findings indicate failures in resident supervision, meal/diet administration, and distribution of medical aids.
    • Type BInitial deficiency (unclassified) – TYPE B VIOLATION
    • Type B10A NCAC 13F.0901(b) Personal Care and SupervisionPersonal Care and Supervision
    • Medication/Equipment Provision Deficiency
    • Diet/Nutrition/ Meal Service
    • Residents’ Rights and Rules Compliance
    01 Mar 2017Follow-Up
    Identified deficiencies in the building's physical plant, including doors that fail to latch and a staff lounge door wedged open.
    • 10A NCAC 13F.0302PHYSICAL PLANT - DESIGN AND CONSTRUCTION
    01 Mar 2017Follow-Up
    Identified deficiencies in sanitation records, fire drill documentation, and door safety. Some deficiencies remained uncorrected.
    • 10A NCAC 13F .0302(f)Must Have Current Sanitation and Fire Safety Reports
    • 10A NCAC 13F .0309(b)-(c)Plan for Evacuation - Fire drill rehearsals
    • 10A NCAC 13F .0311(a), (k)Building Equipment Maintained Safe, Operating
    26 Jan 2017Construction
    Identified deficiencies involving blocked corridors, unsafe housekeeping, and unapproved heating devices.
    • 10A NCAC 13F.0302Corridors-Free of Equipment and Obstructions
    • 10A NCAC 13F.0306Housekeeping-Maintained Free of Hazards
    • 10A NCAC 13F.0311Fire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F.0311Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F.0311Unvented & Portable Electric Heaters Prohibited
    26 Jan 2017Construction
    Identified multiple safety and maintenance deficiencies, including missing current sanitation and fire safety reports, obstructed corridors, unsafe storage of portable oxygen cylinders, absent fire plan rehearsals, compromised fire-rated barriers, and a portable heater present.
    • 10A NCAC 13F .0302(f)Must Have Current Sanitation & Fire Safety Reports
    • 10A NCAC 13F .0305(g)Corridors-Free of Equipment and Obstructions
    • 10A NCAC 13F .0306(a)(5)Housekeeping and Furnishings - Free of Hazards
    • 10A NCAC 13F .0309(b)Fire Safety-Rehearsals on Each Shift
    • 10A NCAC 13F .0311(a) & (k)Building Equipment Maintained Safe, Operating
    • 10A NCAC 13F .0311(b)(2)Unvented & Portable Electric Heaters Prohibited
    26 Aug 2015Construction
    Identified a wanderer alarm deficiency on exit doors. Magnetic locks did not reliably re-lock after doors were opened.
    • 10A NCAC 13F .0305 PHYSICAL ENVIRONMENT (h) (4)Entrances/Exits-Wanderer Alarms
    09 Jul 2015Follow-Up
    Identified deficiencies in medication administration and insulin dose documentation after a complaint investigation.
    • 10A NCAC 13F .1004(a) Medication AdministrationMedication Administration
    05 May 2015Complaint
    An investigation found multiple deficiencies related to alleged resident abuse and staff conduct, with extensive statements and timelines detailing improper interactions and care practices.
    • Type AContinued from prior page – allegation of staff misconduct and resident safety concerns
    • Type AContinued from page 15 – additional observations of staff interactions and resident rights concerns
    • Type AContinued from page 22 – ongoing issues related to care planning and records
    • Type BContinued from page 28 – substantiated concerns about corrective actions and staff supervision

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Mitchell House. The information above has not been verified or approved by the owner or operator. For exact information, please contact Mitchell House directly. There is no cost for this service. We are compensated by the community you select.

    Are you an owner or operator of this community?

    Claim this listing to receive messages from prospective customers and manage your community page.

    Nearby Communities

    Assisted Living in Nearby Cities

    1. 1 facilities$5,300/mo
    2. 2 facilities$3,841/mo
    3. 2 facilities$4,996/mo
    4. 14 facilities$4,632/mo
    5. 9 facilities$4,223/mo
    6. 4 facilities
    7. 5 facilities$4,485/mo
    8. 5 facilities$5,037/mo
    9. 3 facilities$4,541/mo
    10. 8 facilities$3,860/mo
    11. 7 facilities$4,386/mo
    12. 4 facilities$5,161/mo
    © 2026 Mirador Living