Elder Care Record

Connecticut › Southeastern Ct County › Waterford

Greentree Manor Nursing and Rehabilitation Center

4 Greentree Drive, Waterford, CT 06385

CCN 075113 · For-profit, corporation · 90 certified beds

CMS abuse icon
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Greentree Manor Nursing and Rehabilitation Center is a For-profit, corporation nursing home in Waterford, Connecticut, certified for 90 beds and caring for about 75 residents a day.

CMS gives it 1 of 5 stars overall, below the Connecticut median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.

Inspectors recorded 86 health deficiencies across the three most recent survey cycles (29, 42, 15 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 95.6 per 100 beds, more than the state median of 29.2.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.0 hours per resident per day (0.7 RN), close to the Connecticut median of 3.7; nursing staff turnover is 64.9%.

CMS flags that the facility carries the CMS abuse icon.

86health deficiencies, 3 survey cycles3 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.0nurse hours per resident per daystate median 3.7
84%occupancy (residents ÷ beds)75 residents a day

Compared with county, state and nation

MeasureThis facilitySoutheastern Ct Co. medianConnecticut medianUS average
Overall star rating1433.0
Health citations, 3 cycles86323528.7
Citations per 100 beds95.632.329.226.8
Total nurse hours per resident day4.03.53.73.9
RN hours per resident day0.70.70.60.7
Nursing staff turnover64.9%35.2%35.9%45.8%
Fines listed$0$16,065$8,021—

County and state figures are medians across facilities (14 in the county, 191 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)29
Cycle 242
Cycle 315

Dark bar: this facility. Grey bar: Connecticut average per facility for the same cycle, as published by CMS. Standard health survey dates: 6 May 2025, 25 May 2023.

Severity mix: G ×3 D ×67 E ×16

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
8 May 2026F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation2 Jul 2026
8 May 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Jul 2026
8 May 2026F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation2 Jul 2026
8 May 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation2 Jul 2026
22 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation2 Feb 2026
2 Dec 2025F0602Protect each resident from the wrongful use of the resident's belongings or money.EComplaint investigation13 Jan 2026
2 Dec 2025F0761Ensure 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.EComplaint investigation13 Jan 2026
8 Jul 2025F0585Honor 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.DComplaint investigation19 Aug 2025
8 Jul 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation19 Aug 2025
8 Jul 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation19 Aug 2025
15 May 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation26 Jun 2025
6 May 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.GStandard survey17 Jul 2025
6 May 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GStandard survey17 Jul 2025
6 May 2025F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey17 Jul 2025
6 May 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey17 Jul 2025
6 May 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey17 Jul 2025
6 May 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey17 Jul 2025
6 May 2025F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard survey17 Jul 2025
6 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey17 Jul 2025
6 May 2025F0814Dispose of garbage and refuse properly.EStandard survey17 Jul 2025
6 May 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey17 Jul 2025
6 May 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey17 Jul 2025
6 May 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey17 Jul 2025
6 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey17 Jul 2025
6 May 2025F0692Provide enough food/fluids to maintain a resident's health.DStandard survey17 Jul 2025
6 May 2025F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey17 Jul 2025
6 May 2025F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey17 Jul 2025
6 May 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey17 Jul 2025
6 May 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey17 Jul 2025
6 May 2025F0761Ensure 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.DStandard survey17 Jul 2025
6 May 2025F0880Provide and implement an infection prevention and control program.DStandard survey17 Jul 2025
6 May 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey17 Jul 2025
6 May 2025F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard survey17 Jul 2025
24 Mar 2025F0584Honor 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.EComplaint investigation5 May 2025
31 Oct 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation12 Dec 2024
31 Oct 2024F0610Respond appropriately to all alleged violations.DComplaint investigation12 Dec 2024
31 Oct 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation12 Dec 2024
17 Oct 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation27 Nov 2024
17 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Nov 2024
7 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation18 Nov 2024
28 Aug 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation9 Oct 2024
1 Aug 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation11 Oct 2024
1 Aug 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DComplaint investigation11 Oct 2024
19 Jan 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation1 Mar 2024
19 Jan 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation1 Mar 2024
19 Jan 2024F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.DComplaint investigation1 Mar 2024
19 Jan 2024F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation1 Mar 2024
25 May 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GStandard survey30 Jun 2023
25 May 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey6 Jul 2023
25 May 2023F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey6 Jul 2023
25 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Jul 2023
25 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey6 Jul 2023
25 May 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey6 Jul 2023
25 May 2023F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey6 Jul 2023
25 May 2023F0578Honor 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.DStandard survey6 Jul 2023
25 May 2023F0585Honor 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.DStandard survey6 Jul 2023
25 May 2023F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey6 Jul 2023
25 May 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey6 Jul 2023
25 May 2023F0610Respond appropriately to all alleged violations.DStandard survey6 Jul 2023
25 May 2023F0641Ensure each resident receives an accurate assessment.DStandard survey6 Jul 2023
25 May 2023F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey6 Jul 2023
25 May 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Jul 2023
25 May 2023F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey6 Jul 2023
25 May 2023F0679Provide activities to meet all resident's needs.DStandard survey6 Jul 2023
25 May 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey6 Jul 2023
25 May 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey6 Jul 2023
25 May 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey6 Jul 2023
25 May 2023F0692Provide enough food/fluids to maintain a resident's health.DStandard survey6 Jul 2023
25 May 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey6 Jul 2023
25 May 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Jul 2023
25 May 2023F0761Ensure 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.DStandard survey6 Jul 2023
25 May 2023F0791Provide or obtain dental services for each resident.DStandard survey6 Jul 2023
25 May 2023F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.DStandard survey6 Jul 2023
25 May 2023F0836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DStandard survey6 Jul 2023
25 May 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey6 Jul 2023
10 Feb 2021F0695Provide safe and appropriate respiratory care for a resident when needed.EStandard survey6 Mar 2021
10 Feb 2021F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Mar 2021
10 Feb 2021F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey6 Mar 2021
10 Feb 2021F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DStandard survey6 Mar 2021
10 Feb 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey6 Mar 2021
10 Feb 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey6 Mar 2021
10 Feb 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey6 Mar 2021
10 Feb 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey6 Mar 2021
10 Feb 2021F0761Ensure 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.DStandard survey6 Mar 2021
10 Feb 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey6 Mar 2021
10 Feb 2021F0880Provide and implement an infection prevention and control program.DStandard survey6 Mar 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.95 h
Nurse aides2.26 h
LPN1 h
RN0.69 h
Weekend total3.69 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Connecticut average. Turnover: nursing staff 64.9%, RNs 83.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityConnecticut medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay28.6%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.0%0.5%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.2%1.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.4%3.1%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%1.1%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay34.4%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.4%3.8%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.4%17.6%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Southeastern Ct County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Avalon Health Care Center At StoneridgeMystic40555717.5$8K4 Mar 2025
Bride Brook Rehabilitation & Nursing CenterNiantic130554118.5—23 Apr 2025
Complete Care At Groton RegencyGroton1625422113.0—29 Jan 2026
Pendleton Rehabilitation and Nursing CenterMystic1205433226.7—18 Nov 2025
Beechwood Health & Rehabilitation CenterNew London604422338.3—21 Nov 2025
FairviewGroton1204411714.2—13 Apr 2026
Norwich Sub-Acute and NursingNorwich1204422319.2$47K4 Jun 2026
Apple Rehab MysticMystic602313253.3$17K8 May 2026

All 14 facilities in Southeastern Ct County

Questions and answers

How many deficiencies has Greentree Manor Nursing and Rehabilitation Center been cited for?

86 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Connecticut median is 35 per facility.

Has Greentree Manor Nursing and Rehabilitation Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Greentree Manor Nursing and Rehabilitation Center compare?

Reported total nurse staffing is 4.0 hours per resident per day against a Connecticut median of 3.7 and a national average of 3.9.

Who operates Greentree Manor Nursing and Rehabilitation Center?

Ownership type is for-profit, corporation. Individual owners and managers are not listed on this site.

When was Greentree Manor Nursing and Rehabilitation Center last inspected?

The most recent survey or investigation in the CMS record is dated 8 May 2026; the most recent standard health survey was 6 May 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.