Greenville Health and Rehabilitation Center
2578 West Fifth Street, Greenville, NC 27834 · Pitt County · 120 certified beds · avg 113 residents/day · certified since Jul 26, 1978
Part of chain: LIFEWORKS REHAB (64 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · 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)
▲ Immediate jeopardy, one-off · Jun 11, 2025 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 7, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 31, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Jul 21, 2023 (Past Non-Compliance)
▲ Actual harm, one-off · Mar 13, 2023 · F-0550
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Why it matters: Being treated without dignity harms a resident's self-worth, mental health, and overall quality of life.
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 6, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (41)
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 11, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jun 11, 2025 | 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 11, 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. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jun 11, 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. |
| Jun 11, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 30, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jan 30, 2025 | B · Minimal risk, repeated | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Nov 13, 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 |
| Nov 13, 2024 | D · Potential for harm, one-off | The facility did not provide timely, quality laboratory tests to meet residents' needs. · from a complaint |
| May 31, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 31, 2024 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 31, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| May 31, 2024 | D · Potential for 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 |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 31, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| May 31, 2024 | D · Potential for harm, one-off | 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. |
| May 31, 2024 | D · Potential for harm, one-off | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Mar 13, 2023 | ▲ G · Actual harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 13, 2023 | E · Potential for harm, repeated | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 13, 2023 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Mar 13, 2023 | 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 13, 2023 | E · Potential for harm, repeated | 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 13, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 13, 2023 | E · Potential for harm, repeated | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Mar 13, 2023 | E · Potential for harm, repeated | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Mar 13, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 13, 2023 | 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 13, 2023 | 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. |
| Mar 13, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (10 → 10).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 16 | 1 | G ▲ |
| 2024 | 12 | 1 | G ▲ |
| 2025 | 13 | 1 | J ▲ |
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 $64,002.
| Date | Type | Amount / length |
|---|---|---|
| Jun 11, 2025 | Fine | $52,965 |
| May 31, 2024 | Fine | $11,037 |
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) | 3.14 | 4.01 | 3.95 | bottom 10% in North Carolina; bottom 19% in the U.S. |
| Registered Nurse hours | 0.46 | 0.64 | 0.69 | bottom 36% in North Carolina; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.69 | 3.56 | 3.50 | bottom 8% in North Carolina; bottom 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.34 | 0.41 | 0.48 | top 46% in North Carolina; bottom 41% in the U.S. |
| Total nursing staff turnover (%) | 66.4 | 49.0 | 45.8 | bottom 13% in North Carolina; bottom 9% in the U.S. |
| RN turnover (%) | 70.0 | 45.7 | 42.9 | bottom 16% in North Carolina; bottom 12% 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 3.40, RN 0.50, weekend 2.92. 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: 2/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bridgewater NC Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| CZ Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Greenville Holdings I LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 06/01/2024 |
| HL Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| HSHC 2024 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Ib Mimi 2022 Family Grantor Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Ib Mimi 2022 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| JK 2022 Grantor Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Milano Family Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| ML Milano 2022 Family Grantor Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| ML Milano 2022 Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| TJ Family Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Tol Opco Investco LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Uh Carolina SNF Operations Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Universal Operations Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| Will Family 2016 Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 06/01/2024 |
| 2578 West Fifth Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Bridgewater NC Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Burton, Noah | Individual | Trustee of the SNF | NOT APPLICABLE | 06/01/2024 |
| Cyop Cyber Security LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "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 |
|---|---|---|---|---|---|
| East Carolina Health and Rehabilitation Center | 0.1 mi | Greenville, NC | ★☆☆☆☆ | 1/5 | |
| Macgregor Downs Health Center by Harborview | 0.7 mi | Greenville, NC | ★★☆☆☆ | 2/5 | |
| Cypress Glen Retirement Community | 3.7 mi | Greenville, NC | ★★★★★ | 5/5 | |
| Pruitthealth-Farmville | 10.5 mi | Farmville, NC | ★★★☆☆ | 3/5 | |
| Ayden Court Nursing and Rehabilitation Center | 10.6 mi | Ayden, NC | ★☆☆☆☆ | 1/5 | |
| The Carrolton of Williamston | 18.5 mi | Williamston, NC | ★★☆☆☆ | 2/5 | |
| Greendale Forest Nursing and Rehabilitation Center | 18.8 mi | Snow Hill, NC | ★☆☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
All facilities in Greenville →
Facility data as of CMS processing date 2026-08-01. CCN 345181.