Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Signature Healthcare Of Greeneville during CMS and state inspections, most recent first.
A resident with a feeding tube, dysphagia, functional quadriplegia, and severe malnutrition had an order for Osmolite 1.5 at 25 mL/hr, but was observed receiving Osmolite 1.2 at 45 mL/hr instead. RN confirmed the formula and rate were incorrect, and an LPN stated she had started the wrong feeding earlier that day; the DON confirmed the facility did not follow the physician's order.
A CNA delivered lunch trays to four residents and set up the meals without offering hand hygiene assistance, despite facility policy requiring hand hygiene support before meals. The residents included cognitively intact residents with diagnoses such as spinal stenosis, CKD, femur fracture, chronic respiratory failure, depression, paraplegia, and impaired mobility; one resident also required substantial/maximal help with personal hygiene. The CNA confirmed she did not offer hand hygiene that day, and the DON confirmed staff were expected to provide it using sanitizer or sanitizing wipes.
The facility failed to protect residents from physical abuse by other residents, resulting in harm. A resident sustained a bruise and laceration when another resident threw a bowl at her, while another resident was scratched on the jaw during an altercation. Additionally, a resident was bitten on the forearm, causing significant bruising. The facility's investigation confirmed these incidents as abuse, highlighting inadequate monitoring and prevention measures.
A resident with multiple health conditions and cognitive intactness reported $600.00 stolen by a CNA, who was later terminated and had their license revoked. The facility confirmed the misappropriation and reimbursed the resident but acknowledged failing to protect the resident from exploitation.
The facility failed to report several incidents of resident-to-resident abuse and misappropriation of property to the State Agency. Incidents included physical altercations between residents with cognitive impairments and a case of misappropriation of funds by a staff member. Despite reporting to other agencies, the facility did not notify the State Agency, citing a lack of physical harm or mental anguish. The administrator acknowledged inconsistencies in the reporting process.
Incorrect enteral feeding formula and rate
Penalty
Summary
Resident #61, who had diagnoses including Multiple Sclerosis, Dysphagia, Functional Quadriplegia, Gastrostomy Status, and Unspecified Severe Protein-Calorie Malnutrition, had a comprehensive care plan that included a need for use of a feeding tube and administration of tube feeding formula as ordered. The resident had a physician's order dated 3/13/2026 for Osmolite 1.5 at 25 mL per hour, and weights documented on 3/5/2026 and 3/16/2026 showed 88.9 pounds and 90.6 pounds, respectively. During an observation and interview on 3/16/2026 at 3:11 PM, RN B observed Resident #61 receiving Osmolite 1.2 infusing at 45 mL per hour instead of the ordered Osmolite 1.5 at 25 mL per hour. RN B confirmed the formula and rate were incorrect. LPN C later stated she had prepared and started the Osmolite 1.2 at 45 mL per hour at 5:00 AM that day. The DON confirmed the facility failed to follow the physician's orders related to the tube feeding formula and rate for Resident #61.
Failure to Offer Hand Hygiene Assistance Before Meals
Penalty
Summary
The facility failed to offer hand hygiene assistance to four residents prior to lunch meal service. During observations on one unit, CNA A delivered meal trays to Resident #120, Resident #122, Resident #111, and Resident #11, set up the trays, and exited each room without offering hand hygiene assistance. The facility policy titled, Assistance with Meals, revised 5/5/2025, stated staff would assist residents with setup and meal preparations as needed, including offering residents the opportunity to wash their hands prior to meals with a washcloth, hand sanitizer, or provided toilette. Resident #120 had diagnoses including spinal stenosis, unspecified lack of coordination, chronic kidney disease, and other recurrent depressive disorders, and was cognitively intact with a BIMS score of 15. Resident #122 had diagnoses including fracture of the left femur and chronic respiratory failure and was cognitively intact with a BIMS score of 15. Resident #111 had diagnoses including acute and chronic respiratory failure and depression and scored 13 on the BIMS, indicating cognitive intactness. Resident #11 had diagnoses including infection and inflammatory reaction due to indwelling urethral catheter, depression, paraplegia, muscle weakness, and abnormalities of gait and mobility, and required substantial/maximal assistance for personal hygiene. During interview, CNA A confirmed residents were to be offered hand hygiene assistance prior to meals with sanitizing wipes and stated she had not offered it that day. The DON also confirmed staff were to offer hand hygiene assistance to all residents prior to meals, using hand sanitizer in the dining room and hand sanitizing wipes when trays were delivered to resident rooms.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse by other residents, resulting in actual harm to several individuals. Resident #23 sustained a bruise and laceration to the forehead after Resident #13 threw a plastic bowl at her. Despite the facility's policy to prevent abuse and ensure a safe environment, the altercation occurred, and the residents were not adequately monitored to prevent such incidents. Resident #23, who had severe cognitive impairment, was unable to recall the details of the incident, and the facility's investigation confirmed the occurrence of abuse. Another incident involved Resident #11, who sustained a scratch on her left jaw when Resident #12 hit her. Both residents had severe cognitive impairments, and the facility's documentation revealed that Resident #12 had a history of verbal aggression but not physical aggression. The facility's investigation verified the abuse, as evidenced by the scratch on Resident #11's face, and the residents were not effectively separated or monitored to prevent the altercation. In a separate incident, Resident #14 was bitten on the left forearm by Resident #15, resulting in significant bruising. Both residents had severe cognitive impairments, and the facility's records indicated that Resident #15 had no prior history of aggressive behavior. The facility's failure to prevent the altercation and protect Resident #14 from harm was confirmed by the investigation, which identified the bite as an act of abuse.
Failure to Protect Resident from Misappropriation of Funds
Penalty
Summary
The facility failed to protect a resident's rights to be free from misappropriation and/or exploitation when $600.00 was taken from a resident. The facility's policy on abuse, neglect, and misappropriation of property, revised on 10/17/2022, mandates the prevention of such occurrences and requires immediate investigation and reporting of alleged violations. The resident involved was admitted with diagnoses including Functional Quadriplegia, Hypertension, Type 2 Diabetes Mellitus, and Heart Disease, and was cognitively intact as per the latest assessment. The incident came to light when the resident informed the facility's Administrator about the theft and mentioned having video evidence, which was not available for review later. The facility's investigation revealed that a CNA was implicated in the misappropriation of funds. The CNA was suspended immediately upon the allegation and subsequently terminated for violating company policy. The CNA's license was later revoked as per a state licensure report. The facility confirmed the misappropriation and reimbursed the resident for the lost amount. Despite these actions, the facility acknowledged its failure to protect the resident from misappropriation of property.
Failure to Report Abuse and Misappropriation
Penalty
Summary
The facility failed to report multiple allegations of resident-to-resident abuse and misappropriation of property to the State Agency as required by their policy. The incidents involved several residents with varying degrees of cognitive impairment and physical conditions. In one instance, a resident with severe cognitive impairment and multiple diagnoses, including vascular dementia, was involved in an altercation with another resident, resulting in physical contact but no injuries. Despite the altercation being reported to other agencies, the facility did not notify the State Agency, citing a lack of physical harm or mental anguish as the reason. Another incident involved two residents, one with severe cognitive impairment and the other with moderate impairment, where one resident physically lifted the other from a wheelchair. Although the incident was reported to the police and other relevant parties, the facility did not report it to the State Agency, again due to the absence of injuries or psychosocial harm. The facility's administrator acknowledged the inconsistency in their reporting process, which was influenced by guidance from their corporate office and interpretations of regulatory changes. Additionally, the facility failed to timely report an allegation of misappropriation of funds involving a resident and a staff member. The resident, who was cognitively intact, reported the theft to the facility administrator, who then initiated an investigation. However, it was revealed that a staff member had prior knowledge of the alleged theft but did not report it. The facility substantiated the misappropriation claim and took action against the involved staff, but the delay in reporting to the State Agency was noted as a 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) |
|---|---|---|---|---|
| Life Care Center Of Greeneville | 1.6 mi | ★★★★★ | 0 | 0 |
| Laughlin Health Care Center | 2.1 mi | ★★★★★ | 0 | 0 |
| Durham-hensley Health And Rehabilitation | 9.5 mi | ★★★★★ | 0 | 0 |
| Signature Healthcare Of Rogersville | 15.9 mi | ★★★★★ | 2 | 0 |
| Four Oaks Health Care Center | 21.3 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.