0 health deficiencies
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Greenville, KY
5-star overall rating with 5-star inspections with 4 fire-safety deficiencies in the latest cycle
515 Greene Drive, Greenville, KY
(270) 338-5400
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
97
Certified beds
Average residents
85
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1991-08-16
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
94 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
RN hours / resident day
0.66
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.75
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
2.04
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
3.45
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.41
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
3.04
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.48
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.03
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.46
CMS adjusted total nurse staffing hours
Case-mix index
1.36
Higher values indicate more complex resident acuity
RN turnover
38%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
39%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Program rank
6,526
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
32.59
Composite VBP score used to determine payment impact.
Payment multiplier
0.9872
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
6.22
Baseline 25.22% · Performance 19.72% · Measure score 6.22 · Achievement 3.70 · Improvement 6.22
Healthcare-associated infections
0
Baseline 7.28% · Performance 11.31% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
4.94
Baseline 46.32% · Performance 43.48% · Measure score 4.94 · Achievement 4.94 · Improvement 0.82
Adjusted total nurse staffing
1.88
Baseline 3.65 hours · Performance 3.61 hours · Measure score 1.88 · Achievement 1.88 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.53% |
10.72%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 104 · Observed rate 12.5% · Lower 95% interval 7.88% |
| Discharge to community | 11.62% |
50.57%
39 pts worse
|
Worse than the National Rate · Eligible stays 83 · Observed rate 0% · Lower 95% interval 7.31% |
| Medicare spending per beneficiary | 1.33 |
1.02
0.3 pts worse
|
|
| Drug regimen review with follow-up | 81.11% |
95.27%
14.2 pts worse
|
Numerator 73 · Denominator 90 |
| Falls with major injury | 1.11% |
0.77%
0.3 pts worse
|
Numerator 1 · Denominator 90 |
| Discharge self-care score | 46.77% |
53.69%
6.9 pts worse
|
Numerator 29 · Denominator 62 |
| Discharge mobility score | 33.87% |
50.94%
17.1 pts worse
|
Numerator 21 · Denominator 62 |
| Pressure ulcers or injuries, new or worsened | 6.67% |
2.29%
4.4 pts worse
|
Numerator 6 · Denominator 90 · Adjusted rate 5.62% |
| Healthcare-associated infections requiring hospitalization | 11.31% |
7.12%
4.2 pts worse
|
Worse than the National Rate · Eligible stays 78 · Observed rate 16.67% · Lower 95% interval 7.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 116 |
| Staff flu vaccination coverage | 13.79% |
42%
28.2 pts worse
|
Numerator 16 · Denominator 116 |
| Discharge function score | 40.32% |
56.45%
16.1 pts worse
|
Numerator 25 · Denominator 62 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 27 · Denominator 27 |
| Transfer of health information to patient | 89.29% |
96.28%
7 pts worse
|
Numerator 25 · Denominator 28 |
| Resident COVID-19 vaccinations up to date | 39.02% |
25.2%
13.8 pts better
|
Numerator 16 · Denominator 41 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.8 |
1.9
1.1 pts better
|
1.9
1.1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.2 |
2.2
About the same
|
1.8
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.1 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 95.3% |
94.3%
1 pts better
|
93.4%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 90.1% · Q3 96.3% · Q4 100.0% · 4Q avg 95.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 98.9% |
96.2%
2.7 pts better
|
95.5%
3.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% |
3.8%
1.2 pts worse
|
3.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.5% · Q3 7.4% · Q4 6.3% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
15.2%
14.2 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 10.5% |
6.7%
3.8 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 1.5% · Q3 16.2% · Q4 19.4% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.9% |
29.6%
13.3 pts worse
|
19.6%
23.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q2 43.1% · Q3 38.7% · Q4 44.4% · 4Q avg 42.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 11.7% |
17.6%
5.9 pts better
|
16.7%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 11.3% · Q3 13.1% · Q4 16.9% · 4Q avg 11.7% · 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 | 17.9% |
17.3%
0.6 pts worse
|
16.3%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 22.2% · Q3 17.2% · Q4 13.3% · 4Q avg 17.9% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 24.8% |
15.6%
9.2 pts worse
|
14.9%
9.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 26.6% · Q3 28.4% · Q4 21.5% · 4Q avg 24.8% · 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 | 1.3% |
1.7%
0.4 pts better
|
1.7%
0.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.3% · Q3 1.3% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.0% |
19.8%
0.2 pts worse
|
19.8%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 17.7% · Q3 18.5% · Q4 21.5% · 4Q avg 20.0% |
| Percentage of long-stay residents with pressure ulcers | 7.4% |
5.5%
1.9 pts worse
|
5.1%
2.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 7.8% · Q3 6.1% · Q4 6.3% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 71.9% |
83.8%
11.9 pts worse
|
81.7%
9.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 69.4% · Q2 78.6% · Q3 73.8% · Q4 65.0% · 4Q avg 71.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.8% |
13.9%
4.9 pts worse
|
12.0%
6.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.8% · Observed 18.5% · Expected 11.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.3% |
1.8%
0.5 pts worse
|
1.6%
0.7 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 68.1% |
83.6%
15.5 pts worse
|
79.7%
11.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 68.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.4% |
24.5%
0.9 pts worse
|
23.9%
1.5 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.4% · Observed 23.1% · Expected 21.7% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
No concentrated health issue counts in this cycle.
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-08-29
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-08-29
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-08-29
Fire Safety
Meet other general requirements that are deficient.
Corrected 2025-08-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2021-08-10
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-08-10
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-08-10
Inspection history
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2019-05-03
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-05-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-05-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2019-05-03
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-05-03
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 2019-05-03
Health
Provide and implement an infection prevention and control program.
Corrected 2019-05-03
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
Greenville, KY
5-star overall rating with 5-star inspections with 3 fire-safety deficiencies in the latest cycle
Greenville, KY
4-star overall rating with 3-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Madisonville, KY
3-star overall rating with 3-star inspections with $3,387 in total fines with 4 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
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