Texas › Hunt County › Greenville
Greenville Gardens
3500 Park St, Greenville, TX 75401
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.
Greenville Gardens, in Greenville, Texas, is certified for 103 beds under government, hospital district ownership and belongs to the Opco Skilled Management chain.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 1 and quality measures 5.
Inspectors recorded 45 health deficiencies across the three most recent survey cycles (10, 9, 26 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 43.7 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $16K.
Reported nurse staffing is 2.7 hours per resident per day (0.4 RN), close to the Texas median of 3.3; nursing staff turnover is 39.6%.
Compared with county, state and nation
| Measure | This facility | Hunt Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 45 | 42 | 25 | 28.7 |
| Citations per 100 beds | 43.7 | 36.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.4 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 39.6% | 48.1% | 52.1% | 45.8% |
| Fines listed | $16,206 | $16,206 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 13 Aug 2025, 5 Jun 2024.
Severity mix: J ×1 D ×29 E ×15
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 13 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0584 | 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. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0761 | 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. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 14 Aug 2025 |
| 13 Aug 2025 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 14 Aug 2025 |
| 19 Jun 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Jul 2024 |
| 19 Jun 2024 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint investigation | 10 Jul 2024 |
| 5 Jun 2024 | F0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | E | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0758 | 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. | E | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0761 | 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. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 10 Jun 2024 |
| 5 Jun 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 10 Jun 2024 |
| 11 Apr 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 10 Apr 2024 |
| 11 Apr 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 1 May 2024 |
| 1 Mar 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0761 | 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. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0920 | Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | E | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0584 | 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. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 24 Mar 2023 |
| 1 Mar 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 24 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 19 Jun 2024 | Fine | $5,184 | |
| 11 Apr 2024 | Fine | $11,022 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 39.6%, RNs 42.9%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.0% | 8.3% | 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: government, hospital district. Legal business name: Nocona Hospital District. Chain: Opco Skilled Management (66 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nocona Hospital District | 5% or greater direct ownership interest | 100% | 03/01/2015 |
| Greenville Healthcare LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2017 |
| 3500 Park Street, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
| Continuum Rehab Group LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
| Kgss Realty, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
| Larchmont Realty, LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
| Opco Ca Skilled Mgmt Inc. | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
| Opco Texas Skilled Mgmt LLC | Adp of the snf | NOT APPLICABLE | 09/01/2017 |
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 Hunt County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Legend Healthcare and Rehabilitation - Greenville | Greenville | 126 | 4 | 4 | 2 | 32 | 25.4 | — | 28 Aug 2025 |
| Briarcliff Health Center of Greenville | Greenville | 120 | 3 | 2 | 2 | 38 | 31.7 | $40K | 6 Apr 2026 |
| Avir At Commerce | Commerce | 116 | 2 | 2 | 2 | 42 | 36.2 | — | 28 May 2026 |
| Greenville Health & Rehabilitation Centerabuse iconSFF Candidate | Greenville | 120 | 1 | 1 | 1 | 87 | 72.5 | $96K | 5 Jun 2026 |
All 5 facilities in Hunt County
Questions and answers
How many deficiencies has Greenville Gardens been cited for?
45 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Greenville Gardens been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Greenville Gardens compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Greenville Gardens?
It is part of the Opco Skilled Management chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Nocona Hospital District and Greenville Healthcare LLC. Individual owners and managers are not listed on this site.
When was Greenville Gardens last inspected?
The most recent survey or investigation in the CMS record is dated 13 Aug 2025; the most recent standard health survey was 13 Aug 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.