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 Life Care Center Of Greeneville during CMS and state inspections, most recent first.
Surveyors observed multiple sanitation failures in the kitchen, including soiled equipment such as the ice machine, dish machine, stove, microwave, oven, and can opener, as well as damaged plate warmer seals and heavily soiled floors. Food storage issues included an inoperable refrigerator thermometer, a freezer with excessive ice build-up, open and undated frozen food, and expired thickened cranberry juice available for use. The Certified Dietary Manager confirmed these deficiencies and acknowledged the kitchen was not maintained in a clean and sanitary condition.
A resident with severe cognitive impairment was readmitted with a PICC line for IV antibiotics following bacteremia and UTI, but the care plan was not updated to include the new vascular access device as required. Despite physician orders and ongoing observations confirming the presence of the PICC line, the care plan only addressed ADL deficits and infection risk, omitting the PICC line and related care needs.
A resident with physical limitations and no order to self-administer medications was found with antacid tablets left unsecured at the bedside. Facility staff confirmed that medications should not be stored at the bedside and that the resident was not permitted to self-administer, resulting in a deficiency for improper medication storage and supervision.
A resident with a history of heart failure and dependence on supplemental oxygen was observed receiving oxygen at 1.5 LPM instead of the physician-ordered 2 LPM. Despite clear orders and care plan instructions, staff, including an LPN and the Interim DON, confirmed the oxygen was not set at the prescribed rate. The nurse practitioner also acknowledged the requirement to follow the ordered rate.
A resident with multiple chronic conditions was prescribed Vitamin D3, but the pharmacy delivered Vitamin D2 instead. During medication administration, an RN identified the discrepancy, and the interim DON confirmed that the pharmacy had not supplied the correct medication as ordered. The pharmacy consultant acknowledged the error but could not explain why the wrong medication was sent.
A resident with severe cognitive and physical impairments, who required an indwelling urinary catheter, was observed on two occasions with the catheter drainage bag stored directly on the floor beneath the bed. Facility policy and staff interviews confirmed that catheter bags should not be placed on the floor to maintain infection control, but this protocol was not followed.
A facility failed to transmit a discharge MDS assessment within the required timeframe for a resident who was discharged to the hospital. The resident, admitted with conditions such as Pneumonia and Pressure Ulcers, did not have the necessary assessment completed or transmitted, resulting in a delay of over 120 days. The MDS Coordinator confirmed the oversight during an interview.
A resident experienced significant unplanned weight loss, which was inaccurately documented as a physician-prescribed weight-loss regimen in the MDS assessment. The resident's weight decreased from 242 to 178 pounds over 180 days. Interviews with the MDS Coordinator and RD confirmed the error, as the resident was not on a prescribed weight-loss program.
The facility failed to refer two residents for a Level II PASARR after new diagnoses of Psychosis were added. Despite facility policy requiring notification of state authorities for significant changes in mental condition, no referrals were made. Both residents had assessments indicating potential mental health issues, but the necessary screenings were not conducted.
The facility failed to update comprehensive care plans for two residents, leading to deficiencies. A resident with a urinary tract infection and multi-drug resistant organism did not have transmission-based precautions included in their care plan. Another resident with psychosis and hallucinations had a care plan that did not reflect these conditions. The DON confirmed these omissions, highlighting lapses in care planning.
A resident's medical record was found to be incomplete and inaccurate due to a failure to document a urine specimen collection, despite a physician's order for a urinalysis culture and sensitivity. The RN responsible admitted to obtaining the specimen but forgot to document the procedure, which was confirmed by the DON as a deviation from the facility's documentation expectations.
The facility failed to offer hand hygiene to two residents before an evening meal, as observed on one unit. The facility's policy requires maintaining an infection prevention and control program, but staff did not assist the residents with hand hygiene, confirmed by both the staff and residents. The DON acknowledged that infection control practices were not maintained.
A facility failed to allow a resident to return after hospitalization, despite being capable of care, due to family expectations. Another resident was discharged with incorrect medications, which were later returned without adverse effects. Both incidents highlight deficiencies in discharge and medication handling procedures.
Failure to Maintain Sanitary Kitchen and Proper Food Storage
Penalty
Summary
The facility failed to maintain a clean and sanitary kitchen environment, as evidenced by multiple observations of soiled equipment, improper food storage, and expired food items. During a kitchen inspection, surveyors noted the ice machine was visibly soiled with dust and unknown black, brown, and white debris on both the outside and inside rims, including a large amount of black substance in a gap of the door rim. The dish machine and surrounding areas, including the floor and drainage pipe, were found with dried food debris, accumulated grime, and unknown substances. The stove, microwave, oven, and can opener were all observed with significant build-up of grease, dried food particles, and other residues. Additionally, the 3-compartment plate warmer had loose food particles and damaged gasket seals, and the floor behind the oven and stove was heavily soiled with dirt, dead insects, and grime. Further deficiencies included improper food storage and temperature monitoring. The small walk-in refrigerator contained a digital thermometer that was inoperable, with no other thermometers available, despite staff documenting daily temperatures as within acceptable parameters. The reach-in chest type ice cream freezer had a large amount of ice build-up, and one thermometer was covered in ice. In the walk-in freezer, a box of frozen biscuits was found open, undated, and exposed to air. On the dry storage rack, two boxes of thickened cranberry juice were expired but still available for resident use. Facility policy reviews indicated that the Director of Food and Nutrition Services was responsible for ensuring cleanliness and sanitation in accordance with regulatory requirements, including proper cleaning schedules, equipment sanitization, and temperature monitoring. However, the observed conditions in the kitchen and storage areas did not align with these policies. The Certified Dietary Manager confirmed the presence of expired food, soiled equipment, and the inoperable thermometer, acknowledging that the kitchen and its equipment were not maintained in a clean and sanitary condition.
Failure to Update Care Plan for Resident with New PICC Line After Hospital Readmission
Penalty
Summary
The facility failed to revise the comprehensive care plan for one resident following a significant change in condition after hospital readmission. The resident, who had severe cognitive impairment and required substantial assistance with activities of daily living, was readmitted with a vascular access device (PICC line) for IV antibiotic therapy due to bacteremia and a urinary tract infection. Despite physician orders and documentation indicating the presence of the PICC line and the need for ongoing IV antibiotics, the care plan was not updated to reflect the new vascular access device within the required timeframe. Observations conducted several days after readmission confirmed the continued presence of the PICC line in the resident's right upper extremity. Interviews with facility staff, including the Interim DON, confirmed that the care plan should have been updated within seven days of readmission, but this was not done. The care plan only addressed the resident's ADL deficits and infection risk, with no mention of the PICC line or related care needs.
Failure to Secure Medications at Bedside
Penalty
Summary
The facility failed to ensure that medications were stored and secured properly for one resident. According to facility policy, medications are to be administered safely and appropriately, and there was no documentation allowing the resident to self-administer medications. The resident in question had diagnoses including malignant neoplasm of the bladder, muscle weakness, and required assistance with activities of daily living due to physical limitations, including impairment in both upper extremities. The resident was cognitively intact but required staff setup and cleanup assistance with eating and personal hygiene. During observation, three antacid tablets were found in a medicine cup on the resident's over-bed table, accessible to the resident without staff supervision. There was no physician's order permitting the resident to self-administer medications. Both the RN and the Interim DON confirmed that the resident did not have the ability to self-administer medications and that medications should not be stored at the bedside. The facility's failure to properly store the antacid tablets resulted in a deficiency related to accident hazards and inadequate supervision.
Failure to Administer Oxygen at Physician-Ordered Rate
Penalty
Summary
The facility failed to ensure that oxygen therapy was administered at the physician-prescribed rate for a resident who required supplemental oxygen. According to facility policy, oxygen orders must specify the required liter flow, and staff are expected to administer oxygen as ordered. The resident in question had a history of heart failure, heart disease, and dependence on supplemental oxygen, and was assessed as having moderate cognitive impairment. The care plan and physician orders specified oxygen at 2 liters per minute (LPM) via nasal cannula as needed, with instructions to monitor oxygen saturation and notify the physician if levels dropped below 90%. Multiple observations over two days revealed that the resident consistently received oxygen at 1.5 LPM instead of the prescribed 2 LPM. Both the resident and staff, including an LPN and the Interim DON, confirmed that the oxygen was not set at the ordered rate. The nurse practitioner acknowledged that, regardless of perceived risk, oxygen therapy should be administered at the rate ordered by the medical provider. The deficiency was identified through policy review, medical record review, direct observation, and staff interviews.
Incorrect Medication Delivered by Pharmacy
Penalty
Summary
The facility failed to ensure that the pharmacy provided an accurate, physician-prescribed medication for a resident. According to the medical record, the resident was admitted with diagnoses including Alzheimer's Disease, Dementia, Osteoarthritis, and Glaucoma, and had a current physician order for Vitamin D3 oral capsule 1.25 mg to be administered once weekly. During medication administration, a registered nurse retrieved a medication card containing Vitamin D2 instead of the prescribed Vitamin D3. The interim Director of Nursing confirmed that the medication card, dated over a month prior, contained Vitamin D2 and that the pharmacy had not delivered the correct medication as ordered. The pharmacy consultant also confirmed that Vitamin D2 was delivered and was unable to explain why the incorrect medication was sent.
Failure to Maintain Proper Urinary Catheter Bag Storage
Penalty
Summary
The facility failed to follow proper infection control practices regarding the storage of a urinary catheter drainage bag for one resident. Facility policy required that urinary catheter bags not be placed on the floor and that infection prevention and control procedures be followed. Medical record review showed the resident had significant physical and cognitive impairments, required substantial assistance with activities of daily living, and had an indwelling urinary catheter with orders for catheter care every shift. The resident's care plan also specified catheter care and monitoring for kinks in the tubing. During two separate observations, the resident's urinary catheter drainage bag was found stored directly on the floor, partially under the bed. An LPN confirmed the improper storage and acknowledged that the bag should not be on the floor to maintain infection control. The Interim DON also confirmed that staff were expected to keep catheter bags off the floor and that infection prevention and control practices were not maintained in this instance.
Failure to Transmit Discharge MDS Assessment Timely
Penalty
Summary
The facility failed to transmit a discharge Minimum Data Set (MDS) assessment in a timely manner for one resident. According to the Resident Assessment Instrument (RAI) Version 3.0 Manual, discharge assessments must be transmitted no later than 14 calendar days after the MDS completion date. However, the medical record review revealed that a resident, who was admitted with diagnoses including Pneumonia, Adult Failure to Thrive, Malnutrition, and Pressure Ulcers, and discharged to the hospital, did not have a discharge MDS assessment completed or transmitted. This assessment was more than 120 days overdue. During an interview, the MDS Coordinator confirmed the oversight, acknowledging that the discharge assessment had not been completed or transmitted.
Inaccurate MDS Assessment for Resident's Weight Loss
Penalty
Summary
The facility failed to accurately complete a Minimum Data Set (MDS) assessment for a resident, which was identified during a review of the Resident Assessment Instrument (RAI) Manual 3.0, medical records, observations, and interviews. The resident in question was admitted with diagnoses including End Stage Renal Disease, Diabetes Mellitus, and Gastro-Esophageal Reflux Disease. The quarterly MDS assessment inaccurately indicated that the resident was on a physician-prescribed weight-loss regimen, despite the resident experiencing significant unplanned weight loss over 180 days. The resident's weight decreased from 242 pounds to 178 pounds, a total loss of 26.45% in 180 days, which was not part of a prescribed weight-loss program. Interviews with the MDS Coordinator and the Registered Dietitian (RD) confirmed that the entry on the MDS assessment was marked in error, as the resident was not on a physician-prescribed weight-loss program. The RD noted that the resident's weight was currently at a desired range for their height, but the facility aimed to prevent further weight loss. The error in the MDS assessment was acknowledged by both the MDS Coordinator and the RD, highlighting a discrepancy between the resident's actual care plan and the documented assessment.
Failure to Refer Residents for Level II PASARR
Penalty
Summary
The facility failed to refer two residents, identified with possible serious mental disorders, to the state-designated authority for a Level II Pre-Admission Screening and Resident Review (PASARR). According to the facility's policy, revised on October 6, 2022, the facility is required to notify the appropriate state mental health authority when a resident with a mental disorder experiences a significant change in their condition. This ensures that residents receive the necessary care and services in the most appropriate setting. However, the facility did not submit a PASARR Level II screening for two residents after new diagnoses of Psychosis were added to their medical records. Resident #1 was admitted with diagnoses including Anxiety Disorder and Depression, and later had Psychosis added to their diagnoses. A PASARR dated August 23, 2023, indicated no need for a Level II evaluation unless there was an exacerbation of mental illness. Despite a quarterly assessment showing mild cognitive impairment and indicators of hallucinations and delusions, no Level II screening was submitted. Similarly, Resident #74, admitted with Adjustment Disorder, Anxiety, and Depression, had Psychosis added to their diagnoses. A PASARR dated June 23, 2023, also indicated no need for a Level II evaluation unless conditions changed. Despite a quarterly assessment showing potential indicators of hallucinations and an active diagnosis of Psychotic Disorder, no Level II screening was submitted. The Director of Nursing confirmed the oversight during an interview.
Deficiencies in Comprehensive Care Planning for Two Residents
Penalty
Summary
The facility failed to develop comprehensive care plans for two residents, leading to deficiencies in care. Resident #68, who was admitted with diagnoses including muscle weakness and a urinary tract infection, had a care plan that did not include necessary transmission-based precautions despite having a multi-drug resistant organism in the urine. Observations confirmed that contact precautions were in place, but the care plan was not updated to reflect this change, as confirmed by the Director of Nursing (DON). Similarly, Resident #74, admitted with diagnoses including psychosis and depression, had a care plan that failed to reflect the resident's psychosis and hallucinations. The resident was cognitively intact and had potential indicators of hallucinations, yet the care plan only addressed obsessive behavior and hypersexuality. The DON confirmed that the care plan was not updated to include the resident's psychosis and hallucinations, indicating a lapse in the facility's care planning process.
Incomplete Medical Record Documentation for a Resident
Penalty
Summary
The facility failed to ensure the medical record was complete and accurate for a resident, identified as Resident #68, who was admitted with diagnoses including muscle weakness, need for assistance with personal care, and a urinary tract infection. The facility's policy on nursing documentation requires that the medical record reflect the resident's condition and the care and services provided, including any changes in condition. However, a review of the nurse's notes for Resident #68 from early April to late April revealed no documentation of a urine specimen being obtained, despite a physician's order for a urinalysis culture and sensitivity due to increased confusion. On April 23, a urine culture and sensitivity report indicated that a specimen was obtained at the facility. During an interview, a registered nurse (RN A) confirmed that she had obtained the urine specimen on that date using a clean catch method and sent it to the lab for processing but admitted she forgot to document the procedure in the medical record. The Director of Nursing (DON) confirmed that it was the facility's expectation for such procedures to be documented and acknowledged that the medical record for Resident #68 was incomplete and inaccurate due to the lack of documentation.
Failure to Provide Hand Hygiene Before Meals
Penalty
Summary
The facility failed to assist or offer hand hygiene to two residents before an evening meal on one of the units observed for meal service. The facility's policy on hand hygiene, revised on June 13, 2023, mandates the establishment and maintenance of an infection prevention and control program to provide a safe, sanitary, and comfortable environment, preventing the development and transmission of communicable diseases and infections. However, during an observation on April 29, 2024, the Activities Director (AD) did not offer hand hygiene to Resident #76 before setting up the evening meal tray. This was confirmed by both the AD and the resident during interviews. Similarly, on the same day, a Certified Nursing Assistant (CNA) did not offer hand hygiene to Resident #10 before setting up the evening meal tray. Resident #10 confirmed this during an interview, stating that sometimes a wet wipe is provided, but not consistently. The CNA also confirmed the omission. The Director of Nursing (DON) stated that it was her expectation for staff to assist residents with hand hygiene before meals, acknowledging that infection control practices were not maintained in these instances.
Improper Resident Discharge and Medication Handling
Penalty
Summary
The facility failed to permit a resident to return after hospitalization and did not follow proper discharge procedures for another resident. Resident #350, who had severe cognitive impairment and multiple diagnoses including Alzheimer's Disease and Chronic Obstructive Pulmonary Disease, was transferred to the hospital for evaluation and treatment. Despite the facility's policy to allow residents to return after hospitalization, the facility refused to accept Resident #350 back, citing the inability to meet the expectations of the resident's daughter. The facility filled the resident's bed and advised the family to find alternative placement, even though the facility was capable of caring for the resident. In another incident, Resident #195, who also had severe cognitive impairment, was discharged home with her son. However, the facility mistakenly sent home medication cards belonging to another resident, Resident #16. The error was discovered by Resident #195's niece, who returned the medications to the facility. The Director of Nursing confirmed that Resident #16 had received her prescribed medications, and there was no adverse outcome for Resident #195. The facility's failure to properly manage the discharge process and medication handling led to this deficiency.
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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 Greeneville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Laughlin Health Care Center | 0.8 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Greeneville | 1.6 mi | ★★★★★ | 3 | 0 |
| Durham-hensley Health And Rehabilitation | 8.5 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Rogersville | 17.4 mi | ★★★★★ | 2 | 0 |
| Four Oaks Health Care Center | 20.4 mi | ★★★★★ | 3 | 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.