Greenville Health & Rehabilitation Center

Nursing Home · Greenville, TX

CMS overall rating 1/5 SFF candidate Abuse citation For profit - Corporation

CMS certification number675020
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).

Contact & location

4910 Wellington
Greenville, TX 75402
Hunt County
Phone
(903) 454-3772
ZIP code
75402 – all care providers

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Facility details

Certified beds
120
Residents per day
63.7 (53% occupied)
Ownership
For profit - Corporation
Legal name
Hamilton County Hospital District
Chain
Advanced Healthcare Solutions (28 facilities, avg 2.9★)
Medicare certified since
April 8, 1992
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.6
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.48 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.25 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.84 (state 0.95 · U.S. 0.86)
Nurse aides
2.40 (state 2.00 · U.S. 2.32)
Weekend total
3.20 (state 2.98 · U.S. 3.42)
Nursing staff turnover
50.0 (state 55.3 · U.S. 45.8)%
RN turnover
77.8 (state 54.6 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
May 12, 2025
Health deficiencies (last cycle)
32.0 (state 9.3 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
74 health · 6 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-05 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-06-17
2026-01-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-01-22
2025-11-21 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-11-24
2025-05-12 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
J
Immediate jeopardy to resident health or safety
Corrected 2025-02-24
2025-05-12 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-05-13
2025-05-12 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-05-13
2025-05-12 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
J
Immediate jeopardy to resident health or safety
Corrected 2025-02-25
2025-05-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2025-05-13
2025-05-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
F
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 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.
F0688 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 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.
F0726 · Nursing and Physician Services Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
F0808 · Nutrition and Dietary Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-05-12 Have policies on smoking.
F0926 · Environmental Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-13
2025-03-30 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-04-30
2025-02-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-02-27 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-02-27 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2025-02-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-03-28
2024-05-22 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-06-23
2024-03-27 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-03-27 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-03-27 Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
F0803 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-04-28
2024-03-27 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-03-28
2024-03-27 Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-04-28

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

5 penalties in the last three years, including $96,065 in fines.

DateTypeAmount
2025-05-12Fine$26,685
2025-05-12Fine$17,345
2025-05-12Fine$17,345
2025-05-12Fine$17,345
2025-05-12Fine$17,345

Ownership & management

NameRoleSince
Greenville HC LLC (organization)Administrator · NOT APPLICABLE
Selvaggi, Thomas (individual)Administrator · NOT APPLICABLE
Woolverton, Diana (individual)Administrator · NOT APPLICABLE
Hooper, Grady (individual)Corporate Officer · NOT APPLICABLE
Greenville HC LLC (organization)Operational/managerial Control · NOT APPLICABLE
Selvaggi, Thomas (individual)Operational/managerial Control · NOT APPLICABLE
Silberstein, Ari (individual)Operational/managerial Control · NOT APPLICABLE
Woolverton, Diana (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Greenville Health & Rehabilitation Center?

Greenville Health & Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Greenville Health & Rehabilitation Center have?

It has 120 certified beds and cares for about 64 residents per day.

Has Greenville Health & Rehabilitation Center been fined?

Yes. CMS lists 5 penalties totaling $96,065 in the last three years.

Who owns Greenville Health & Rehabilitation Center?

It is part of Advanced Healthcare Solutions and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Greenville Health & Rehabilitation Center?

(903) 454-3772. The facility is located at 4910 Wellington, Greenville, TX 75402.

Other nursing homes in Greenville

Compare all nursing homes in Greenville, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.