Greenville Nursing and Rehabilitation
521 Greene Drive, Greenville, KY 42345 · Muhlenberg County · (270) 338-1523
60 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1992
CMS Care Compare ratings, data as of September 1, 2026 · CCN 185317 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 17, 2025, inspectors cited 0 health deficiencies (the Kentucky average is 2.9, the national average 9.2).
None of its 7 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 3.39 hours per resident per day, against 3.95 across Kentucky and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.
39.0% of nursing staff left within the year CMS measured (Kentucky average 46.4%).
CMS links it to David Marx, an affiliated group of 10 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.
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 7 health citations on file.
July 17, 2025Standard inspection · 0 citations
January 9, 2025Complaint inspection · 1 citation
- D 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.
Inspectors wroteBased on interview, record review and facility policy review, the facility failed to ensure its grievance policy was followed regarding resident/guardian notification of grievance status and outcomes for one (Resident (R) 1) of three residents reviewed for grievances. R1's guardian caused a grievance to be filed on R1's behalf. The facility failed to provide R1's guardian with a written grievance decision which contained all required information, including, but not limited to, the date the grievance was received and the outcome of the grievance.
June 20, 2024Standard inspection, Complaint inspection · 4 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure 3 (Residents (R) 30, R38, and R46) of 22 sampled residents received their nighttime medications at a time preferred by the residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to ensure the medication error rate was less than 5 percent (%). The facility had 2 medication errors out of 35 opportunities, affecting 1 (Resident (R)14) of 3 residents reviewed during the medication administration task, resulting in a medication error rate of 5.71%.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure routine dental services were provided for 1 (Resident #12) of 2 residents reviewed for dental care.
- C Post nurse staffing information every day.
Inspectors wroteBased on interview, facility document review, and facility policy review, the facility failed to ensure the posted staffing document included the total number of staff working for each discipline. This had the potential to affect all 59 residents residing in the facility.
May 2, 2019Standard inspection · 2 citations
- F 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 store, and serve food in accordance with professional standards for food service safety. Observation of the refrigerator in the Activity Room, used for storage of residents' snacks revealed three (3) food items were not labeled and dated. In addition, a staff member failed to sanitize her hands while distributing and setting up trays for eleven (11) residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, record review, and facility policy review, it was determined the facility failed to ensure one (1) of one (1) sampled resident receiving oxygen was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences (Resident #254). Resident #254 was care planned and had Physician Orders to administer Oxygen (O2) at two (2) liters per minute (LPM) per nasal cannula; however, observations on 04/30/19 revealed the resident was being administered O2 at three and a half (3.5) LPM.
Fire safety inspections
9 fire safety citations on file: 3 on July 17, 2025, 6 on June 20, 2024.
Every fire safety citation9 citations
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
- D Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Have properly located and lighted "Exit" signs.
- E Have power receptacles that are properly grounded.
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) | 3.39 | 3.95 | 3.86 |
| Registered nurses | 0.43 | 0.79 | 0.69 |
| All nursing staff on weekends | 3.01 | 3.49 | 3.42 |
| Nurse aides | 2.22 | ||
| Licensed practical nurses | 0.75 | ||
| Nursing staff turnover (share who left in a year) | 39.0% | 46.4% | 45.8% |
| Registered nurse turnover | 50.0% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.94 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 3.54 on weekdays and 3.01 on weekends, 15% 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 3.41 in April to June 2025 to 3.39 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 | 3.39 | 0.43 | 3.54 | 3.01 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.59 | 0.48 | 3.77 | 3.15 | 0.0% | 1 of 92 | 55 |
| Jul to Sep 2025 | 3.49 | 0.43 | 3.65 | 3.09 | 0.0% | 2 of 92 | 58 |
| Apr to Jun 2025 | 3.41 | 0.51 | 3.55 | 3.06 | 0.2% | 0 of 91 | 58 |
| 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 | 8.2 | 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 | 2.9 | 1.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.1 | 3.9 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.7 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.9 | 14.0 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.1 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 16.1 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.7 | 24.2 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.0 | 13.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.9 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: GREENVILLE NURSING AND REHABILITATION LLC. CMS links this home to David Marx, a group of 10 nursing homes averaging 3.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Greenville Nursing and Rehabilitation Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 07/25/2019 |
| Pruitt, Paul | Managing control - governing body | Individual | 05/01/2023 | |
| 521 Greene Dr SNF Realty LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Bluegrass Consulting Group LLC | Operational/managerial control | Organization | 09/01/2019 | |
| Alexander, David | Operational/managerial control | Individual | 05/01/2023 | |
| Chamberlain, Margaret | Operational/managerial control | Individual | 09/11/2023 | |
| Landrum, Shannon | Operational/managerial control | Individual | 01/01/2025 | |
| Marx, David | Operational/managerial control | Individual | 09/01/2019 | |
| Pruitt, Paul | Operational/managerial control | Individual | 05/01/2023 | |
| Rewa, Angela | Operational/managerial control | Individual | 10/23/2023 | |
| Russell, Robert | Operational/managerial control | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Operational/managerial control | Individual | 12/02/2024 | |
| Wolfe, Eric | Operational/managerial control | Individual | 09/11/2023 | |
| 521 Greene Dr SNF Realty Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| 521 Greene Dr SNF Realty LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Bluegrass Consulting Group LLC | Adp of the SNF | Organization | 07/16/2025 | |
| Kentucky SNF Realty Holdings LLC | Adp of the SNF | Organization | 09/01/2019 | |
| Mdg Real Estate Global Limited | Adp of the SNF | Organization | 09/01/2019 | |
| Alexander, David | Adp of the SNF | Individual | 05/01/2023 | |
| Chamberlain, Margaret | Adp of the SNF | Individual | 09/11/2023 | |
| Landrum, Shannon | Adp of the SNF | Individual | 01/01/2025 | |
| Marx, David | Adp of the SNF | Individual | 09/01/2019 | |
| Pruitt, Paul | Adp of the SNF | Individual | 09/01/2019 | |
| Rewa, Angela | Adp of the SNF | Individual | 10/23/2023 | |
| Russell, Robert | Adp of the SNF | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Adp of the SNF | Individual | 12/02/2024 | |
| Wolfe, Eric | Adp of the SNF | Individual | 09/11/2023 |
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 2 problems in this area, most recently on January 9, 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."
- 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 June 20, 2024: "Provide or obtain dental services for each resident."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Ensure medication error rates are not 5 percent or greater."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on June 20, 2024: "Post nurse staffing information every day."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.01 hours per resident per day, below the Kentucky average of 3.49.
Other nursing homes nearby
- Maple Health and Rehabilitation Greenville, 0 mi · 5 of 5 stars · 7 citations
- Owensboro Health Muhlenberg Community Hospital Lon Greenville, 1.4 mi · 4 of 5 stars · 10 citations
- Brighton Cornerstone Group, LLC Madisonville, 19.2 mi · 1 of 5 stars · 9 citations
- Ridgewood Terrace Health and Rehabilitation Center Madisonville, 19.5 mi · 4 of 5 stars · 4 citations
- Madisonville Health and Rehabilitation, LLC Madisonville, 19.5 mi · 2 of 5 stars · 10 citations
- Park Grove Nursing and Rehabilitation Center Madisonville, 20 mi · 2 of 5 stars · 16 citations
- Joseph Eddie Ballard Western Kentucky Veterans Cen Hanson, 20.9 mi · 5 of 5 stars · 2 citations
- Beaver Dam Nursing & Rehab Center, Inc Beaver Dam, 21.2 mi · 3 of 5 stars · 8 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 Greenville Nursing and Rehabilitation's Medicare star rating?
- CMS rates Greenville Nursing and Rehabilitation 5 out of 5 stars overall, with 5 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Greenville Nursing and Rehabilitation get at its last inspection?
- 0 health deficiencies at the standard inspection on July 17, 2025. The Kentucky average is 2.9.
- Has Greenville Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Greenville Nursing and Rehabilitation 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 Greenville Nursing and Rehabilitation?
- CMS lists 27 owners and managers, and links the home to David Marx. Legal business name: GREENVILLE NURSING AND REHABILITATION 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.