Green Acres Healthcare
402 W. Farthing Street, Mayfield, KY 42066 · Graves County · (270) 247-6477
60 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185341 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 15, 2025, inspectors cited 2 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 11 health citations since September 2020 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.25 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
51.5% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Simcha Hyman & Naftali Zanziper, an affiliated group of 79 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
409/20
205/23
208/25
311/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
11D
0E
0F
Potential for minimal harm
0A
0B
0C
November 19, 2025Complaint inspection · 3 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to inform the resident representative when there was a significant change a resident's status for 1 of 4 residents sampled for notification, out of 6 total sampled residents (Resident (R)1).
- D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Inspectors wroteBased on record review, interview, and facility policy review, the facility failed to develop and implement a baseline care plan with instructions to provide effective and person-centered care for 1 of 6 sampled residents, (Resident (R)1).
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 1 of 4 sampled residents (Resident (R)1).
August 15, 2025Standard inspection · 2 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure resident(s)had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences for three of 12 sampled residents (Resident (R) 11, 12, and R38).
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview, record review, and facility policy, it was determined the facility failed to ensure that the required care plan meetings were conducted quarterly for reviewing and revising care plans by the interdisciplinary team after each quarterly review assessments for two of twelve sampled residents (Resident (R) 11 and R33).
May 26, 2023Standard inspection · 2 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interviews, record review, and facility policy review, it was determined the facility failed to ensure a resident's medical record reflected the desired code status (the type of emergent treatment a person would or would not want to receive if their heart or breathing were to stop) of a resident and/or a resident's power of attorney (POA) for one (1) of three (3) residents sampled for advanced directives (Resident #43) of a total sample of sixteen (16) residents. Record review revealed Resident #43's signed advanced directive documents reflected a code status of do not resuscitate (DNR), but the resident's face sheet/medical record reflected a code status of full code. Therefore, documents in the medical record were conflicting and could lead to the resident receiving treatment they did not wish to receive.
- D Plan the resident's discharge to meet the resident's goals and needs.
Inspectors wroteBased on interviews, record review, and facility policy review, it was determined the facility failed to address each resident's discharge goals and needs as well as develop and implement a care plan addressing a goal to discharge back to the community for one (1) of three (3) residents sampled for discharge planning (Resident #22) of a total sample of sixteen (16) residents.
September 17, 2020Standard inspection · 4 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to treat each resident with respect, dignity, and care in a manner and environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident's individuality for one (1) of seventeen (17) sampled residents, (Resident #13). Observations revealed the facility failed to ensure Resident #13's urine drainage tubing was not visible by visitors, and other residents in the hallway.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, interview, record review and facility policy review, it was determined the facility failed to implement a comprehensive person-centered care plan for two (2) of seventeen (17) sampled residents, (Resident #10 and #13). The facility failed to implement the care plan for Resident #10 related to securing the catheter tubing to prevent trauma and pain; and, Resident #13 related to weekly weights.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, interview, record review, and facility policy review it was determined the facility failed to provide appropriate treatment and services for one (1) of four (4) residents with indwelling urinary catheters in the selected sample of seventeen (17) residents. Observation revealed the facility failed to ensure Resident #1's catheter tubing was secured to his/her upper thigh per facility policy to prevent urethra trauma.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to ensure one (1) of seventeen (17) sampled residents (Resident #13) maintains acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless the resident's clinical condition demonstrates that this is not possible or resident preferences indicate otherwise. The facility assessed Resident #13 had a significant weight loss in thirty (30) days; ninety (90) days; and one hundred and eighty (180) days; however, the facility failed to monitor the resident's weights weekly to try to prevent further decline per facility policy.
Fire safety inspections
20 fire safety citations on file: 10 on August 15, 2025, 9 on May 26, 2023, 1 on September 17, 2020.
Every fire safety citation20 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- E Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Have simulated fire drills held at unexpected times.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure proper usage of power strips and extension cords.
- D Provide properly protected cooking facilities.
- D Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- D Have proper medical gas storage and administration areas.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have power receptacles that are properly grounded.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Have restrictions on the use of portable space heaters.
- D Ensure proper usage of power strips and extension cords.
- D Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Kentucky | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.25 | 3.95 | 3.86 |
| Registered nurses | 0.49 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.77 | 3.49 | 3.42 |
| Nurse aides | 2.03 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 51.5% | 46.4% | 45.8% |
| Registered nurse turnover | 62.5% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.15 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.44 on weekdays and 2.77 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.52 in April to June 2025 to 3.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.25 | 0.49 | 3.44 | 2.77 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.18 | 0.42 | 3.32 | 2.81 | 0.0% | 0 of 92 | 58 |
| Jul to Sep 2025 | 3.33 | 0.48 | 3.51 | 2.85 | 0.0% | 0 of 92 | 57 |
| Apr to Jun 2025 | 3.52 | 0.54 | 3.75 | 2.95 | 0.0% | 0 of 91 | 56 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Kentucky, Jan to Mar 2026 | 3.85 | 0.71 | 4.04 | 3.40 | 3.2% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Kentucky | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.0 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.7 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.6 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 8.2 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 15.9 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.2 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.1 | 1.8 |
Owners and operators
Legal business name: FARTHING MAYFIELD KY OPCO LLC. CMS links this home to Simcha Hyman & Naftali Zanziper, a group of 79 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Clearview Ky SNF Holdco LLC | 5% or greater indirect ownership interest | Organization | 100% | 12/01/2021 |
| Ingrum, Tina | W-2 managing employee | Individual | 04/14/2024 | |
| Grooms, Barbara | Corporate director | Individual | 07/08/2024 | |
| Vujanovic, Mick | Corporate officer | Individual | 12/01/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on November 19, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on November 19, 2025: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on November 19, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.77 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Mills Nursing & Rehabilitation Mayfield, 1.7 mi · 1 of 5 stars · 13 citations
- Lake Way Rehabilitation and Healthcare Center Benton, 17.6 mi · 4 of 5 stars · 23 citations
- Spring Creek Post-Acute Rehabilitation Center Murray, 20.1 mi · 1 of 5 stars · 25 citations
- Clinton-Hickman County Nursing Facility Clinton, 20.1 mi · 4 of 5 stars · 4 citations
- Fulton Nursing and Rehabilitation, LLC Fulton, 20.2 mi · 1 of 5 stars · 7 citations
- Clinton Place Clinton, 20.5 mi · 2 of 5 stars · 14 citations
- Oakview Nursing & Rehabilitation Center Calvert City, 21.7 mi · 2 of 5 stars · 16 citations
- Providence Pointe Healthcare Paducah, 21.9 mi · 4 of 5 stars · 9 citations
Kentucky contacts for a concern about a nursing home
These are the official offices in Kentucky. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Kentucky Office of Inspector General, Division of Health Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Kentucky State Long-Term Care Ombudsman Program, Nursing Home Ombudsman Agency of the Bluegrass, (800) 372-2991. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Kentucky OIG Nursing Home Inspection Findings, where Kentucky publishes its own records on licensed homes.
Common questions
- What is Green Acres Healthcare's Medicare star rating?
- CMS rates Green Acres Healthcare 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Green Acres Healthcare get at its last inspection?
- 2 health deficiencies at the standard inspection on August 15, 2025. The Kentucky average is 2.9.
- Has Green Acres Healthcare been fined?
- CMS lists no fines in the last three years.
- Does Green Acres Healthcare accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Green Acres Healthcare?
- CMS lists 4 owners and managers, and links the home to Simcha Hyman & Naftali Zanziper. Legal business name: FARTHING MAYFIELD KY OPCO LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.