Below average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ams Memorial-greene during CMS and state inspections, most recent first.
The facility failed to provide COVID-19 education and vaccinations for all 5 residents reviewed and did not track staff immunization status. Resident records lacked documentation of the 2025-2026 COVID-19 vaccine, and the DON confirmed there was no informed consent, declination, or education documented for residents. Personnel files for an RN, LPN, CNAs, and a cook also lacked vaccination information, and the Administrator confirmed there was no system to track staff vaccination status.
Failure to complete a baseline care plan within 48 hours of admission. A resident with dementia, depression, and moderately impaired cognition had no care plan and no triggered task items on record review, and the baseline care plan was not completed until after the required timeframe. The DON acknowledged staff had not completed the baseline care plan, despite facility policy requiring it within 48 hours of admission.
Water Not Served With Meals: Staff did not offer or serve water to residents during observed meals. Three residents were seated at one meal and five residents were seated at another, and no water was provided at either meal. A resident stated they did not have water at meals, and the DM acknowledged staff did not serve water with meals and did not know it was required at every meal.
Improper glove use and hand hygiene during meal service: A cook handled food, utensils, and kitchen surfaces with the same gloves, including checking temperatures, moving drinks, and assembling trays, without changing gloves between nonfood contact and food contact tasks. The cook also repeatedly washed hands but turned off the faucet with wet hands before using a paper towel, contrary to facility policy stating gloves are single-use and do not replace proper handwashing.
Failure to Screen, Educate, and Offer Pneumococcal Vaccine. A resident’s MDS showed the pneumococcal vaccine was not up to date and staff did not offer the immunization. The EHR lacked documentation that the vaccine was given, and the DON confirmed there was no informed consent, declination, or education documented for the resident. The facility’s Pneumococcal Vaccine Program policy required screening on admission, resident education, and vaccine administration.
Failure to Educate, Offer, and Document COVID-19 Vaccination Status
Penalty
Summary
The facility failed to provide COVID-19 education and vaccinations for 5 of 5 residents reviewed for immunizations, and it also failed to track staff immunization status. Clinical record review showed that the immunization records for Residents #1, #2, #3, #4, and #5 lacked documentation of the 2025-2026 COVID-19 vaccination. CDC guidance reviewed by surveyors stated that everyone age 6 months and older should receive the 2025-2026 COVID-19 vaccination, with special importance for individuals of [AGE] years or older. During interview, the DON confirmed that the facility did not provide informed consent, declination, or education to residents regarding the 2025-2026 COVID-19 vaccination. Review of personnel files for Staff A, Staff B, Staff C, Staff D, and Staff E showed no vaccination information, and the Administrator confirmed by email that the facility did not have a system in place to track staff vaccination status.
Failure to Complete Baseline Care Plan Within Required Timeframe
Penalty
Summary
The facility failed to complete a baseline care plan for Resident #5 within 48 hours of admission. Resident #5 entered the facility on 7/10/26 with diagnoses of dementia and depression, and the history and physical documented use of citalopram and trazodone. The BIMS score was 10, indicating moderately impaired cognition. A record review on 7/13/26 showed no care plan and no triggered items in the tasks, and another review the same day showed the resident did not have a completed baseline care plan. The baseline care plan was dated 7/14/26 at 10:11 AM with completion and signatures on 7/14/26. On 7/16/26, the DON acknowledged staff had not completed the baseline care plan and reported she called the nurse to complete it. The facility policy stated the baseline care plan would be developed within 48 hours of admission.
Water Not Served With Meals
Penalty
Summary
The facility failed to ensure residents received drinks consistent with their needs and preferences and sufficient to maintain hydration when staff did not offer or serve water with meals. During observation on 7/13/26 at 12:10 PM, three residents were seated at the dining room table and staff did not offer or serve water to any of them during the meal. During observation on 7/14/26 at 11:45 AM, five residents were seated at the dining room table and staff again did not offer or serve water to any of them with or during the meal. On 7/15/26 at 9:17 AM, Resident #2 stated that they did not have water at meals. Later that day, at 9:30 AM, Staff A, the Dietary Manager, acknowledged that staff did not serve residents water with meals and stated they did not know staff needed to serve water at every meal.
Improper glove use and hand hygiene during meal service
Penalty
Summary
The facility failed to change gloves between touching nonfood surfaces and food, and staff failed to adequately wash hands during meal service. During observation on 7/13/26 at 11:24 AM, Staff E, a cook, wore gloves while entering the kitchen and handled multiple food items and surfaces without changing gloves, including opening the oven, removing and opening a foil packet of mechanical soft bread, placing the bread on a plate, and checking temperatures of spaghetti noodles, sauce, apple juice, coffee, and a lettuce salad. Staff E cleaned the thermometer between some items, but also rinsed it under running water while turning the faucet on and off with gloved hands. Staff E carried cups of apple juice and coffee by gripping the rims and placing a palm over the open tops before delivering the tray to a resident. After serving the resident, Staff E removed gloves and washed hands, but turned off the water with wet hands before using a paper towel. Staff E later put on a new pair of gloves, handled a tray and a peanut butter sandwich, removed the sandwich wrapper, separated the precut halves, touched a plate on the stove, and then handled another plate and the sandwich again before serving a second resident. Staff E again removed gloves and washed hands after returning to the kitchen, and repeated the same handwashing pattern of turning off the faucet with wet hands before using a paper towel after loading the dishwasher and again after troubleshooting the dishwasher with Staff A, the Dietary Manager. The facility policy stated that gloved hands are a food contact surface, disposable gloves are single-use items, glove use does not replace proper handwashing, and hands should be dried with a disposable towel and the faucet turned off using a paper towel.
Failure to Screen, Educate, and Offer Pneumococcal Vaccine
Penalty
Summary
The facility failed to screen, educate, and offer the pneumococcal vaccine to 1 of 5 residents sampled for vaccines, Resident #4. Resident #4’s MDS documented an admission date of 7/1/26 and indicated that the resident’s pneumococcal vaccination was not up to date and that staff did not offer the immunization. The resident’s immunization record in the electronic health record lacked documentation that the pneumococcal vaccination was given. On 7/16/26 at 9:05 AM, the DON confirmed the facility did not have informed consent, declination of the vaccine, or education provided to Resident #4. The facility policy titled Pneumococcal Vaccine Program dated 2020 instructed staff to screen every admission, educate the resident regarding the vaccine, and give the vaccine.
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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.
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Nursing homes near Greene
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rehabilitation Center Of Allison | 9.4 mi | ★★★★★ | 7 | 0 |
| Clarksville Skilled Nursing & Rehab Center | 10.1 mi | ★★★★★ | 2 | 0 |
| Chautauqua Guest Home #2 | 12.9 mi | ★★★★★ | 0 | 0 |
| Chautauqua Guest Home #3 | 13.1 mi | ★★★★★ | 2 | 0 |
| Shell Rock Senior Living | 17.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.