Cycle 1
Health 2025-03-19 · Fire 2025-03-19
19 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Greenwich, CT
Greenwich Woods Rehabilitation
1-star overall rating with 1-star inspections with $130,496 in total fines with 19 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
1165 King Street, Greenwich, CT
(203) 531-1335
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
217
Certified beds
Average residents
79
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1986-06-24
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.81
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.72
Licensed practical nurse staffing · state 0.84 · national 0.87
Aide hours / resident day
2.53
Nurse aide staffing · state 2.28 · national 2.35
Total nurse hours
4.06
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.53
RN + LPN hours · state 1.54 · national 1.54
Weekend hours
3.46
Weekend nurse staffing · state 3.41 · national 3.43
Weekend RN hours
0.64
Weekend registered nurse coverage · state 0.46 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.08 · national 0.07
Adjusted RN hours
0.85
CMS adjusted RN staffing hours
Adjusted total hours
4.25
CMS adjusted total nurse staffing hours
Case-mix index
1.31
Higher values indicate more complex resident acuity
RN turnover
50%
Annual RN turnover · state 39% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 38% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,132
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
30.65
Composite VBP score used to determine payment impact.
Payment multiplier
0.9861
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.76
Baseline 25.48% · Performance 23.57% · Measure score 1.76 · Achievement 0 · Improvement 1.76
Healthcare-associated infections
1.11
Baseline 5.39% · Performance 7.50% · Measure score 1.11 · Achievement 1.11 · Improvement 0
Total nurse turnover
6.41
Performance 37.50% · Measure score 6.41 · Achievement 6.41 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
2.98
Baseline 3.50 hours · Performance 3.93 hours · Measure score 2.98 · Achievement 2.98 · Improvement 1.35
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 13.08% |
10.72%
2.4 pts worse
|
No Different than the National Rate · Eligible stays 328 · Observed rate 13.72% · Lower 95% interval 10.32% |
| Discharge to community | 69.09% |
50.57%
18.5 pts better
|
Better than the National Rate · Eligible stays 343 · Observed rate 59.77% · Lower 95% interval 63.56% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 86.24% |
95.27%
9 pts worse
|
Numerator 188 · Denominator 218 |
| Falls with major injury | 0.46% |
0.77%
0.3 pts better
|
Numerator 1 · Denominator 218 |
| Discharge self-care score | 52.99% |
53.69%
0.7 pts worse
|
Numerator 71 · Denominator 134 |
| Discharge mobility score | 76.87% |
50.94%
25.9 pts better
|
Numerator 103 · Denominator 134 |
| Pressure ulcers or injuries, new or worsened | 4.13% |
2.29%
1.8 pts worse
|
Numerator 9 · Denominator 218 · Adjusted rate 3.22% |
| Healthcare-associated infections requiring hospitalization | 7.5% |
7.12%
0.4 pts worse
|
No Different than the National Rate · Eligible stays 219 · Observed rate 8.22% · Lower 95% interval 4.98% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 115 |
| Staff flu vaccination coverage | 31.85% |
42%
10.1 pts worse
|
Numerator 43 · Denominator 135 |
| Discharge function score | 74.63% |
56.45%
18.2 pts better
|
Numerator 100 · Denominator 134 |
| Transfer of health information to provider | 92.02% |
95.95%
3.9 pts worse
|
Numerator 150 · Denominator 163 |
| Transfer of health information to patient | 78.38% |
96.28%
17.9 pts worse
|
Numerator 29 · Denominator 37 |
| Resident COVID-19 vaccinations up to date | 15.24% |
25.2%
10 pts worse
|
Numerator 16 · Denominator 105 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.4 |
2.1
1.3 pts worse
|
1.9
1.5 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 2.6 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.2 |
1.5
0.3 pts better
|
1.8
0.6 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 58.6% |
87.5%
28.9 pts worse
|
93.4%
34.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 67.8% · Q2 45.9% · Q3 51.7% · Q4 69.5% · 4Q avg 58.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 85.7% |
93.5%
7.8 pts worse
|
95.5%
9.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 85.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.7% |
3.4%
1.7 pts better
|
3.3%
1.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 1.7% · Q4 1.7% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
17.1%
17.1 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 | 10.3% |
6.4%
3.9 pts worse
|
5.4%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 6.9% · Q3 8.9% · Q4 11.3% · 4Q avg 10.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.8% |
17.3%
1.5 pts better
|
19.6%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 15.3% · Q3 15.8% · Q4 14.8% · 4Q avg 15.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 25.9% |
19.4%
6.5 pts worse
|
16.7%
9.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 28.3% · Q3 26.2% · Q4 23.8% · 4Q avg 25.9% · 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 | 30.4% |
18.1%
12.3 pts worse
|
16.3%
14.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 42.3% · Q3 33.6% · Q4 27.0% · 4Q avg 30.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 27.0% |
18.4%
8.6 pts worse
|
14.9%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.1% · Q2 32.0% · Q3 26.5% · Q4 22.7% · 4Q avg 27.0% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.6% |
0.9%
1.7 pts worse
|
1.0%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.2% · Q3 2.2% · Q4 3.5% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.4% |
1.7%
1.3 pts better
|
1.7%
1.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.7% · Q3 0.0% · 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 | 26.7% |
24.8%
1.9 pts worse
|
19.8%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.7% · Q2 31.6% · Q3 29.8% · Q4 19.3% · 4Q avg 26.7% |
| Percentage of long-stay residents with pressure ulcers | 13.7% |
4.4%
9.3 pts worse
|
5.1%
8.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.7% · Q2 13.5% · Q3 15.4% · Q4 12.2% · 4Q avg 13.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.1% |
70.5%
8.4 pts worse
|
81.7%
19.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 42.8% · Q2 60.9% · Q3 73.9% · Q4 75.4% · 4Q avg 62.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.5% |
11.1%
2.6 pts better
|
12.0%
3.5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 8.2% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.2% |
1.5%
0.3 pts better
|
1.6%
0.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.9% · Q3 1.1% · Q4 1.2% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 62.5% |
69.7%
7.2 pts worse
|
79.7%
17.2 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 62.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.7% |
25.0%
5.7 pts worse
|
23.9%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.7% · Observed 32.5% · Expected 25.2% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-07-14 · Fire 2022-07-14
9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
5 fire-safety deficiencies
Top issue: Miscellaneous (2 deficiencies)
Cycle 3
Health 2019-11-27 · Fire 2019-11-27
3 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
1 fire-safety deficiencies
Top issue: Services (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2025-03-19
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-03-19
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-03-19
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-03-19
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-04-29
D · Potential for more than minimal harm
2025-03-19
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-04-23
F · Potential for more than minimal harm
2022-07-14
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-08-18
F · Potential for more than minimal harm
2022-07-14
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-08-18
F · Potential for more than minimal harm
2022-07-14
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-08-18
F · Potential for more than minimal harm
2022-07-14
K919 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Meet requirements for the use of electrical equipment.
Corrected 2022-08-18
D · Potential for more than minimal harm
2022-07-14
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-08-18
E · Potential for more than minimal harm
2019-11-27
K521 · Services Deficiencies
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2020-01-22
Inspection history
Recent health citations
L · Immediate jeopardy
2025-03-19
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-03-19
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-03-19
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
E · Potential for more than minimal harm
2025-03-19
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-03-19
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
E · Potential for more than minimal harm
2025-03-19
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-04-23
E · Potential for more than minimal harm
2025-03-19
F887 · Infection Control Deficiencies
Health
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
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 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F578 · Resident Rights Deficiencies
Health
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 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F693 · Quality of Life and Care Deficiencies
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-04-23
D · Potential for more than minimal harm
2025-03-19
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
2025-03-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-23
B · Minimal harm
2025-03-19
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2025-04-23
B · Minimal harm
2025-03-19
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2025-04-23
D · Potential for more than minimal harm
2024-12-19
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-27
D · Potential for more than minimal harm
2024-12-19
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-27
G · Actual harm
2024-11-15
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 2024-12-20
E · Potential for more than minimal harm
2022-07-14
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 2022-08-05
D · Potential for more than minimal harm
2022-07-14
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 2022-08-05
D · Potential for more than minimal harm
2022-07-14
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-08-05
D · Potential for more than minimal harm
2022-07-14
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2022-08-11
D · Potential for more than minimal harm
2022-07-14
F770 · Administration Deficiencies
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-08-11
D · Potential for more than minimal harm
2022-07-14
F773 · Administration Deficiencies
Health
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2022-08-11
D · Potential for more than minimal harm
2019-11-27
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2020-01-08
D · Potential for more than minimal harm
2019-11-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2020-01-08
D · Potential for more than minimal harm
2019-11-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2020-01-08
Penalties and ownership
What sits behind the stars
$122,478
2025-03-19
Fine
Fine · fine $122,478
Fine
$8,018
2024-11-15
Fine
Fine · fine $8,018
Fine
Ownership
Greenwich Woods Rehabilitation LLC
5% Or Greater Direct Ownership Interest · Organization
Greenwich Woods Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Sjjj LLC
5% Or Greater Indirect Ownership Interest · Organization
Lym Gw LLC
5% Or Greater Indirect Ownership Interest · Organization
Ik Greenwich LLC
5% Or Greater Indirect Ownership Interest · Organization
Bernstein, Moshe
5% Or Greater Direct Ownership Interest · Individual
Blass, Mordechai
5% Or Greater Direct Ownership Interest · Individual
Brown, Natalie
W-2 Managing Employee · Individual
Nearby options
Other facilities in reach
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King Street Home Inc
Port Chester, NY
3-star overall rating with 2-star inspections with 17 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Nathaniel Witherell, The
Greenwich, CT
2-star overall rating with 1-star inspections with $4,516 in total fines with 22 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#3
Epic Rehabilitation And Nursing At White Plains
White Plains, NY
2-star overall rating with 2-star inspections with 15 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
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