Green River Trails
213 Industrial Road, Greensburg, KY 42743 · Green County · (270) 932-4241
118 certified beds, about 106 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185257 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 5, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 8 health citations since May 2019 was rated as actual harm or immediate jeopardy.
CMS lists 2 fines totaling $12,645 in the last three years; the largest was $7,026, and the latest is dated May 24, 2024.
Nurses and nurse aides worked 3.17 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
40.2% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to Journey Healthcare, an affiliated group of 33 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.
305/19
505/24
006/25
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 8 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
7D
1E
0F
Potential for minimal harm
0A
0B
0C
June 5, 2025Standard inspection · 0 citations
May 24, 2024Standard inspection · 5 citations
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, record review, and review of facility's policies, it was determined the facility failed to provide a safe, clean, comfortable and homelike environment for its residents. Observation revealed the facility failed to provide a safe, clean comfortable and homelike environment for it's residents, as evidenced by insufficient upkeep of the physical environment.
- 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 interview, record review, and facility policy review, it was determined the facility failed to develop and implement a Baseline Care Plan for one (1) of thirty five (35) sampled residents (Resident #149). Resident (R) 149 was admitted to the facility from the hospital, where the resident had been treated for a femur fracture. However, the facility failed to implement a Baseline Care Plan for the application of Thromboembolic Deterrent hose (anti-embolism stockings) for R149.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and facility policy review, it was determined the facility failed to ensure residents received care and treatment in accordance with professional standards of practice for one (1) of thirty five (35) sampled residents.) (Resident #149). The facility admitted Resident (R)149 from the hospital post-treatment of a femur fracture. The Physician ordered thrombo-embolic deterrent (TED) hose to R149's right lower extremity every morning and off every evening. The order for the TED hose was changed on 05/21/2024, for the hose to be applied to the resident's bilateral legs. However, the facility failed to implement the Physician's orders and clearly document the TED hose treatment ordered.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and facility policy review, it was determined the facility failed to ensure its dietary staff provided proper hand hygiene in accordance with professional standards for food service safety. Observation revealed a Dietary Aide (DA) washed his hands; however, failed to dry his hands before putting away clean dishes.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and facility policy review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment and to help prevent the development and transmission of communicable diseases and infections for three of 10 sampled residents (Residents [R] 4, 15, and 38).
May 23, 2019Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and interview, it was determined that the facility failed to ensure the accuracy of the Minimum Data Set (MDS) for one (1) of twenty-two (22) sampled residents (Resident #27). Resident #27 was admitted to Hospice services on 08/21/18; however, the facility failed to ensure that MDS assessments completed for the resident on 08/30/18, 11/19/18, and 02/28/19 reflected that the resident was receiving Hospice services.
- 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 interview, record review, review of the facility's investigation, and review of the facility's policy, it was determined that the facility failed to ensure a care plan for one (1) of twenty-six (26) sampled residents (Resident #14) was developed that described the services that were required to attain or maintain the highest practicable physical and psychosocial well-being. The facility assessed Resident #14 to require two staff members for bed mobility; however, the facility failed to develop a care plan to address the assistance the resident required. On 03/19/19, one staff person assisted the resident with bed mobility, the resident slid out of bed and landed on his/her knees, and sustained a leg abrasion.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, review of the facility's investigation, and review of the facility's policy it was determined that the facility failed to ensure that one (1) of twenty-six (26) sampled residents (Resident #14) received adequate supervision to prevent accidents. Resident #14 was assessed by the facility to require the assistance of two (2) staff members for bed mobility; however, on 03/19/19 at 7:10 AM, one (1) staff member assisted the resident with turning and repositioning and the resident slid out of bed and sustained an abrasion to the left knee.
Fire safety inspections
9 fire safety citations on file: 2 on June 5, 2025, 7 on May 24, 2024.
Every fire safety citation9 citations
- E Ensure proper usage of power strips and extension cords.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install an approved automatic sprinkler system.
- E Have power receptacles that are properly grounded.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 24, 2024 | Fine | $5,619 |
| May 24, 2024 | Fine | $7,026 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.17 | 3.95 | 3.86 |
| Registered nurses | 0.52 | 0.79 | 0.69 |
| All nursing staff on weekends | 2.70 | 3.49 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 40.2% | 46.4% | 45.8% |
| Registered nurse turnover | 27.3% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.25 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 3.37 on weekdays and 2.70 on weekends, 20% 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 3.15 in April to June 2025 to 3.17 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 | 3.17 | 0.52 | 3.37 | 2.70 | 0.0% | 0 of 90 | 106 |
| Oct to Dec 2025 | 3.14 | 0.44 | 3.31 | 2.70 | 0.0% | 0 of 92 | 106 |
| Jul to Sep 2025 | 3.14 | 0.43 | 3.33 | 2.67 | 0.0% | 0 of 92 | 103 |
| Apr to Jun 2025 | 3.15 | 0.45 | 3.36 | 2.65 | 0.0% | 0 of 91 | 100 |
| 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 | 14.8 | 13.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.9 | 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 | 1.6 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 26.1 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 27.6 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 12.0 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 15.4 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: GREEN RIVER TRAILS, LLC. CMS links this home to Journey Healthcare, a group of 33 nursing homes averaging 1.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Journey Cz of Ky LLC | 5% or greater direct ownership interest | Organization | 100% | 08/01/2024 |
| Journey Cz Ky Healthcare Holdings LLC | 5% or greater indirect ownership interest | Organization | 100% | 08/01/2024 |
| McGuinness, Bernard | Corporate officer | Individual | 08/01/2024 | |
| Journey Cz Management LLC | Operational/managerial control | Organization | 08/01/2024 | |
| Garst, David | Operational/managerial control | Individual | 08/01/2024 | |
| McGuinness, Bernard | Operational/managerial control | Individual | 10/30/2024 | |
| Journey Cz Management LLC | Adp of the SNF | Organization | 10/31/2024 | |
| Kapoor, Sandeep | Adp of the SNF | Individual | 07/23/2025 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on May 24, 2024: "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 2 problems in this area, most recently on May 24, 2024: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on May 24, 2024: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on May 24, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.70 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Campbellsville Nursing and Rehabilitation Center Campbellsville, 9.2 mi · 4 of 5 stars · 6 citations
- The Grandview Nursing and Rehabilitation Facility Campbellsville, 11.6 mi · 4 of 5 stars · 8 citations
- Signature Healthcare at Summit Manor Rehab & Welln Columbia, 14.6 mi · 2 of 5 stars · 9 citations
- Metcalfe Nursing and Rehabilitation Center Edmonton, 19.3 mi · 1 of 5 stars · 14 citations
- Signature Healthcare of Hart County Rehab & Wellne Horse Cave, 24.2 mi · 5 of 5 stars · 5 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 River Trails's Medicare star rating?
- CMS rates Green River Trails 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Green River Trails get at its last inspection?
- 0 health deficiencies at the standard inspection on June 5, 2025. The Kentucky average is 2.9.
- Has Green River Trails been fined?
- Yes. CMS lists 2 fines totaling $12,645 in the last three years.
- Does Green River Trails 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 River Trails?
- CMS lists 8 owners and managers, and links the home to Journey Healthcare. Legal business name: GREEN RIVER TRAILS, 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.