Above average — CMS composite of the measures below.
A standard survey is most likely before around September 2026
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 Green River Trails during CMS and state inspections, most recent first.
The facility failed to provide a safe, clean, and homelike environment, with observations of stained tiles, dusty vents, and soiled privacy curtains. Residents reported persistent odors and dissatisfaction with cleanliness. Staff interviews revealed inconsistent cleaning practices and lack of training, contributing to the deficiency.
A facility failed to implement a Baseline Care Plan for a resident admitted with a femur fracture, resulting in inconsistent application of TED hose as per physician's orders. Observations showed the resident without TED hose, leading to increased leg swelling and discomfort. The facility's policy required a care plan within 48 hours, but it was not updated timely, contributing to the deficiency.
A resident admitted post-femur fracture did not receive TED hose treatment as ordered, leading to increased leg swelling and discomfort. The facility failed to implement updated physician orders for bilateral leg application, with documentation inconsistencies and staff confusion. Observations confirmed the resident was often without TED hose, despite family concerns and staff interviews highlighting inadequate communication and adherence to policies.
A dietary aide in an LTC facility failed to dry his hands after washing, before handling clean dishes, due to the absence of a paper towel dispenser. This was against the facility's hand hygiene policy, which aims to prevent cross-contamination and infection spread. The dispenser had been removed for wall repairs a year ago and was not replaced, as confirmed by the Dietary Manager.
The facility failed to maintain proper infection control practices for respiratory equipment, affecting three residents. Observations revealed undated and uncovered oxygen and BiPap tubing, as well as dusty oxygen concentrator filters. Staff interviews confirmed awareness of the risks but highlighted inconsistencies in following infection control protocols.
Facility Fails to Maintain Clean and Safe Environment
Penalty
Summary
The facility failed to maintain a safe, clean, comfortable, and homelike environment for its residents, as evidenced by multiple observations of inadequate upkeep and cleanliness. Observations revealed yellow-brown stains on floor tiles, cracked ceiling tiles, heavy dust on vents, and a sticky substance on door frames. Additionally, flies were observed in the hallway, and loose dirt was found in the corners of entrance doors. The facility's maintenance and housekeeping logs indicated that certain cleaning tasks, such as vent cleaning, were not routinely performed, contributing to the unsanitary conditions. Further observations highlighted issues with stained and soiled privacy curtains in resident rooms, with residents reporting that these stains had been present for extended periods. Interviews with residents revealed dissatisfaction with the cleanliness of their living spaces, including persistent urine odors in bathrooms despite daily cleaning. The facility's policies on cleaning and disinfecting resident rooms and care items were not adequately followed, as evidenced by the presence of soiled linens and stained curtains. Interviews with facility staff, including housekeeping and maintenance personnel, revealed a lack of consistent training and documentation regarding cleaning and maintenance procedures. The Maintenance Director acknowledged the absence of formal logs for tracking repairs and maintenance tasks, while the Environmental Services Director admitted to irregular processes for replacing stained curtains. The facility's administrator expressed an expectation for staff to prioritize resident safety and maintain a clean environment, but the observations and interviews indicated a failure to meet these standards.
Failure to Implement Baseline Care Plan for TED Hose Application
Penalty
Summary
The facility failed to develop and implement a Baseline Care Plan for a resident who was admitted with a femur fracture. The resident was supposed to have Thromboembolic Deterrent (TED) hose applied to prevent swelling, as per the physician's orders. However, the facility did not ensure the TED hose was consistently applied, as observed on multiple occasions where the resident was without the TED hose, leading to increased swelling and discomfort in the resident's legs. The facility's policy required the completion and implementation of a Baseline Care Plan within 48 hours of admission to promote continuity of care and communication among staff. Despite this, the resident's care plan was not updated in a timely manner to reflect the physician's orders for TED hose application. Interviews with the Nurse Practitioner and Director of Nursing revealed inconsistencies in the application of the TED hose and a lack of adherence to the care plan, contributing to the deficiency.
Failure to Implement Physician's Orders for TED Hose Application
Penalty
Summary
The facility failed to ensure that Resident #149 received care and treatment in accordance with professional standards of practice. The resident was admitted post-treatment for a femur fracture with a physician's order for thrombo-embolic deterrent (TED) hose to be applied to the right lower extremity every morning and removed every evening. This order was later changed to include both legs, but the facility did not implement the updated order consistently. The resident's Treatment Administration Record (TAR) showed that the TED hose was only applied to the right leg on several occasions, and there were instances where the resident was observed without the TED hose, despite the presence of swelling and redness in the legs. The facility's Baseline Care Plan was not effectively implemented to ensure continuity of care and communication among staff. The plan initially included an intervention for TED hose application, but there were discrepancies in the documentation and execution of the orders. Interviews with staff revealed confusion and lack of clarity regarding the orders, with some staff members unaware of the changes or reasons for discontinuation of orders. The resident's family also expressed concerns about the lack of TED hose application, and the resident's grandson had to purchase and apply the TED hose himself. Observations by the State Survey Agency (SSA) Surveyor confirmed that the resident was often without the TED hose, leading to increased edema and discomfort. Interviews with the Director of Nursing (DON) and other staff highlighted a lack of adherence to the facility's policies and procedures, as well as inadequate communication and documentation regarding the resident's care. The failure to apply the TED hose as ordered posed a risk of increased swelling and potential complications for the resident.
Failure in Dietary Hand Hygiene Protocol
Penalty
Summary
The facility failed to ensure proper hand hygiene by its dietary staff, as observed during a survey. A Dietary Aide (DA) was seen washing his hands but not drying them before handling clean dishes, which is against the facility's hand hygiene policy. The policy, dated August 2019, mandates that all personnel be trained and regularly in-serviced on hand hygiene to prevent healthcare-associated infections. The DA admitted to not drying his hands and acknowledged the importance of doing so to prevent cross-contamination. The issue was compounded by the absence of a paper towel dispenser, which had been removed for wall repairs about a year prior and never replaced. The Dietary Manager confirmed the removal and acknowledged the oversight in not reinstalling the dispenser. This lapse in facility maintenance contributed to the DA's inability to follow proper hand hygiene protocols, potentially risking the spread of infections among personnel, staff, and residents.
Inadequate Infection Control in Respiratory Equipment Handling
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the improper handling and storage of respiratory equipment for three residents. Resident 4, who was admitted with conditions including spina bifida and major depressive disorder, was observed with undated oxygen and BiPap tubing lying uncovered in their room. The resident reported that the tubing had not been changed for weeks and was not stored in a bag, contrary to facility policy. Additionally, the oxygen concentrator filter in the resident's room was noted to be dusty, indicating a lack of routine maintenance. Resident 15, admitted with emphysema and mild cognitive impairment, was found with C-PAP tubing lying on the floor, exposing it to potential contamination. The resident's care plan required weekly cleaning of the BiPap mask and tubing, but observations suggested non-compliance with these protocols. Similarly, Resident 38, who had severe cognitive impairment and was on oxygen therapy, had undated oxygen tubing lying on the floor and a dusty oxygen concentrator filter, further highlighting the facility's failure to adhere to infection control practices. Interviews with various staff members, including a Kentucky Medication Aide, LPN, and the Director of Nursing, revealed a general awareness of the risks associated with improper storage of respiratory equipment. However, there was a disconnect between the facility's policies and the actual practices observed. Staff acknowledged that tubing should be stored in bags and dated, yet observations and interviews indicated that these procedures were not consistently followed, putting residents at risk for infections such as pneumonia.
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 12 citations issued within 25 miles in the last 12 months — 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 Greensburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Campbellsville Nursing And Rehabilitation Center | 9.2 mi | ★★★★★ | 4 | 0 |
| The Grandview Nursing And Rehabilitation Facility | 11.6 mi | ★★★★★ | 2 | 0 |
| Signature Healthcare At Summit Manor Rehab & Welln | 14.6 mi | ★★★★★ | 2 | 0 |
| Metcalfe Nursing And Rehabilitation Center | 19.3 mi | ★★★★★ | 2 | 0 |
| Signature Healthcare Of Hart County Rehab & Wellne | 24.2 mi | ★★★★★ | 2 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.