Greenville Health Care Center

117 Sycamore Street · Greenville, MO · 63944 · 5732243298

60 certified beds For profit - Limited Liability company Chain: Reliant Care Management

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 100
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 18
Context 5% 75

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year54%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · D July 23, 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 August 21, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 21, 2025

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected April 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected April 23, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 23, 2025 · Quality of Life and Care

  • Potential for harm · D March 21, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected April 23, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected April 23, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected April 23, 2025 · Pharmacy Service

  • Potential for harm · D March 21, 2025

    Ensure that residents are free from significant medication errors.

    Corrected April 23, 2025 · Pharmacy Service

  • Potential for harm · F March 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected April 23, 2025 · Infection Control

  • Potential for harm · D February 28, 2024

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected April 18, 2024 · Resident Rights

  • Potential for harm · D August 31, 2022

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected October 15, 2022 · Resident Rights

  • Potential for harm · D August 31, 2022

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 15, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D August 31, 2022

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected October 15, 2022 · Quality of Life and Care

  • Potential for harm · D August 31, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected October 15, 2022 · Quality of Life and Care

  • Potential for harm · D August 31, 2022

    Ensure medication error rates are not 5 percent or greater.

    Corrected October 15, 2022 · Pharmacy Service

  • Potential for harm · D August 31, 2022

    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 October 15, 2022 · Pharmacy Service

  • Potential for harm · D August 31, 2022

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 15, 2022 · Nutrition and Dietary

  • Potential for harm · E August 31, 2022

    Provide and implement an infection prevention and control program.

    Corrected October 15, 2022 · Infection Control

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 265547 · certified since November 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.