Greenville, KY

Greenville Nursing and Rehabilitation

5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle

521 Greene Drive, Greenville, KY

(270) 338-1523

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

58

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Marx

Operator or chain grouping

Approved since

1992-02-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 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

0.43

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.76

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.31

Nurse aide staffing · state 2.43 · national 2.35

Total nurse hours

3.49

All reported nurse hours · state 4.01 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.58 · national 1.54

Weekend hours

3.09

Weekend nurse staffing · state 3.50 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.52 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.42

CMS adjusted RN staffing hours

Adjusted total hours

3.40

CMS adjusted total nurse staffing hours

Case-mix index

1.41

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

46%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,851

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

Performance score

47.35

Composite VBP score used to determine payment impact.

Payment multiplier

1.0009

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.52

Baseline 17.89% · Performance 18.87% · Measure score 5.52 · Achievement 5.52 · Improvement 0

Healthcare-associated infections

5.63

Baseline 6.18% · Performance 6.15% · Measure score 5.63 · Achievement 5.63 · Improvement 0

Total nurse turnover

6.54

Baseline 39.29% · Performance 36.96% · Measure score 6.54 · Achievement 6.54 · Improvement 1.11

Adjusted total nurse staffing

1.25

Baseline 3.44 hours · Performance 3.43 hours · Measure score 1.25 · Achievement 1.25 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.28%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 61 · Observed rate 4.92% · Lower 95% interval 6.62%
Discharge to community	48.23%	50.57% 2.3 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 40% · Lower 95% interval 33.62%
Medicare spending per beneficiary	1.15	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 44 · Denominator 44
Falls with major injury	2.27%	0.77% 1.5 pts worse	Numerator 1 · Denominator 44
Discharge self-care score	41.38%	53.69% 12.3 pts worse	Numerator 12 · Denominator 29
Discharge mobility score	55.17%	50.94% 4.2 pts better	Numerator 16 · Denominator 29
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 44 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.15%	7.12% 1 pts better	No Different than the National Rate · Eligible stays 42 · Observed rate 2.38% · Lower 95% interval 3.22%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 59
Staff flu vaccination coverage	38.38%	42% 3.6 pts worse	Numerator 38 · Denominator 99
Discharge function score	58.62%	56.45% 2.2 pts better	Numerator 17 · Denominator 29
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 24 · Denominator 24
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	Not Available	25.2%	Numerator Not Available · Denominator 17 · 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	1.9 0.7 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.2 0.5 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.6 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.3%	94.3% 7 pts worse	93.4% 6.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 86.8% · Q2 84.9% · Q3 86.8% · Q4 90.7% · 4Q avg 87.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.5%	96.2% 1.7 pts worse	95.5% 1 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.5%
Percentage of long-stay residents experiencing one or more falls with major injury	6.1%	3.8% 2.3 pts worse	3.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.9% · Q3 9.4% · Q4 11.1% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	15.2% 13.3 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 5.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	5.7%	6.7% 1 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.3% · Q3 8.0% · Q4 6.2% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.0%	29.6% 13.6 pts better	19.6% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 14.0% · Q3 16.0% · Q4 14.0% · 4Q avg 16.0%
Percentage of long-stay residents who received an antipsychotic medication	0.0%	17.6% 17.6 pts better	16.7% 16.7 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 who were physically restrained	0.0%	0.2% 0.2 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	6.9%	17.3% 10.4 pts better	16.3% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 13.2% · Q3 6.8% · Q4 7.0% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.9%	15.6% 7.7 pts better	14.9% 7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.3% · Q3 6.2% · Q4 8.7% · 4Q avg 7.9% · 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	1.9%	1.7% 0.2 pts worse	1.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 0.0% · Q4 5.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.5%	19.8% 1.3 pts better	19.8% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.8% · Q2 4.4% · Q3 19.5% · Q4 30.1% · 4Q avg 18.5%
Percentage of long-stay residents with pressure ulcers	1.1%	5.5% 4.4 pts better	5.1% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 2.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	75.5%	83.8% 8.3 pts worse	81.7% 6.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 75.6% · Q3 86.5% · Q4 85.7% · 4Q avg 75.5%
Percentage of short-stay residents who had an outpatient emergency department visit	4.2%	13.9% 9.7 pts better	12.0% 7.8 pts better	Short Stay · 20240701-20250630 · Adjusted 4.2% · Observed 4.5% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.8% 0.8 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	65.2%	83.6% 18.4 pts worse	79.7% 14.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 65.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.4%	24.5% 9.1 pts better	23.9% 8.5 pts better	Short Stay · 20240701-20250630 · Adjusted 15.4% · Observed 18.2% · Expected 28.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-17 · Fire 2025-07-17

0 health deficiencies

No concentrated health issue counts in this cycle.

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-06-20 · Fire 2024-06-20

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-05-02 · Fire 2019-05-02

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-07-17

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-08-22

E · Potential for more than minimal harm 2025-07-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-08-22

D · Potential for more than minimal harm 2025-07-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-22

F · Potential for more than minimal harm 2024-06-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-06-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-06-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-07-18

F · Potential for more than minimal harm 2024-06-20

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2024-07-18

E · Potential for more than minimal harm 2024-06-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-07-18

E · Potential for more than minimal harm 2024-06-20

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-07-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-01-09

F585 · Resident Rights Deficiencies

Health

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 2025-01-21

D · Potential for more than minimal harm 2024-06-20

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-20

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-07-11

D · Potential for more than minimal harm 2024-06-20

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-07-11

C · Minimal harm 2024-06-20

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-07-11

F · Potential for more than minimal harm 2019-05-02

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 2019-06-07

D · Potential for more than minimal harm 2019-05-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2019-06-07

Penalties and ownership

What sits behind the stars

Ownership

Greenville Nursing And Rehabilitation Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-07-25

Marx, David

5% Or Greater Indirect Ownership Interest · Individual

100% 30 facilities 2019-07-25

521 Greene Dr SNF Realty LLC

Operational/Managerial Control · Organization

0% 1 facilities 2019-09-01

Alexander, James