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Greene Acres Rehabilitation and Nursing

355 William Mills Drive, Stanardsville, VA 22973 · Greene County · (434) 985-4434

90 certified beds, about 81 residents a day · For profit - Corporation · Medicare and Medicaid since 2000

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 495343 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 27, 2022, inspectors cited 3 health deficiencies (the Virginia average is 14.3, the national average 9.2).

None of its 19 health citations since May 2019 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 2.92 hours per resident per day, against 3.76 across Virginia and 3.86 nationally. Registered nurses accounted for 0.29 of those hours.

46.3% of nursing staff left within the year CMS measured (Virginia average 48.1%).

CMS links it to Eastern Healthcare Group, an affiliated group of 18 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.

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 19 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
14D
3E
2F
Potential for minimal harm
0A
0B
0C
June 17, 2026Complaint inspection · 1 citation
  1. E
    Keep all essential equipment working safely.
    F908 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 23, 2026
    Inspectors wroteBased on observation, resident interview, staff interview, and facility record review, the facility failed to maintain the functionality of essential equipment for one of two water heaters.
October 27, 2022Standard inspection · 3 citations
  1. F
    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
    F909 · Environmental · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 18, 2022
    Inspectors wroteBased on observation, staff interview, facility document review and clinical record review, the facility staff failed to inspect a bed frame and mattress for one of twenty residents in the survey sample (Resident #43) and failed to implement a facility-wide program for inspecting bed frames, mattresses and bed rails for possible entrapment risks and bed/mattress compatibility for sixty-nine of sixty-nine beds currently in use by residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2022
    Inspectors wroteBased on observation, staff interview and clinical record review, the facility staff failed to follow physician orders for two (Resident # 64 & #43) of twenty residents in the survey sample. Resident #64 was administered artificial tears solution instead of the physician ordered medicated eye drops (Refresh Optive solution). The medical devices (protective booties) were not applied to Resident #43's feet, as ordered by the physician.
  3. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2022
    Inspectors wroteBased on observations, staff interview, record review and facility document review, the facility staff failed to properly place a catheter drainage bag below the bladder for one of 20 residents in the survey sample. Resident #31's catheter drainage bag was observed improperly positioned above the bladder level during the survey.
March 4, 2021Standard inspection · 10 citations
  1. E
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure a Level I PASRR (preadmission screening and resident review) was completed upon admission for two of 19 residents in the survey sample, Resident #25 and Resident #29.
  2. E
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on observation, resident interview, staff interview and clinical record review, the facility staff failed to ensure a functioning call light system for two of 19 residents in the survey sample, Residents #12 and #35. The call light system for Residents #12 and #35 had been out of service for approximately three weeks.
  3. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on observation, resident interview, and staff interview, the facility failed to ensure assistive devices were in good repair for one of 19 residents in the survey sample, Resident #7. Resident #7's wheelchair arm pad was ripped and had jagged edges. The Findings Include: Resident #7 was admitted to the facility on [DATE]. Diagnoses for Resident #4 included: paraplegia, urine retention with catheter, contractors, and neuromuscular dysfunction of bladder. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/19/20. Resident #7 was assessed with a cognitive score of 15 indicating cognitively intact. On 03/02/21 at 11:17 AM, Resident #7 was interviewed. During the interview Resident #7's wheelchair armrest was observed torn with jagged edges. Resident #7 was asked if that bothered him or irritated his skin. [...]
  4. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on staff interview and clinical record review, the facility staff failed to ensure an accurate MDS regarding PASRR (preadmission screening and resident review) status for one of 19 residents in the survey, Resident #25.
  5. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on a medication pass and pour observation, staff interview and facility document review, the facility staff failed to ensure professional standards of practice were followed during medication administration for two of 19 residents, Resident #31 and Resident #25.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on resident interview, staff interview, and clinical record review, the facility failed to provide necessary services to maintain good personal hygiene for one of 19 Residents, Resident #7. The Findings Include: Resident #7 was admitted to the facility on [DATE]. Diagnoses for Resident #4 included: Paraplegia, urine retention with catheter, contractures, and neuromuscular dysfunction of bladder. The most current MDS (minimum data set) was a quarterly assessment with an ARD (assessment reference date) of 11/19/20. Resident #7 was assessed with a cognitive score of 15 indicating cognitively intact. On 03/02/21 at 11:17 AM, Resident #7 was interviewed. During the interview Resident #7 stated that he had not had a shower in a week, and felt that he had to beg to get one. [...]
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to ensure treatment and services, consistent with professional standards of practice, to prevent infection of pressure ulcers for one of 19 residents, Resident #2.
  8. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on observation, staff interview, and clinical record review, facility staff failed to ensure infection control practices were followed during catheter care for one of 19 residents, Resident #2.
  9. D
    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 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on observation, staff interview, and facility document review, the facility staff failed to ensure expired medications were not readily available for distribution on 1 of 5 medication carts.
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 1, 2021
    Inspectors wroteBased on a medication pass and pour observation, staff interview and facility document review, the facility staff failed to ensure infection control practices were followed for three of 19 residents in the survey sample, Residents #31, #25, and #2. The facility failed to administered medications to prevent the spread of infection for two residents (Resident #31 and Resident #25) and failed to ensure infection control practices were followed to prevent the spread of infection during pressure ulcer care and catheter care one resident (Resident #2).
May 9, 2019Standard inspection · 5 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 24, 2019
    Inspectors wroteBased on staff interview and facility document review the facility staff failed to develop and implement a water management program to identify the risk of Legionella.
  2. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2019
    Inspectors wroteBased on clinical record review and staff interview, the facility failed for one of 21 residents in the survey sample (Resident # 51) to review and revise the resident's plan of care to reflect the provision of bathing. Bathing provided by the resident's family was not addressed in the plan of care.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2019
    Inspectors wroteBased on observations, staff interview and clinical record review, the facility staff failed to provide assistive devices for one of 21 in the survey sample. Resident #74, who was identified as having a history of falls was observed without bilateral falls mats to each side of the bed.
  4. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2019
    Inspectors wroteBased on clinical record review and staff interview, the facility staff failed to ensure one of 21 residents in the survey sample (Resident # 51) was free of unnecessary psychotropic medications. Resident # 51 had a physician's order for PRN (as needed) Xanax without a stop date.
  5. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 24, 2019
    Inspectors wroteBased on observation, resident interview, staff interview, and clinical record review the facility staff failed to accommodate resident's food preferences and intolerance's for one of 21 residents in the survey sample, Resident # 45. Resident # 45 was served food items identified on the meal ticket she disliked.

Fire safety inspections

6 fire safety citations on file: 1 on October 27, 2022, 5 on May 9, 2019.

Every fire safety citation6 citations
  1. D
    Have a battery powered remote alarm panel in a location accessible by operating personnel.
    K 916 · October 27, 2022 · Corrected (the home has a date of correction)
  2. D
    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.
    K 222 · May 9, 2019 · Corrected (the home has a date of correction)
  3. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · May 9, 2019 · Corrected (the home has a date of correction)
  4. D
    Install a fire alarm system that can be heard throughout the facility.
    K 341 · May 9, 2019 · Corrected (the home has a date of correction)
  5. D
    Ensure proper usage of power strips and extension cords.
    K 920 · May 9, 2019 · Corrected (the home has a date of correction)
  6. D
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · May 9, 2019 · Corrected (the home has a date of correction)

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.

MeasureThis homeVirginiaUnited States
All nursing staff (RN, LPN and aides)2.923.763.86
Registered nurses0.290.690.69
All nursing staff on weekends2.643.293.42
Nurse aides1.67
Licensed practical nurses0.97
Nursing staff turnover (share who left in a year)46.3%48.1%45.8%
Registered nurse turnover83.3%48.2%42.9%
Administrators who left0

CMS expects 3.28 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 3.04 on weekdays and 2.64 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.65 in April to June 2025 to 2.92 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.920.293.042.64 1.6%3 of 9081
Oct to Dec 20252.600.282.702.35 0.0%2 of 9284
Jul to Sep 20252.660.272.752.42 0.0%0 of 9285
Apr to Jun 20252.650.222.792.29 0.0%0 of 9185
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Virginia, Jan to Mar 20263.580.563.763.125.7%0.2% 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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Virginia

JobMedianMiddle halfEmployed
Virginia, all employers
CNAs (nursing assistants)$20.77$17.80 to $22.5640,580
LPNs and LVNs$31.21$28.66 to $35.8415,550
Registered nurses$45.00$38.51 to $49.5377,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Greene Acres Rehabilitation and Nursing. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeVirginiaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
18.714.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.50.40.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.31.61.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.83.63.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
5.31.31.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
27.815.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.04.74.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
35.414.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.122.323.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
13.711.512.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.11.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.51.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Greene Acres Rehabilitation and Nursing's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.0% this home

No different from the national rate

US median of homes 51.5% · Virginia: 101 better, 22 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 64 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Virginia: 1 better, 9 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 78 eligible stays.

Infections that led to a hospital stay

5.9% this home

No different from the national rate

US median of homes 7.1% · Virginia: 2 better, 8 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 54 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia60.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 15 residents counted.

Falls with major injury

7.1% this home

Median of homes: Virginia0.7% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 28 residents counted.

New or worsened pressure ulcers

4.3% this home

Median of homes: Virginia2.1% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 28 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Virginia97.8% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 5 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: GREENE ACRES REHABILITATION AND NURSING LLC. CMS links this home to Eastern Healthcare Group, a group of 18 nursing homes averaging 1.5 stars overall.

NameRoleTypeShareSince
VA SNF Operations Holdings 2 LLC5% or greater direct ownership interestOrganization100%02/01/2024
Jj United Tr5% or greater indirect ownership interestOrganization50%02/01/2024
Coons, AmandaW-2 managing employeeIndividual02/01/2024
Shapiro, AkivaCorporate officerIndividual02/01/2024
Sommer, NechamaCorporate officerIndividual02/01/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on October 27, 2022: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on March 4, 2021: "PASARR screening for Mental disorders or Intellectual Disabilities"
  3. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 3 problems in this area, most recently on June 17, 2026: "Keep all essential equipment working safely."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 4, 2021: "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."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.64 hours per resident per day, below the Virginia average of 3.29.

Other nursing homes nearby

Virginia contacts for a concern about a nursing home

These are the official offices in Virginia. NursingHomeClear cannot take or act on complaints.

Common questions

What is Greene Acres Rehabilitation and Nursing's Medicare star rating?
CMS rates Greene Acres Rehabilitation and Nursing 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Greene Acres Rehabilitation and Nursing get at its last inspection?
3 health deficiencies at the standard inspection on October 27, 2022. The Virginia average is 14.3.
Has Greene Acres Rehabilitation and Nursing been fined?
CMS lists no fines in the last three years.
Does Greene Acres Rehabilitation and Nursing 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 Greene Acres Rehabilitation and Nursing?
CMS lists 5 owners and managers, and links the home to Eastern Healthcare Group. Legal business name: GREENE ACRES REHABILITATION AND NURSING LLC.

Sources

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