Safety Report: Greentree Manor Nursing and Rehabilitation Center
Official ratings
Medicare's star ratings compare nursing homes within the same state for health inspections. A 5-star facility performed better than most in its state; a 1-star facility performed worse than most.
Stars are calculated by CMS, not by us. We do not create our own safety score.
Serious documented violations
Citations by topic
Topics use CMS's own deficiency categories; “accidents & supervision” counts tag F689 (free of accident hazards / adequate supervision). Counts cover the last three inspection cycles, including complaint investigations.
Is it getting better or worse?
Fewer citations in the most recent cycle (29) than in the cycle before (39).
An inspection cycle is roughly one year and includes the standard inspection plus complaint investigations. Counts depend partly on how many complaint investigations occurred, so treat small changes with caution. Red bars include at least one serious citation.
Staffing and rating trends will appear as we collect monthly CMS releases. We have one month so far, so a staffing trend cannot yet be determined.
Repeat findings
These requirements were cited on more than one inspection date in the last three cycles.
| Requirement | Times cited | Inspection dates |
|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (F689) | 4 | May 8, 2026; December 22, 2025; May 6, 2025; May 25, 2023 |
| 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. (F761) | 4 | December 2, 2025; May 6, 2025; May 25, 2023; February 10, 2021 |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (F600) | 4 | May 15, 2025; October 17, 2024; January 19, 2024; May 25, 2023 |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (F580) | 3 | May 8, 2026; May 6, 2025; January 19, 2024 |
| Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F684) | 3 | July 8, 2025; May 6, 2025; October 7, 2024 |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F812) | 3 | May 6, 2025; May 25, 2023; February 10, 2021 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F656) | 3 | May 6, 2025; October 17, 2024; May 25, 2023 |
| Provide and implement an infection prevention and control program. (F880) | 3 | May 6, 2025; May 25, 2023; February 10, 2021 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F755) | 3 | May 6, 2025; May 25, 2023; February 10, 2021 |
| Provide safe and appropriate respiratory care for a resident when needed. (F695) | 3 | May 6, 2025; May 25, 2023; February 10, 2021 |
| Provide enough food/fluids to maintain a resident's health. (F692) | 3 | May 6, 2025; May 25, 2023; February 10, 2021 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (F609) | 3 | October 31, 2024; August 1, 2024; May 25, 2023 |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. (F686) | 3 | January 19, 2024; May 25, 2023; February 10, 2021 |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (F842) | 2 | May 8, 2026; February 10, 2021 |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (F657) | 2 | July 8, 2025; May 6, 2025 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (F585) | 2 | July 8, 2025; May 25, 2023 |
| Ensure services provided by the nursing facility meet professional standards of quality. (F658) | 2 | May 6, 2025; May 25, 2023 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. (F677) | 2 | May 6, 2025; May 25, 2023 |
| Respond appropriately to all alleged violations. (F610) | 2 | October 31, 2024; May 25, 2023 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (F561) | 2 | May 25, 2023; February 10, 2021 |
Fines and enforcement
No federal fines or payment denials in the last three years.
Federal civil money penalties and Medicare/Medicaid payment denials. State-level penalties may not be included.
Complete inspection history
May 8, 2026 — 4 citations · complaint investigation
December 22, 2025 — 1 citation · complaint investigation
December 2, 2025 — 2 citations · complaint investigation
July 8, 2025 — 3 citations · complaint investigation
May 15, 2025 — 1 citation · complaint investigation
May 6, 2025 — 22 citations (includes serious)
March 24, 2025 — 1 citation · complaint investigation
October 31, 2024 — 3 citations · complaint investigation
October 17, 2024 — 2 citations · complaint investigation
October 7, 2024 — 1 citation · complaint investigation
August 28, 2024 — 1 citation · complaint investigation
August 1, 2024 — 2 citations · complaint investigation
January 19, 2024 — 4 citations · complaint investigation
May 25, 2023 — 28 citations (includes serious)
February 10, 2021 — 11 citations
Source: CMS Health Deficiencies dataset (data as of October 1, 2026); full inspection narratives on Medicare Care Compare