Cycle 1
Health 2024-09-12 · Fire 2024-09-12
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Greenbrier, AR
Greenbrier Nursing And Rehabilitation Center
5-star overall rating with 4-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#16 Wilson Farm Road, Greenbrier, AR
(501) 679-0860
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
90
Certified beds
Average residents
81
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Central Arkansas Nursing Centers
Operator or chain grouping
Approved since
2003-04-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
39 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.41
Registered nurse staffing · state 0.40 · national 0.68
LPN hours / resident day
0.86
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
2.90
Nurse aide staffing · state 2.72 · national 2.35
Total nurse hours
4.17
All reported nurse hours · state 4.07 · national 3.89
Licensed hours
1.27
RN + LPN hours · state 1.35 · national 1.54
Weekend hours
3.37
Weekend nurse staffing · state 3.48 · national 3.43
Weekend RN hours
0.16
Weekend registered nurse coverage · state 0.27 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.03 · national 0.07
Adjusted RN hours
0.47
CMS adjusted RN staffing hours
Adjusted total hours
4.68
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 48% · national 45%
Total nurse turnover
42%
Annual nurse turnover · state 51% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,107
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.25
Composite VBP score used to determine payment impact.
Payment multiplier
0.9942
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.69
Baseline 20.76% · Performance 18.79% · Measure score 5.69 · Achievement 5.69 · Improvement 4.77
Healthcare-associated infections
1.59
Baseline 5.35% · Performance 7.36% · Measure score 1.59 · Achievement 1.59 · Improvement 0
Total nurse turnover
4.12
Baseline 50.67% · Performance 46.84% · Measure score 4.12 · Achievement 4.12 · Improvement 0.98
Adjusted total nurse staffing
5.10
Baseline 4.17 hours · Performance 4.53 hours · Measure score 5.10 · Achievement 5.10 · Improvement 1.70
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.93% |
10.72%
1.2 pts worse
|
No Different than the National Rate · Eligible stays 148 · Observed rate 10.81% · Lower 95% interval 8.04% |
| Discharge to community | 60.76% |
50.57%
10.2 pts better
|
Better than the National Rate · Eligible stays 117 · Observed rate 61.54% · Lower 95% interval 51.92% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 90 · Denominator 90 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 90 |
| Discharge self-care score | 45.83% |
53.69%
7.9 pts worse
|
Numerator 33 · Denominator 72 |
| Discharge mobility score | 54.17% |
50.94%
3.2 pts better
|
Numerator 39 · Denominator 72 |
| Pressure ulcers or injuries, new or worsened | 8.89% |
2.29%
6.6 pts worse
|
Numerator 8 · Denominator 90 · Adjusted rate 7.97% |
| Healthcare-associated infections requiring hospitalization | 7.36% |
7.12%
0.2 pts worse
|
No Different than the National Rate · Eligible stays 78 · Observed rate 6.41% · Lower 95% interval 4.17% |
| Staff COVID-19 vaccination coverage | 3.06% |
8.2%
5.1 pts worse
|
Numerator 3 · Denominator 98 |
| Staff flu vaccination coverage | 95.38% |
42%
53.4 pts better
|
Numerator 124 · Denominator 130 |
| Discharge function score | 56.94% |
56.45%
0.5 pts better
|
Numerator 41 · Denominator 72 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 60 · Denominator 60 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 4.44% |
25.2%
20.8 pts worse
|
Numerator 2 · Denominator 45 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.3 |
2.0
1.7 pts better
|
1.9
1.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 2.0 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.3 |
2.2
1.9 pts better
|
1.8
1.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.3 · Observed 0.3 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.9%
5.1 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.1%
3.9 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.0% |
3.9%
3.1 pts worse
|
3.3%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 7.7% · Q3 6.1% · Q4 6.8% · 4Q avg 7.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.4%
1.4 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 1.7% |
4.9%
3.2 pts better
|
5.4%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.5% · Q3 1.7% · Q4 1.5% · 4Q avg 1.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.5% |
21.8%
21.7 pts worse
|
19.6%
23.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.1% · Q2 47.4% · Q3 47.5% · Q4 38.8% · 4Q avg 43.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
12.5%
8.4 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 4.4% · Q3 4.0% · Q4 3.6% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 5.6% |
11.4%
5.8 pts better
|
16.3%
10.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 5.7% · Q3 4.7% · Q4 4.3% · 4Q avg 5.6% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.6% |
10.4%
5.8 pts better
|
14.9%
10.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.5% · Q2 7.1% · Q3 1.7% · Q4 4.5% · 4Q avg 4.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.7%
0.7 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.1%
0.7 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.5% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.2% |
14.6%
8.4 pts better
|
19.8%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.7% · Q3 2.8% · Q4 5.3% · 4Q avg 6.2% |
| Percentage of long-stay residents with pressure ulcers | 4.7% |
4.6%
0.1 pts worse
|
5.1%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 6.0% · Q3 3.4% · Q4 6.2% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
81.8%
17 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.9% · Q2 99.0% · Q3 98.9% · Q4 98.6% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.6% |
13.8%
2.2 pts better
|
12.0%
0.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.6% · Observed 10.3% · Expected 9.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.4%
0.3 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 2.4% · Q4 2.4% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.3% |
77.9%
10.4 pts better
|
79.7%
8.6 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 88.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.8% |
25.2%
12.4 pts better
|
23.9%
11.1 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.8% · Observed 11.5% · Expected 21.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-25 · Fire 2023-08-25
5 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-05-06 · Fire 2022-05-06
4 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-12
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-10-12
F · Potential for more than minimal harm
2024-09-12
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2024-10-12
E · Potential for more than minimal harm
2023-08-25
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-24
F · Potential for more than minimal harm
2022-05-06
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-06-03
E · Potential for more than minimal harm
2022-05-06
K347 · Smoke Deficiencies
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2022-06-03
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-09-12
F761 · Pharmacy Service Deficiencies
Health
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 2024-10-12
E · Potential for more than minimal harm
2024-09-12
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-10-12
E · Potential for more than minimal harm
2024-09-12
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-09-12
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-09-12
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-12
D · Potential for more than minimal harm
2024-09-12
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-12
F · Potential for more than minimal harm
2023-08-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-24
E · Potential for more than minimal harm
2023-08-25
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-24
D · Potential for more than minimal harm
2023-08-25
F584 · Resident Rights Deficiencies
Health
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 2023-09-24
D · Potential for more than minimal harm
2023-08-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-24
D · Potential for more than minimal harm
2023-08-25
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-24
F · Potential for more than minimal harm
2022-05-06
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-06-03
E · Potential for more than minimal harm
2022-05-06
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2022-06-03
D · Potential for more than minimal harm
2022-05-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-06-03
D · Potential for more than minimal harm
2022-05-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-06-03
Penalties and ownership
What sits behind the stars
Ownership
Morton, Michael
5% Or Greater Direct Ownership Interest · Individual
Morton, Michael
Corporate Officer · Individual
Sams, Jerry
Corporate Officer · Individual
Ussery, Stacey
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Heritage Living Center
Conway, AR
4-star overall rating with 3-star inspections with 5 recent health deficiencies
#2
The Blossoms At Conway Rehab & Nursing Center
Conway, AR
1-star overall rating with 1-star inspections with $8,021 in total fines with 6 recent health deficiencies
#3
Superior Health & Rehab, LLC
Conway, AR
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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