Average — CMS composite of the measures below.
The next survey window likely opens around April 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Greenville Nursing And Rehab Center during CMS and state inspections, most recent first.
Resident food brought in from outside was stored in the staff breakroom refrigerator with staff food instead of the refrigerator used for resident items. Surveyors observed partially open, undated food containers in the refrigerator, and there was no thermometer or temperature log for the refrigerator or freezer. The Administrator stated the hallway refrigerator used for resident snacks was locked, so resident food was placed in the staff refrigerator for convenience.
Unsafe room conditions and inadequate hot water access were identified in the facility. A resident room had an AC unit with missing insulation and an open window that allowed rain to enter and dampen the resident’s bed, while staff gave conflicting accounts about when the issue was reported. In addition, multiple resident room sinks did not produce hot water, one faucet was nonfunctional, and residents and CNAs reported long delays before hot water was available; the MDS stated he was unaware of any hot water complaints and no maintenance tickets were documented.
Surveyors found that the facility failed to submit a valid Emergency Management Plan to the County Emergency Management Office and instead provided a falsified document. The administrator, responsible for submitting the plan and maintaining the Emergency Plan binder, could not account for the origin of the falsified letter and had not contacted the County to submit the required plan. The County Emergency Management Director confirmed that no plan had been received and that the documentation provided was not authentic.
Surveyors found that the facility lacked an effective compliance and ethics program, as shown by the submission of a falsified Emergency Management Plan approval letter. The administrator was unable to confirm the existence of a current compliance program and only referenced general policy statements after further inquiry.
Confidential resident information, including protected health information and discarded medication packets, was found unsecured in overflowing garbage cans and loose on the ground outside the laundry building. The facility's Maintenance Director confirmed the documents were awaiting destruction, and the Administrator was unaware the documents had been left outside or if all had been retrieved.
Surveyors found that two outside gates were left unlocked, a resident had access to fingernail scissors at bedside, and the laundry area had overflowing garbage, burned residue, and lint accumulation. Staff confirmed these conditions were not in line with facility policy and expectations for accident prevention.
Surveyors identified failures in infection control practices, including improper cleaning and disinfecting of a glucometer by a nurse, inadequate handling and storage of laundry and linens, and lack of evidence for required Legionella testing. Staff did not consistently use PPE correctly in the laundry area, and the environment was not maintained in a cleanable state. Maintenance staff were unable to provide documentation or confirm responsibility for Legionella testing, contrary to facility policy.
Surveyors found extensive garbage, debris, and broken equipment around and inside the laundry building, with staff unable to confirm how long these items had been present or provide details about waste removal. Inside, one washing machine had been broken for months, the water heater was unplugged, and the handwashing sink lacked hot water. Staff reused disposable PPE between loads, and there was significant buildup of lint and debris. In the dryer and utility rooms, only one dryer worked, lighting was poor, the smoke detector was missing, and equipment was broken or rusted. The shower room had decaying cabinetry, rust, and a broken shower chair with no alternative available.
A urine specimen collector was found unlabeled, unbagged, and stained on the floor of a shared resident bathroom, remaining there over multiple days. Facility staff confirmed this was not in accordance with policy. Additionally, widespread cleanliness and maintenance issues were observed, including dirty and worn floors, rusty plumbing fixtures, chipped door jams, and unclean walls and doors throughout the facility. The Administrator acknowledged these ongoing problems during a facility tour.
A resident with a history of Major Depressive Disorder, Bipolar Disorder, and Schizoaffective Disorder was not properly identified as having a serious mental illness on their annual MDS assessment. Both the DON and MDS coordinator confirmed the assessment was incorrectly coded after reviewing the resident's record.
Three residents with serious mental illness diagnoses, including major depressive disorder, bipolar disorder, schizoaffective disorder, psychosis, paranoid schizophrenia, and anxiety disorder, did not have evidence of a completed Level II PASARR screening in their medical records as required by facility policy. The Administrator confirmed the absence of these screenings after reviewing the records.
A resident with severe contractures and a history of TBI and hemiplegia was repeatedly observed without prescribed splints or restorative interventions. Therapy staff had discontinued services due to lack of progress, and no restorative nursing program or care plan was in place. Despite facility policy requiring identification of restorative needs and staff training, no orders or documented interventions were provided to maintain or improve the resident's ROM.
The facility did not maintain sufficient nurse staffing on a 24-hour basis, as evidenced by PBJ data showing failure to meet minimum requirements and excessively low weekend staffing. The Administrator was aware of the issue, which was linked to the previous owner's refusal to submit staffing data for two months, and did not report any attempt to correct the missing PBJ information.
Surveyors found that daily nurse staffing information was not posted in a location easily visible to residents and visitors, and the evening shift was left blank on the posted sheets. The DON, responsible for posting, was unaware of the requirement to post the full day's staffing and to ensure visibility for residents and visitors.
Surveyors found that staff repeatedly left medication carts unlocked and unattended during medication administration, and prepared medications were left unattended in resident rooms. Additionally, expired over-the-counter medications were discovered stored in the clean utility room. These actions were not in accordance with facility policy or professional standards for medication storage and security.
A resident who had received education and signed consent for the influenza vaccine did not receive the vaccination, as confirmed by record review and DON interview.
Resident Food Stored With Staff Food Without Required Temperature Monitoring
Penalty
Summary
The facility failed to store resident food brought in from outside the facility in accordance with professional standards for food service safety. On 5/13/26 at 2:45 PM, a CNA stated that the facility did not have a resident nourishment room and that foods brought in for residents were stored in the staff break room refrigerator. The CNA confirmed that staff food was stored in the same refrigerator as resident food. At the same time, the staff breakroom refrigerator was observed to contain several partially open food containers, many of which were not dated. No thermometer was present in the refrigerator or freezer, and no temperature logs for either unit were available. At 3:15 PM, the Administrator stated that the kitchen staff used a hallway refrigerator for residents’ evening snacks, but staff kept that refrigerator locked and were not taking the time to retrieve the keys to use it for resident food brought in from outside the facility, so the resident food was placed in the staff refrigerator for convenience. The facility’s policy required perishable foods brought in by family or visitors to be stored in resealable containers in the refrigerator used for resident items, labeled with the resident’s name, item, and use-by date, and required cold foods to be stored wrapped or covered, labeled and dated, and maintained at 41 F or below with temperatures recorded daily.
Unsafe Room Conditions and Inadequate Hot Water Access
Penalty
Summary
The facility failed to provide a safe and comfortable environment by not ensuring adequate insulation around a window air conditioning unit in one resident room. On 05/11/2026, the resident’s bed was observed directly below the window, which was open about 3 inches around the AC unit, and a crumpled curtain on the windowsill was not preventing cold air from escaping or insects from entering the room. The resident could not recall how long the unit had been without insulation. On 05/12/2026, during rain, the head of the resident’s bed was observed to be damp from rain entering through the window, and the resident was asleep in the bed, scrunched down lower on the mattress to avoid the damp area. The Maintenance Director later stated he was not aware of the issue, while Housekeeping and an LPN stated that a maintenance request had been submitted weeks earlier and that the resident had kicked out the insulation panel about a week earlier. The facility also failed to provide residents with adequate access to hot water in nine of twenty resident rooms reviewed. On 05/11/2026, eight resident room sinks did not provide hot water after the hot water valve remained fully open for two minutes, and one room’s sink faucet was not functioning at all. After maintenance repaired that faucet, it still did not dispense hot water, and the water remained cold after the valve was open for one and a half minutes. A resident stated staff must leave the water running for approximately 20 minutes or longer before hot water finally comes out. The Maintenance Director stated he was unaware of any reported hot water issues, while the Resident Council and CNAs stated that shower hot water often required several minutes to run before dispensing, with the delay varying by room location. A review of Maintenance Request Tickets showed no documented reports related to hot water issues.
Failure to Submit Valid Emergency Management Plan and Falsification of Documentation
Penalty
Summary
The facility failed to ensure proper administration and use of resources to maintain the highest practicable physical wellbeing of each resident by not submitting a valid Emergency Management Plan to the County Emergency Management Office as required. During a Life Safety Code annual survey revisit, surveyors requested the most recent Emergency Management Plan, and the administrator provided a document dated 05/08/25. Upon review, it was determined that this document was falsified, as confirmed by the County Emergency Management Director, who stated that no plan had been submitted for review and that the form provided used an outdated logo, further indicating its inauthenticity. The administrator acknowledged responsibility for submitting the Emergency Management Plan and for the contents of the Emergency Plan binder, which was kept in her office but also accessible to the maintenance director. Despite this responsibility, she stated she did not know the origin of the falsified letter and had not contacted the County Emergency Management Director to submit the required plan since the previous survey or revisit. The facility's Executive Director position description confirms the administrator's accountability for compliance with all state and federal regulations, including the submission and maintenance of required emergency documentation.
Failure to Maintain Effective Compliance and Ethics Program; Falsified Emergency Management Plan Approval
Penalty
Summary
The facility failed to maintain an effective compliance and ethics program, as evidenced by the submission of a falsified Emergency Management Plan approval letter during a Life Safety Code annual survey revisit. When surveyors requested the most recent Emergency Management Plan approved by the County, the administrator provided a document dated 05/08/25. Upon review and comparison with documentation from the County Emergency Management Director, surveyors determined that the approval letter was falsified. During an interview, the administrator was unable to confirm the existence of a current compliance and ethics program, initially stating uncertainty and referencing a previous program with a Human Resources representative as the compliance officer. She later stated that she, as the administrator, was responsible for compliance, as indicated in her job description. The facility's policies and employee handbook included general statements about ethical conduct and compliance but did not demonstrate the presence of an effective compliance and ethics program as required.
Failure to Secure Resident Confidential Information
Penalty
Summary
The facility failed to ensure that confidential resident information was stored securely, as observed during a tour of the laundry area. Two burned and rusted metal garbage cans overflowing with bagged garbage were found outside the laundry building. The Maintenance Director confirmed that the bags contained confidential documents awaiting destruction by burning. The plastic bags were clear, unsealed, and open to the air, and the paperwork inside was confirmed to contain protected health information (PHI). Additionally, numerous pieces of paper containing PHI were found loose on the ground, along with a garbage bag filled with discarded medication packets that also contained PHI. The Maintenance Director was unable to confirm how long the confidential information had been present outside the building. The facility Administrator stated that the garbage bags of confidential documents had since been retrieved and brought inside the facility, in accordance with the facility's policy to burn confidential documents on-site. However, she was not aware that the documents had been left outside and had not checked to ensure that all documents, including those loose on the ground, had been retrieved. The report does not mention any specific residents by name or provide details about their medical history or condition at the time of the deficiency.
Unsecured Gates, Access to Sharp Instruments, and Laundry Lint Accumulation Identified as Accident Hazards
Penalty
Summary
Surveyors observed multiple deficiencies related to accident hazards and inadequate supervision within the facility. During facility tours, two external gates—one outside the therapy room and another outside the resident smoking area—were found to be unlocked and unsecured, despite staff being trained to keep them locked. The Maintenance Director and Administrator both confirmed that the locks were functional and that staff were expected to secure the gates, but the gates were left open without explanation. Additionally, a pair of fingernail scissors was found at a resident's bedside, which was confirmed by a Registered Nurse to be against facility policy. In the laundry area, surveyors noted two burned and rusted metal garbage cans overflowing with bagged garbage, a large area of ash and burned residue next to the laundry building, and a thick layer of lint on the back wall. The Maintenance Director acknowledged that the facility routinely burned materials in this area, which was directly adjacent to the laundry building.
Infection Control Deficiencies in Glucometer Use, Laundry Handling, and Legionella Testing
Penalty
Summary
The facility failed to maintain infection control standards in several key areas, as observed during surveyor visits. During a blood glucose monitoring procedure, a registered nurse did not follow proper cleaning and disinfecting protocols for the glucometer. The nurse did not don gloves or use a secondary disinfectant wipe as required by both the manufacturer's instructions and the facility's own competency assessment. The nurse was also unclear about the required wet time for the disinfectant wipe, and the process did not ensure the glucometer was disinfected according to established guidelines. In the laundry area, multiple deficiencies were observed. There was a hole in the ceiling of the secondary storage room with outdoor debris present, and resident clothing and personal belongings were stored on the floor and in uncovered carts for periods exceeding the stated 30-day retention policy. The washing machine area had a non-functioning water heater, and staff could not confirm if hot water was used for laundry. The laundry aide did not change disposable gowns and gloves between loads and was unaware of this requirement. The laundry environment was not maintained in a cleanable state, with a cement subfloor, rusted laundry carts without liners or covers, and a folding table with chipped laminate, all of which compromised the cleanliness of laundry handling. Regarding Legionella testing, the facility lacked evidence of required testing within the past year. The maintenance staff were unclear about their responsibilities for Legionella testing and could not provide documentation of any recent testing or results. The facility's own policy required regular risk assessments, action plans, and microbiological monitoring, but these were not demonstrated during the survey.
Failure to Maintain Laundry and Shower Areas in Safe and Sanitary Condition
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's laundry and shower areas, including significant accumulation of garbage, debris, and broken equipment around the laundry building. Overflowing garbage cans, burned residue, and a thick layer of lint were present near the building, along with discarded mattresses, toilets, and numerous wooden pallets and broken furniture. The perimeter also contained various pieces of broken medical equipment and containers with remnants of laundry chemicals. Facility staff, including the Maintenance Director and Assistant, were unable to confirm how long these items had been present or provide details about waste removal procedures. Inside the laundry building, storage rooms were cluttered with boxes, broken lights, and a hole in the ceiling containing outdoor debris. Resident belongings were stored in the laundry area for longer than the stated 30-day period, with staff unable to confirm exact durations. One washing machine had been broken for at least eight months with no clear plan for repair or replacement, and the water heater was unplugged, leaving staff uncertain about its functionality. The handwashing sink lacked hot water, and the floor was unfinished cement, making it unsuitable for maintaining cleanliness. Staff were observed reusing disposable gowns and gloves between loads, and there was a significant buildup of lint, debris, and rust behind machines and on surfaces, with no clear cleaning schedule. In the dryer room, only one dryer was operational, and the area was poorly lit due to broken lights. The smoke detector was missing, and the dryer drum had a buildup of melted substances and lint. Laundry carts were rusted and uncovered, and the folding table was chipped and discolored. In the soiled utility and shower rooms, hot water was unavailable, water ran discolored, and broken equipment was stored alongside cleaning chemicals. The shower room contained decaying cabinetry, rust, and a broken shower chair, with no alternative available for resident use. Staff could not confirm how long equipment had been left in these conditions.
Failure to Maintain Safe, Clean, and Homelike Environment
Penalty
Summary
Surveyors observed that the facility failed to maintain a safe, clean, and homelike environment for residents. In a shared resident bathroom, an unlabeled, unbagged urine specimen collector with brown stains was found on the floor next to the toilet. This item remained in place during a follow-up observation the next day. Staff interviews confirmed that the urine collector should not have been left in the bathroom and that facility policy required disposable collectors to be labeled, bagged, and disposed of after use. A general tour of the facility revealed widespread cleanliness and maintenance issues. Floors throughout the facility were worn and dirty, with a buildup of dirt and debris in corners. Plumbing fixtures in resident bathrooms were rusty and stained, and there were scrapes, dirt, and a lack of fresh paint on walls in halls, resident rooms, and bathrooms. Door jams were rusty and chipped, and some doors appeared unclean. There was a large area of missing floor tiles exposing concrete, and a wall in the staff breakroom had an open hole with years of dirt and dust buildup. The Administrator confirmed these maintenance and cleanliness concerns during the tour.
Inaccurate MDS Coding for Serious Mental Illness
Penalty
Summary
The facility failed to ensure that the Minimum Data Set (MDS) assessment accurately reflected a resident's status. Record review showed that a resident with a medical history of Major Depressive Disorder, Bipolar Disorder, and Schizoaffective Disorder was not identified as having a history of serious mental illness on their annual MDS assessment. During interviews, both the DON and the MDS coordinator independently reviewed the resident's record and confirmed that the MDS was incorrectly coded and should have indicated serious mental illness.
Failure to Complete Required PASARR Level II Screenings for Residents with Serious Mental Illness
Penalty
Summary
The facility failed to ensure that residents with diagnoses of serious mental illness received a Level II Pre-admission Screening and Resident Review (PASARR) as required. Specifically, three residents with documented histories of major depressive disorder, bipolar disorder, schizoaffective disorder, psychosis, paranoid schizophrenia, and anxiety disorder did not have evidence of a completed Level II PASARR screening in their medical records. Record reviews confirmed the absence of the required screenings for these residents, and the facility's Administrator acknowledged that the screenings were not present in the records upon independent review. The facility's policy states that it is responsible for ensuring appropriate PASARR screenings are conducted and documented prior to admission, and for coordinating screenings if indicated after admission, but this process was not followed for the identified residents.
Failure to Provide and Implement Restorative ROM and Splinting Interventions
Penalty
Summary
A deficiency was identified when a resident with a history of traumatic brain injury, hemiplegia, and contractures was observed multiple times without prescribed splinting devices or restorative interventions to maintain or improve range of motion (ROM). The resident, who had moderate cognitive impairment, was seen lying in bed with severe contractures of both hands and no splints in use, despite the presence of a labeled splint in the therapy room and two hand splints found in the resident's dresser. There were no physician orders or care plans addressing splint use or restorative nursing services for this resident. Interviews with therapy staff revealed that the resident had been discharged from occupational and physical therapy due to lack of progress, and no restorative nursing program was in place. The therapy director acknowledged responsibility for training staff on splint use but confirmed that no such training or program was active. The physical therapist admitted to only verbally instructing staff to use pillows for positioning, with no written orders or follow-up assessments to ensure implementation. Facility policy required identification of restorative needs and staff training, but these steps were not followed for the resident in question.
Failure to Maintain Minimum Nurse Staffing and PBJ Reporting
Penalty
Summary
The facility failed to ensure sufficient nurse staffing numbers on a 24-hour basis to meet the needs of all residents. Review of the Payroll Based Journal (PBJ) staffing data for Quarter 1 of 2024 showed that the facility did not meet minimum staffing requirements, resulting in excessively low weekend staffing. During an interview, the Administrator acknowledged awareness of the low staffing trigger and explained that the previous owner did not submit staffing information for two months due to anger. There was no indication that the Administrator attempted to provide additional information to the PBJ system after learning about the missing submissions.
Failure to Properly Post Daily Nurse Staffing Information
Penalty
Summary
The facility failed to maintain and post daily nurse staffing information in a location that was easily visible to residents and their visitors. During two separate tours, surveyors observed that the nurse staffing information was posted on the wall behind the nurse's station desk, making it not fully visible to residents and visitors. Additionally, on both occasions, the evening shift staffing information was left blank on the posted sheet. Interviews with staff revealed that the Director of Nursing (DON) was responsible for posting the staffing information daily but was unaware that the entire day's staffing, including the evening shift, needed to be posted in advance. The DON also stated she was unaware that the posting needed to be visible to residents and visitors.
Failure to Secure Medications and Remove Expired Drugs
Penalty
Summary
Surveyors observed multiple instances where medications were not properly secured or stored according to facility policy and accepted professional standards. During medication administration, a registered nurse left her medication cart unlocked and unattended in the hallway while entering a resident's room. In another instance, the same nurse left prepared medications unattended on a resident's dresser while she walked away to wash her hands. A licensed practical nurse was also observed leaving her medication cart unlocked and unattended in the hallway while assisting a resident, with photographic evidence obtained. During this time, other staff members and residents walked past the unattended cart, and the Director of Nursing was seen placing pudding into the cart's cooler. Additionally, a review of the clean utility room revealed six bottles of expired Vitamin C tablets, with expiration dates from the previous year, stored among other over-the-counter medications. Staff present during this observation acknowledged the presence of expired medications and indicated they would notify the facility's administrator and pharmacist. The facility's policy requires all drugs and biologicals to be stored securely and prohibits the use of outdated or discontinued medications, mandating their return or destruction.
Failure to Administer Influenza Vaccine After Consent
Penalty
Summary
The facility failed to ensure that the influenza vaccination was administered to one of five residents sampled for vaccine review. Record review showed that the resident received education and signed a consent form indicating a desire to receive the influenza vaccine. However, there was no documentation in the medical record that the vaccination was actually administered. During an interview, the DON confirmed that although the consent was signed, the influenza vaccine had not been given to the resident.
What surveyors are citing around you — mapped
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Illustrative
What surveyors actually found near you
We read the 23 citations issued within 25 miles in the last 12 months — including the 3 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Lake Park Of Madison Nursing And Rehabilitation Ce | 11.7 mi | ★★★★★ | 2 | 0 |
| Madison Health And Rehabilitation Center | 12.8 mi | ★★★★★ | 0 | 0 |
| Brynwood Health And Rehabilitation Center | 15.5 mi | ★★★★★ | 1 | 0 |
| Hospital Authority Of Brooks County, Georgia, The | 22.1 mi | ★★★★★ | 9 | 0 |
| Aviata At Big Bend | 23.8 mi | ★★★★★ | 11 | 3 |
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