Federal inspection record · CMS data as of October 1, 2026
Greendale Forest Nursing and Rehabilitation Center
1304 SE Second Street, Snow Hill, NC · (252) 747-8126
- Certified beds
- 115
- Residents per day
- 105
- Ownership
- For-Profit
- Chain
- Principle Long Term Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 13, 1991
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Greendale Forest Nursing and Rehabilitation Center carries 46 inspection points. That is fewer than 36% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
20 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Resident Rights5E
- E
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.
- C
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- B
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care5D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate foot care.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nursing and Physician Services3F
- F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- B
Post nurse staffing information every day.
- C
Post nurse staffing information every day.
Resident Assessment and Care Planning3E
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration1D
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-06-18
5 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2025-03-27
8 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-01-08
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 17 min of it from a registered nurse.
This home
3 h 14 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 31% of nursing staff and 29% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$18,132 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-03-27 | Fine | $9,620 |
| 2024-04-26 | Fine | $8,512 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.7 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.4 pts better | 92.8% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine10.5 pts worse | 84.2% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 2.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.8 pts better | 0.0% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.5 pts better | 4.6% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better | 13.6% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 8.7% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts worse | 0.3% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened13.2 pts better | 3.4% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.1 pts better | 5.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 0.8% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.8 pts worse | 3.9% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15.6 pts better | 4.3% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.7 pts worse | 6.1% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine33.8 pts worse | 47.7% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.7 pts worse | 17.4% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts better | 1.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine27 pts worse | 54.1% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.8 pts worse | 24.0% | 22.2% | 23.4% |
·
Who owns and runs it
9 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Abela, Anthony | Managing Control - Governing Body · Individual | 0% | 2 facilities |
| Abela, Anthony | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Boice, Gale | Corporate Officer · Individual | 0% | 38 facilities |
| Johnson, Dianne | Corporate Officer · Individual | 0% | 37 facilities |
| Krishnaraj, Ramesh | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Krishnaraj, Ramesh | Adp Of The SNF · Individual | 0% | 4 facilities |
| Mumford, Caroline | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mumford, Caroline | Adp Of The SNF · Individual | 0% | 1 facilities |
| Principle Long Term Care, Inc. | Operational/Managerial Control · Organization | 0% | 37 facilities |
·
Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Services3D
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress2D
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install resident room doors of proper design and width.
Gas, Vacuum, and Electrical Systems1D
- D
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
PruittHealth-Farmville
Farmville, NC · Pruitthealth
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 11 min
- Fines
- $14,697
-
NC State Veterans Home-Kinston
Kinston, NC · Pruitthealth
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 26 min
- Fines
- $74,987
-
Signature Healthcare of Kinston
Kinston, NC · Signature Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 37 min
- Fines
- $0