Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 & Rehab during CMS and state inspections, most recent first.
A resident at an LTC facility, identified as a fall risk, experienced multiple falls resulting in a fractured femur due to inadequate supervision and ineffective fall prevention measures. Despite care plans and interventions, such as bed positioning and alarms, the resident continued to fall, highlighting a failure in implementing effective safety measures.
A survey found that the facility failed to properly label and dispose of food items in the kitchen's refrigerator. Several items lacked open and use by dates, and some were outdated. The Dietary Manager and Administrator acknowledged the expectation for proper labeling and disposal according to the facility's policy.
A resident with multiple medical conditions developed a pressure ulcer due to the facility's failure to adhere to the care plan requiring repositioning every two hours. The resident was observed sitting in a wheelchair for an extended period without repositioning, and the wound was not properly covered, with dried feces present. The facility's pressure ulcer prevention protocols were not followed, contributing to the ulcer's development.
A resident with multiple diagnoses, including cerebral infarction and muscle weakness, did not receive adequate treatment to prevent further decrease in range of motion. Despite a care plan outlining specific exercises, staff inconsistently implemented the program, performing only partial exercises. The resident's daughter noted a decline in mobility, and staff interviews revealed confusion about responsibilities for restorative care.
A facility failed to monitor and document behaviors of residents on psychotropic medications, leading to deficiencies in medication management. One resident had increased Quetiapine dosage without supporting documentation, while another had gaps in behavior tracking despite being on Seroquel and Sertraline. A third resident lacked consistent documentation of mood and anxiety symptoms, and a fourth was prescribed Ativan without a documented anxiety diagnosis. The facility did not adhere to its policy of reassessing PRN psychotropic orders every 14 days.
Inadequate Fall Prevention and Supervision Leads to Resident Injury
Penalty
Summary
The facility failed to ensure adequate supervision and effective fall prevention measures for a resident, resulting in multiple falls and a fractured femur. The resident, who was cognitively impaired and required assistance for transfers and ambulation, experienced several falls over a short period. These incidents occurred in various locations within the facility, including the main lobby, the resident's bathroom, and bedroom. Despite being identified as a fall risk, the interventions in place were insufficient to prevent these falls. The resident's care plan included measures such as offering assistance to transfer to chairs, laying down after meals, and placing the bed in the lowest position with a fall mat. However, these interventions were not consistently implemented or effective. For instance, the resident's bed was observed not to be in the lowest position, and the resident continued to attempt self-transfers, leading to falls. The facility's incident reports and staff interviews revealed that alarms were used but were not always effective, as the resident had a history of turning them off. Staff interviews indicated that the resident required more supervision than was provided, with suggestions for 1:1 supervision not being implemented. The facility's policy on managing fall risks emphasized the need for timely and effective interventions, yet the interventions in place did not prevent the resident from falling repeatedly. The lack of immediate and effective response to the resident's fall risk contributed to the resident's injury and decline in functional status.
Improper Food Labeling and Disposal in Kitchen
Penalty
Summary
The facility failed to adhere to proper food labeling and disposal practices in their kitchen, as observed during a survey. During an initial tour of the kitchen's walk-in refrigerator, several food items were found without proper labeling, including an open container of milk, a gallon container of red French dressing, a gallon container of Caesar dressing, and a container of vanilla yogurt, all lacking open dates and use by dates. Additionally, a gallon container of dill pickle slices was found with an open date of 07/10 and a use by date of 08/16/24, and a container of chicken noodle soup had a use by date of 08/18/24, indicating that these items were outdated and should have been discarded. The Dietary Manager, identified as V3, acknowledged that staff are expected to label containers with received, open, and use by dates, and to check the refrigerator daily to remove outdated items. The facility's policy on food storage requires all food items to be labeled with the name of the food and the date by which it should be sold, consumed, or discarded, and to discard food that has passed the expiration date or has been stored for more than seven days. The Administrator, identified as V1, also stated that she would expect all items in the refrigerator to be properly labeled and disposed of if outdated.
Failure to Prevent Pressure Ulcer Development
Penalty
Summary
The facility failed to prevent the development of a pressure ulcer for a resident with multiple medical conditions, including paraplegia and cognitive communication deficit disorder. The resident was identified as being at moderate risk for skin breakdown according to the Braden Scale. Despite having a care plan that required repositioning every two hours, the resident was observed sitting in a wheelchair for an extended period without being repositioned or asked if they would like to be repositioned. This lack of adherence to the care plan contributed to the development of a wound on the resident's coccyx. Further observations revealed that the resident's wound was not properly covered, and there was a small amount of dried feces in the wound bed, indicating inadequate wound care. The facility's policy on pressure ulcer prevention emphasizes the importance of regular skin inspections, maintaining skin cleanliness, and repositioning residents at least every two hours. However, these protocols were not followed, leading to the resident's pressure ulcer development.
Failure to Provide Adequate Range of Motion Treatment
Penalty
Summary
The facility failed to provide adequate treatment to prevent further decrease in range of motion for a resident, identified as R9, who was admitted with multiple diagnoses including right knee pain, cerebral infarction, and generalized muscle weakness. Physician orders from January 2024 included physical and occupational therapy evaluations and treatments. However, by August 2024, R9 was observed with decreased movement in the right hand and reported that exercises were not helping, leading to discontinuation. The quarterly Minimum Data Set assessment indicated limitations in range of motion on the right side, and the care plan included a restorative program with specific exercises. Despite the care plan's detailed interventions, the facility's staff did not consistently implement the prescribed exercises. The Director of Rehabilitation noted that therapy ended in April 2024, and there was confusion among staff regarding who was responsible for performing range of motion exercises. Observations revealed that the exercises were not performed as outlined in the care plan, with only one set of exercises completed instead of two, and some exercises not performed at all. The facility's policy stated that residents should not experience an avoidable reduction in range of motion, yet the care plan was not adequately followed. Interviews with staff and the resident's daughter highlighted a lack of clarity and communication regarding the implementation of the restorative program. The resident's daughter expressed concerns about her mother's decreased mobility since admission, noting that R9 could previously stand and use a walker but now struggled to stand. The facility's failure to adhere to its policy and care plan resulted in a deficiency in providing necessary treatment to maintain or improve the resident's range of motion.
Inadequate Monitoring and Documentation of Psychotropic Medication Use
Penalty
Summary
The facility failed to adequately monitor and document the behaviors of residents receiving psychotropic medications, leading to deficiencies in the management of unnecessary medications. For Resident 20, there was a lack of documentation on behavior tracking records for several days across May, June, and July 2024, despite the resident being on multiple psychotropic medications for depression and unspecified psychosis. The absence of documentation raises concerns about the justification for increasing the dosage of Quetiapine Fumarate without supporting evidence of behavioral changes. Similarly, Resident 56, who has diagnoses including delusional disorder and major depressive disorder, also had significant gaps in behavior tracking documentation for May, June, and July 2024. This lack of documentation occurred despite the resident being prescribed Seroquel and Sertraline for managing depressive symptoms. The MDS Coordinator acknowledged that behavior tracking sheets should be completed every shift to assess medication effectiveness and adjust dosages accordingly. Resident 7, diagnosed with depression and anxiety, also experienced inadequate behavior tracking, with multiple days in June and July 2024 lacking documentation of symptoms. This resident was on Lorazepam, Mirtazapine, and Sertraline, yet the facility failed to consistently monitor and record the resident's mood and anxiety levels. Additionally, Resident 24 was prescribed Ativan for anxiety without a documented diagnosis for anxiety, and there was no evidence of behavior tracking to justify the PRN medication use. The facility's policy requires that PRN orders for psychotropic medications be reassessed every 14 days, but this was not adhered to, as evidenced by the lack of documentation and evaluation of the residents' conditions.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 47 citations issued within 25 miles in the last 12 months — including the 2 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
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
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) |
|---|---|---|---|---|
| Montgomery Nursing & Rehab Ctr | 15.4 mi | ★★★★★ | 1 | 0 |
| Vandalia Healthcare & Senior Living | 17 mi | ★★★★★ | 7 | 0 |
| Alhambra Rehab & Healthcare | 17.2 mi | ★★★★★ | 0 | 0 |
| Hitz Memorial Home | 17.4 mi | ★★★★★ | 5 | 1 |
| Highland Health Care Center | 17.6 mi | ★★★★★ | 3 | 1 |
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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 July 2026) and official state health department websites.