Nursing HomeInspections

Greenville Health & Rehabilitation Center

Nursing home in Greenville, TX

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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Public-record details

Address
4910 Wellington, Greenville, TX 75402
Phone
(903) 454-3772
Listed under
For-profit
Medicare CCN
675020
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
64
Ownership
For-profit, corporation
Legal business name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions (28 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 8, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675020. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 12, 2025. CMS lists 87 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 8, 2023 to Jun 5, 2026): 24 from complaint inspections, 6 at the “actual harm” level or higher, including 5 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jun 5, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 21, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Nov 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
May 12, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
May 12, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights
D
Potential for more than minimal harm, isolated
May 12, 2025Keep residents' personal and medical records private and confidential.
Resident Rights
D
Potential for more than minimal harm, isolated
May 12, 2025Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection
D
Potential for more than minimal harm, isolated
May 12, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
May 12, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
May 12, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 12, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 12, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 87. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $96,065 in the last three years.

May 12, 2025Fine: $17,345
May 12, 2025Fine: $17,345
May 12, 2025Fine: $17,345
May 12, 2025Fine: $17,345
May 12, 2025Fine: $26,685

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.48 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
2.40 hours
Total nurse staffing on weekends
3.20 hours
Nursing staff turnover (yearly)
50%
RN turnover (yearly)
78%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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