Nursing HomeInspections

Greenville Health & Rehabilitation Center

Nursing home in Greenville, TX

Medicare & Medicaid certified1★ overall (CMS)

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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
2 of 5
Quality measures rating
2 of 5
Certified beds
120
Average residents per day
62
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 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 9, 2026. CMS lists 90 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 3, 2023 to Jul 9, 2026): 21 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 9, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide 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
Jul 9, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure that residents are free from significant medication errors.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 9, 2026Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated
Jul 9, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Nutrition and Dietary
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 90. 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 Oct 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 Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.39 hours
Registered nurse (RN) time per resident per day
0.35 hours
Nurse aide time per resident per day
2.27 hours
Total nurse staffing on weekends
3.15 hours
Nursing staff turnover (yearly)
52%
RN turnover (yearly)
67%
Administrators who left in the past year
3

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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