Gracious Community Homes
State licensed3900 Joe Ramsey Blvd E, Greenville, TX 75401
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Greenville Health & Rehabilitation Center
Greenville, TexasMedicare inspection record
About Greenville Health & Rehabilitation Center
Greenville Health & Rehabilitation Center provides skilled nursing and rehabilitation care designed for recovery and healing. Our experienced team in Greenville, Texas focuses on personalized treatment plans that help patients regain independence and return home stronger.
Community at a glance
Capacity
120 residents
Location
Greenville, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4910 WELLINGTON ST, Greenville, Texas 75402
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 9, 2026, state inspectors cited 27 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 29 minutes with each resident a day, about the same as the Texas average.
Medicare fined Greenville Health & Rehabilitation Center 5 times in the last three years, $96,065 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 29 minutes |
| Registered nurse time per resident, per day | 15 minutesBelow the Texas average |
| Nursing staff who left in the past year | 50%Below the Texas average |
2 administrators have left the home in the past year.
Inspections
88 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 9, 2026 · Standard inspection · 24 citations
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 16, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 31, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 17, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 17, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 16, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 31, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 10, 2026Ensure the activities program is directed by a qualified professional.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Aug 14, 2026Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 16, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jul 10, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 31, 2026Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 10, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 16, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 10, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 30, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 10, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 10, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 16, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jul 10, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jul 31, 2026Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 16, 2026Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 16, 2026
June 5, 2026 · Complaint investigation · 1 citation
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 17, 2026
January 21, 2026 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 22, 2026
November 21, 2025 · Complaint investigation · 1 citation+
Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 24, 2025
May 12, 2025 · Standard inspection · 29 citations+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Feb 25, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 13, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationAlready fixed by Feb 24, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected May 13, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected May 13, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 13, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected May 13, 2025Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected May 13, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected May 13, 2025Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected May 13, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 13, 2025Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 13, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected May 13, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 13, 2025Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected May 13, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 13, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected May 13, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 13, 2025Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected May 13, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 13, 2025Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected May 13, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected May 13, 2025Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected May 13, 2025
March 30, 2025 · Complaint investigation · 1 citation+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Apr 30, 2025
February 27, 2025 · Complaint investigation · 3 citations+
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 28, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 28, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 28, 2025
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
5 fines totaling $96,065 in the last three years.
- May 12, 2025Fine: $17,345
- May 12, 2025Fine: $17,345
- May 12, 2025Fine: $26,685
- May 12, 2025Fine: $17,345
- May 12, 2025Fine: $17,345
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Hamilton County Hospital District
- Medicare-certified beds
- 120
- Average residents per day
- 64
- Accepts
- Medicare and Medicaid
- First certified
- April 8, 1992
- Part of a chain
- Advanced Healthcare Solutions, 28 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675020
Location
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4910 WELLINGTON STGreenville, TX 75402
9 other communities within 10 miles
Senior living near Greenville
Colonial Lodge
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Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
Call for pricing
Prices not published
Briarcliff Health Center of Greenville
Medicare-certified4400 WALNUT ST, Greenville, TX 75401
Skilled Nursing
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Call for pricing
Prices not published
Questions about Greenville Health & Rehabilitation Center
How did Greenville Health & Rehabilitation Center do on its last inspection?+
State inspectors visited on July 9, 2026 and cited 27 health deficiencies, 3 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Greenville Health & Rehabilitation Center?+
Nurses and aides spend 3 hours 29 minutes with each resident per day, including 15 minutes from registered nurses. 50% of nursing staff left over the past year.
Has Greenville Health & Rehabilitation Center been fined by Medicare?+
Yes. Medicare fined Greenville Health & Rehabilitation Center 5 times in the last three years, totaling $96,065.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.