Greendale Forest Nursing and Rehabilitation Center
1304 SE Second Street, Snow Hill, NC 28580 · Greene County · 115 certified beds · avg 105 residents/day · certified since May 13, 1991
Part of chain: PRINCIPLE LONG TERM CARE (40 facilities, chain avg rating 3.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Mar 27, 2025 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 17, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Apr 26, 2024 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 12, 2024 (Past Non-Compliance)
All citations in the current public record (20)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 18, 2026 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Jun 18, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Jun 18, 2026 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| May 1, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Mar 27, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Mar 27, 2025 | E · Potential for harm, repeated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 27, 2025 | C · Minimal risk, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Mar 27, 2025 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Apr 26, 2024 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 26, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Apr 26, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Apr 26, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jan 8, 2024 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Jan 8, 2024 | B · Minimal risk, repeated | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. |
| Jan 8, 2024 | B · Minimal risk, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 7 | 1 | G ▲ |
| 2025 | 8 | 1 | G ▲ |
| 2026 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $18,132.
| Date | Type | Amount / length |
|---|---|---|
| Mar 27, 2025 | Fine | $9,620 |
| Apr 26, 2024 | Fine | $8,512 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.48 | 4.01 | 3.95 | bottom 35% in North Carolina; bottom 36% in the U.S. |
| Registered Nurse hours | 0.31 | 0.64 | 0.69 | bottom 9% in North Carolina; bottom 10% in the U.S. |
| Weekend total nurse staffing | 3.17 | 3.56 | 3.50 | bottom 44% in North Carolina; bottom 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.11 | 0.41 | 0.48 | bottom 3% in North Carolina; bottom 2% in the U.S. |
| Total nursing staff turnover (%) | 29.9 | 49.0 | 45.8 | top 10% in North Carolina; top 14% in the U.S. |
| RN turnover (%) | 37.5 | 45.7 | 42.9 | top 36% in North Carolina; top 42% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.29, weekend 3.04. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Abela, Anthony | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/01/2024 |
| Abela, Anthony | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/01/2024 |
| Boice, Gale | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2018 |
| Johnson, Dianne | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| Krishnaraj, Ramesh | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Krishnaraj, Ramesh | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
| Mumford, Caroline | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/29/2021 |
| Mumford, Caroline | Individual | ADP of the SNF | NOT APPLICABLE | 05/16/2025 |
| Principle Long Term Care, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2011 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pruitthealth-Farmville | 10.5 mi | Farmville, NC | ★★★☆☆ | 3/5 | |
| NC State Veterans Home-Kinston | 10.6 mi | Kinston, NC | ★★☆☆☆ | 2/5 | |
| Signature Healthcare of Kinston | 11.3 mi | Kinston, NC | ★★★☆☆ | 3/5 | |
| Harmony Hall Nursing and Rehabilitation Center | 12.1 mi | Kinston, NC | ★★★☆☆ | 3/5 | |
| Ayden Court Nursing and Rehabilitation Center | 12.8 mi | Ayden, NC | ★☆☆☆☆ | 1/5 | |
| Willow Creek Nursing and Rehabilitation Center | 17.2 mi | Goldsboro, NC | ★★☆☆☆ | 2/5 | |
| Goldsboro Rehabilitation and Healthcare Center | 17.9 mi | Goldsboro, NC | ★★★☆☆ | 3/5 | |
| Macgregor Downs Health Center by Harborview | 18.1 mi | Greenville, NC | ★★☆☆☆ | 2/5 | |
| East Carolina Health and Rehabilitation Center | 18.8 mi | Greenville, NC | ★☆☆☆☆ | 1/5 | |
| Greenville Health and Rehabilitation Center | 18.8 mi | Greenville, NC | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345366.