Greentree Manor Nursing and Rehabilitation Center
4 Greentree Drive · Waterford, CT · 06385 · 8604420647
90 certified beds For profit - Corporation Chain: Ryders Health Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
61% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 3.89 | ≈ weekday level |
| Nursing turnover / year | 61% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (90 in the current record)
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Potential for harm · D December 22, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 2, 2026 · Quality of Life and Care
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Potential for harm · E December 2, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 13, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 2, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected January 13, 2026 · Pharmacy Service
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Potential for harm · D July 8, 2025 · found via complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected August 19, 2025 · Resident Rights
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Potential for harm · D July 8, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 19, 2025 · Quality of Life and Care
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Potential for harm · D May 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 26, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 6, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected July 17, 2025 · Resident Assessment and Care Planning
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Actual harm · G May 6, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · E May 6, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · D May 6, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 17, 2025 · Resident Rights
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Potential for harm · E May 6, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 6, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 17, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 6, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 17, 2025 · Quality of Life and Care
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Potential for harm · D May 6, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · D May 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · E May 6, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · D May 6, 2025
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected July 17, 2025 · Pharmacy Service
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Potential for harm · E May 6, 2025
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected July 17, 2025 · Nutrition and Dietary
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Potential for harm · E May 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 17, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075113 · certified since January 1, 1970. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.