Greenville Gardens
3500 PARK ST, Greenville, TX, 75401
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Opco Skilled Management
- Certified beds
- 103 · avg 81 residents/day
- Total nursing staff turnover
- 51.7% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $16,206 total
State licensing & capacity
- License number
- 144452
- Service type
- Medicare/medicaid
- Licensed capacity
- 103 beds
- Bed type breakdown
- 39 Medicare-only · 64 Medicaid/Medicare
- Current license effective
- March 1, 2025
- Current license expires
- March 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Nocona Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Greenville Healthcare Llc
- Administrator
- Drew Gurley
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Opco Skilled Management chain — 52 facilities across 5 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (15 on record)
- Hansen Hunter Llc
Adp of The Snf · since 2025
- Drew Gurley
Adp of The Snf · since 2024
- David Garetz
Operational/managerial Control · since 2020
- 3500 Park Street, Llc
Adp of The Snf · since 2017
- Continuum Rehab Group Llc
Adp of The Snf · since 2017
- Greenville Healthcare Llc
Operational/managerial Control · 100% · since 2017
+ 9 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 46)
- E0925·Aug 13, 2025
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0880·Aug 13, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0849·Aug 13, 2025
Administration Deficiencies
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.
- D0806·Aug 13, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D0761·Aug 13, 2025
Pharmacy Service Deficiencies
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.
- E0755·Aug 13, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0692·Aug 13, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0690·Aug 13, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal penalties
By year
- 20242 fines · $16K
Most recent events
- Jun 19, 2024Fine · $5,184
- Apr 11, 2024Fine · $11K
Largest single fine on record: $11K.
Fire-safety citations
4 Life-Safety-Code citations on file. Most recent: Aug 13, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Greenville Gardens is a 103-bed nursing home in Greenville, Hunt County, accepting Medicare and Medicaid. CMS rates it 2 stars overall — staffing is rated 1 star, the lowest tier, while quality measures for long-stay residents reach 5 stars. The facility is licensed to Nocona Hospital District and managed by Greenville Healthcare LLC. About 81 residents occupy the facility on an average day, leaving some bed availability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 1 star — the lowest possible tier, shared by roughly 38% of Texas nursing homes. Each resident receives about 144 minutes of nursing care per day, including approximately 21 minutes with a registered nurse. That is 97 minutes less per day than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent or medically complex on average — so those 144 minutes stretch thinner than the raw number already suggests.
Two CMS fines totaling $16,206 have been issued; both the count and the dollar amount fall below the Texas median fine total of $20,699, and about 30% of Texas nursing homes have received no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
CMS rates staffing here 1 star and weekend nursing hours run about 2.1 hours per resident per day — ask how many nurses and aides are on duty overnight and on Sundays.
How RN coverage is scheduled
Registered nurse time averages roughly 21 minutes per resident per day here; ask whether an RN is physically present around the clock or only on call.
Resident care complexity and staffing response
CMS data indicates residents here tend to need more hands-on help than at a typical facility; ask how staffing levels are adjusted when the resident population becomes more dependent.
What prompted the two CMS fines
Two fines totaling $16,206 appear in the CMS record; ask what deficiencies led to them and what changes were made in response.
Resident Council activity and reach
The facility has a Resident Council but no Family Council; ask how often the council meets and how family members can raise concerns outside of it.
Management company's role day to day
The facility is licensed to Nocona Hospital District but operated by Greenville Healthcare LLC; ask which entity sets staffing budgets and handles complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.