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 Health Care Center during CMS and state inspections, most recent first.
The facility did not ensure that residents were protected from abuse, including physical, mental, and sexual abuse, physical punishment, and neglect by any person.
The facility failed to implement Enhanced Barrier Precautions (EBP) during care for two residents with indwelling medical devices, as staff did not use required PPE or perform hand hygiene. Additionally, the facility did not conduct timely Legionella testing, with results indicating the presence of the bacteria not being acted upon promptly. Staff interviews revealed a lack of awareness and training on EBP, contributing to deficiencies in infection prevention and control practices.
The facility failed to follow physician's orders for insulin administration for two residents. An LPN did not check blood sugar levels before administering insulin, contrary to the facility's policies. Interviews confirmed the expectation that blood sugars should be checked prior to insulin administration.
The facility failed to secure medication carts, leaving them unattended and unlocked on three occasions, potentially affecting all residents. An LPN left a cart unlocked with narcotic keys exposed, while a CMT later locked an unattended cart. Staff interviews confirmed the carts should be secured, as per facility policy.
A facility failed to document and communicate dialysis care for a resident with end-stage renal disease. The resident's Physician's Order Sheet lacked a dialysis order, and there was no communication log with the dialysis center. Staff interviews revealed a lack of awareness and oversight, with no vital signs or documentation sent with the resident to dialysis, indicating a systemic failure to follow the facility's dialysis care policy.
The facility failed to reconcile narcotics at each shift change as required by their policy, with numerous missed opportunities for reconciliation across three medication carts. Interviews with staff confirmed the policy requirement, but documentation showed consistent non-compliance, potentially affecting all 57 residents.
A facility failed to limit PRN orders for antipsychotic medication to 14 days for a resident with anxiety. The resident received haloperidol without a specified duration, and the prescribing practitioner did not document the need for extending the PRN order. Despite pharmacist recommendations to review the order, the Assistant DON did not act, resulting in a deficiency.
The facility failed to maintain a medication error rate below five percent, resulting in a 13.15% error rate for two residents. An LPN administered insulin based on outdated blood sugar readings, contrary to physician orders and facility policy. Staff interviews confirmed the need for timely blood sugar checks before insulin administration.
The facility failed to ensure that two residents were free from significant medication errors when an LPN did not check blood sugars prior to administering insulin. Both residents had specific physician orders for insulin administration based on blood sugar levels, which were not followed. Interviews confirmed that blood sugars should be checked before insulin administration, indicating a failure to adhere to the facility's policies.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
The facility failed to protect residents from all forms of abuse, including physical, mental, and sexual abuse, as well as physical punishment and neglect by any individual. This deficiency indicates that there was at least one instance where a resident was not safeguarded from abuse or neglect, as required by regulations. The report does not provide specific details about the actions or inactions of staff, the events leading to the deficiency, or information about the residents involved.
Failure to Implement Enhanced Barrier Precautions and Timely Legionella Testing
Penalty
Summary
The facility failed to implement Enhanced Barrier Precautions (EBP) during the care of two residents with indwelling medical devices, specifically urinary catheters. Observations revealed that staff did not use gowns or gloves as required by the facility's EBP policy during high-contact care activities. For instance, during wound care for one resident, a Licensed Practical Nurse (LPN) did not wear an isolation gown, and during catheter care for another resident, Certified Nurse Aides (CNAs) did not perform hand hygiene after glove removal. Additionally, there was no EBP signage or personal protective equipment (PPE) available outside the residents' rooms, indicating a lack of adherence to the facility's infection control policies. The facility also failed to conduct timely Legionella testing as part of its water management plan. The Legionella results, which identified the presence of the bacteria in several locations within the facility, were not acted upon promptly. The Maintenance Supervisor and Business Office Manager, who was the acting Administrator at the time, did not follow up with the necessary health authorities or take immediate corrective actions. The delay in addressing the Legionella findings was partly due to a lack of communication and guidance from corporate maintenance, as well as a failure to report the results to the Department of Health and Senior Services (DHSS). Interviews with staff revealed a lack of awareness and training regarding EBP, with CNAs and the Infection Preventionist (IP) acknowledging they had not received adequate education on the new protocols. The IP had only recently completed corporate-wide training, and the Regional Director of Operations expected EBP to be implemented, but the necessary resources and training had not been fully disseminated to the facility staff. This lack of training and resources contributed to the deficiencies observed in infection prevention and control practices.
Failure to Follow Physician's Orders for Insulin Administration
Penalty
Summary
The facility failed to follow physician's orders for two residents, leading to deficiencies in insulin administration. Resident #20, diagnosed with diabetes mellitus, acute hepatitis C, and schizophrenia, had specific orders for Novolog insulin administration based on blood sugar levels. However, on March 19, 2025, LPN G did not check the resident's blood sugar before administering insulin and failed to administer the insulin before breakfast as ordered. This action was contrary to the facility's policies on insulin administration and blood glucose monitoring. Similarly, Resident #25, diagnosed with diabetes mellitus, COPD, major depressive disorder, and anxiety, had orders for insulin lispro administration based on blood sugar levels. On the same day, LPN G administered insulin without checking the resident's blood sugar, violating the physician's orders. Interviews with LPN G, LPN A, the DON, and the Administrator confirmed the expectation that blood sugars should be checked prior to insulin administration, highlighting the failure to adhere to established protocols.
Unattended and Unlocked Medication Carts
Penalty
Summary
The facility failed to provide protective oversight by leaving medication carts unattended and unlocked on three separate occasions, which had the potential to affect all residents in the facility. On the first occasion, an LPN left the medication cart unlocked and unattended for two minutes while a resident paced around it. On the second occasion, the same LPN left the cart unlocked, with the keys to the narcotic box on top, and the bottom drawer partially open, while two residents were nearby. On the third occasion, an unlocked and unattended medication cart was left near the nurses' station with two residents and several staff members nearby. Interviews with staff revealed a lack of adherence to the facility's Medication Storage Policy, which mandates that medication carts be locked and under direct observation during medication passes. A CMT acknowledged the failure to lock the cart before walking away, and both an LPN and the DON confirmed that medication carts and keys should be secured at all times. The Administrator also stated that staff should never leave a medication cart unlocked and unattended, indicating a clear understanding of the policy that was not followed in practice.
Failure to Document and Communicate Dialysis Care
Penalty
Summary
The facility failed to provide adequate documentation and communication regarding dialysis care for a resident with end-stage renal disease. The resident, who was dependent on renal dialysis, did not have an order for dialysis documented in their Physician's Order Sheet (POS), despite receiving dialysis treatments on specific days. The facility's policy required ongoing assessment, monitoring, and communication with the dialysis center, but these were not documented. The facility also lacked a communication log between the dialysis center and the facility, which was necessary to ensure proper coordination of care. Interviews with facility staff revealed a lack of awareness and oversight regarding the resident's dialysis care. The Business Office Manager, who was the temporary administrator at the time of the resident's admission, was unaware of the communication log. The MDS Coordinator acknowledged issues with transportation and the absence of a dialysis order on the POS. The LPN confirmed that no vital signs or documentation were sent with the resident to dialysis. The ADON and Administrator both noted the absence of necessary documentation and communication, indicating a systemic failure to adhere to the facility's dialysis care policy.
Failure to Reconcile Narcotics at Shift Changes
Penalty
Summary
The facility failed to ensure proper reconciliation of narcotics at each shift change, as required by their Controlled Substance Administration and Accountability Policy. This policy mandates that two licensed nurses account for all controlled substances and access keys at the end of each shift. However, a review of the narcotic count logs for three medication carts revealed numerous missed opportunities for reconciliation. Specifically, the 100/200/400 Hall Medication Cart had 57 missed reconciliations out of 88 opportunities from late December to mid-January, and 76 missed out of 104 opportunities from mid-January to mid-February. The 300 Hall Medication Cart showed similar discrepancies, with 59 missed reconciliations out of 88 opportunities in the same initial period and 50 missed out of 88 opportunities in the subsequent period. The Nurses' Treatment Medication Cart also had missed reconciliations, with 31 missed out of 122 opportunities in January and 16 missed out of 112 opportunities in February. Interviews with staff members, including a Certified Medication Technician, a Licensed Practical Nurse, the Director of Nursing, and the Administrator, confirmed that the facility's policy required narcotics to be counted by two staff members at each shift change. Despite this, the documentation review indicated a consistent failure to adhere to this policy, as evidenced by the numerous missed reconciliations across all medication carts. This deficiency had the potential to affect all residents in the facility, which had a census of 57 at the time of the survey.
Failure to Limit PRN Antipsychotic Medication to 14 Days
Penalty
Summary
The facility staff failed to ensure that PRN orders for antipsychotic medications were limited to 14 days for a resident diagnosed with anxiety. The resident had an order for haloperidol, an antipsychotic medication, to be administered every 12 hours as needed for anxiety and agitation. However, the order did not specify a duration for the PRN use, and the prescribing practitioner did not document the appropriateness for extending the PRN order beyond 14 days. The resident received the medication multiple times over January and February, and the order was eventually discontinued in March. The facility's policy requires that PRN orders for psychotropic medications be limited to 14 days unless a rationale for extension is documented. Despite recommendations from the pharmacist to review the PRN order and add a stop date or provide a progress note, the Assistant Director of Nursing failed to act on these recommendations. The Director of Nursing was under the impression that all PRN medications should have a 14-day stop date, but this was not implemented in this case, leading to the deficiency.
Medication Error Rate Exceeds Acceptable Levels
Penalty
Summary
The facility failed to maintain a medication error rate of less than five percent, resulting in a 13.15% error rate for two residents out of four sampled. The errors were related to the administration of insulin for residents diagnosed with diabetes mellitus. Specifically, the facility's Licensed Practical Nurse (LPN) G did not perform blood glucose monitoring prior to administering insulin as per the physician's orders. Instead, LPN G used blood sugar readings taken at 5:00 A.M. by the night nurse to administer insulin later in the morning, which was not in accordance with the facility's policy or the physician's orders. For Resident #20, LPN G administered Novolog insulin based on a blood sugar reading of 150 taken at 5:00 A.M., without checking the blood sugar level before breakfast as required. Similarly, for Resident #25, LPN G administered Humalog insulin based on a blood sugar reading of 235 taken at 5:00 A.M., without verifying the blood sugar level before administration. Interviews with staff, including the Director of Nursing and the Administrator, confirmed that blood sugars should be checked prior to insulin administration and that it was inappropriate to use outdated glucose readings for fast-acting insulin administration.
Failure to Check Blood Sugar Before Insulin Administration
Penalty
Summary
The facility failed to ensure that two residents were free from significant medication errors when staff did not check blood sugars prior to administering insulin. Resident #20, who has a diagnosis of diabetes mellitus, had specific physician orders for insulin administration based on blood sugar levels. However, during a medication administration observation, LPN G administered Novolog insulin without checking the resident's blood sugar, contrary to the facility's policy and physician's orders. Similarly, Resident #25, also diagnosed with diabetes mellitus, had orders for insulin administration based on a sliding scale of blood sugar levels. LPN G administered Humalog insulin without performing the required blood sugar check. Interviews with LPN G, LPN A, the Director of Nursing, and the Administrator confirmed that blood sugars should be checked prior to insulin administration, indicating a failure to adhere to the facility's policies and physician's orders.
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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 Greenville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clark's Mountain Nursing Center | 13.4 mi | ★★★★★ | 0 | 0 |
| Puxico Nursing And Rehabilitation Center | 20.1 mi | ★★★★★ | 5 | 0 |
| Aspire Senior Living Poplar Bluff | 23.4 mi | ★★★★★ | 2 | 0 |
| Manor, The | 23.4 mi | ★★★★★ | 0 | 0 |
| Oakdale Care Center | 23.9 mi | ★★★★★ | 9 | 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 July 2026) and official state health department websites.