Greenville, MO

Greenville Health Care Center

3-star overall rating with 4-star inspections with 9 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

117 Sycamore Street, Greenville, MO

(573) 224-3298

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

57

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Reliant Care Management

Operator or chain grouping

Approved since

1993-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 1 overall / 2 health / 1 staffing / 2 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

0.34

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.35

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.52

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.21

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

0.69

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.21

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.30

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.27

CMS adjusted RN staffing hours

Adjusted total hours

1.76

CMS adjusted total nurse staffing hours

Case-mix index

1.72

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,054

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

27.96

Composite VBP score used to determine payment impact.

Payment multiplier

0.9848

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

0.75

Baseline 31.58% · Performance 60.61% · Measure score 0.75 · Achievement 0.75 · Improvement 0

Adjusted total nurse staffing

4.84

Baseline 2.40 hours · Performance 4.21 hours · Measure score 4.84 · Achievement 3.96 · Improvement 4.84

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 11 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 68
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 263
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.2 · Expected 1.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.4	2.3 1.1 pts worse	1.8 1.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.7 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	76.6%	84.8% 8.2 pts worse	93.4% 16.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 86.3% · Q3 61.8% · Q4 60.0% · 4Q avg 76.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.3%	90.9% 3.4 pts better	95.5% 1.2 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.3%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	4.1% 2.2 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 2.0% · Q3 1.8% · Q4 1.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	34.5%	14.7% 19.8 pts worse	11.4% 23.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 65.4% · Q4 66.7% · 4Q avg 34.5%
Percentage of long-stay residents who lose too much weight	2.4%	5.5% 3.1 pts better	5.4% 3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 7.4% · Q4 1.9% · 4Q avg 2.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	51.9%	25.3% 26.6 pts worse	19.6% 32.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 50.9% · Q2 52.9% · Q3 52.7% · Q4 50.9% · 4Q avg 51.9%
Percentage of long-stay residents who received an antipsychotic medication	54.1%	25.0% 29.1 pts worse	16.7% 37.4 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 54.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	36.5%	20.3% 16.2 pts worse	16.3% 20.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 75.4% · Q2 64.2% · Q3 3.4% · Q4 7.4% · 4Q avg 36.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	48.6%	19.8% 28.8 pts worse	14.9% 33.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 62.3% · Q2 54.9% · Q3 27.8% · Q4 50.0% · 4Q avg 48.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	1.4% 0.9 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	2.6% 1.6 pts better	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 1.9% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.3%	18.1% 5.8 pts better	19.8% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.4% · Q2 9.1% · Q3 15.7% · Q4 9.8% · 4Q avg 12.3%
Percentage of long-stay residents with pressure ulcers	2.2%	5.0% 2.8 pts better	5.1% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 5.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	67.4%	66.4% 1 pts better	81.7% 14.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 67.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-21 · Fire 2025-03-21

9 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-02-28 · Fire 2024-02-28

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2022-08-31 · Fire 2022-08-31

8 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-21

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-04-23

F · Potential for more than minimal harm 2024-02-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-18

F · Potential for more than minimal harm 2024-02-28

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2024-04-18

F · Potential for more than minimal harm 2024-02-28

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-04-18

F · Potential for more than minimal harm 2022-08-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-10-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-08-21

F · Potential for more than minimal harm 2025-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F758 · Pharmacy Service Deficiencies

Health

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 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-23

D · Potential for more than minimal harm 2025-03-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-23

D · Potential for more than minimal harm 2024-02-28

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 2024-04-18

E · Potential for more than minimal harm 2022-08-31