Greenville Health & Rehabilitation Center
4910 WELLINGTON, Greenville, TX, 75402
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 Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Advanced Healthcare Solutions
- Certified beds
- 120 · avg 74 residents/day
- Total nursing staff turnover
- 46.3% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 6 fines · $149,253 total
State licensing & capacity
- License number
- 311836
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 120 Medicaid/Medicare
- Current license effective
- March 1, 2024
- Current license expires
- March 1, 2027
- Initial license date
- May 1, 1978
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Hamilton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Greenville Hc Llc
- Administrator
- Mariah Edwards
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Advanced Healthcare Solutions chain — 30 facilities. Chain-wide average overall rating 3.2 / 5.
Disclosed owners (6 on record)
- Diana Woolverton
Operational/managerial Control · since 2025
- Greenville hc Llc
Adp of The Snf · since 2025
- Ari Silberstein
Operational/managerial Control · since 2024
- Grady Hooper
Corporate Officer · since 2024
- Hamilton County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2024
- Thomas Carl Selvaggi
Operational/managerial Control · since 2024
Recent change of ownership
March 2024 (2 years ago) · acquired from Greenville Health & Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, 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 68)
- E0677·Jan 21, 2026Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0677·Nov 21, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0808·May 12, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure 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.
- D0610·May 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
- J0609·May 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0607·May 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- J0602·May 12, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0880·Mar 30, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal penalties
By year
- 20255 fines · $96K
- 20231 fine · $53K
Most recent events
- May 12, 2025Fine · $27K
- May 12, 2025Fine · $17K
- May 12, 2025Fine · $17K
- May 12, 2025Fine · $17K
- May 12, 2025Fine · $17K
- Jul 11, 2023Fine · $53K
Largest single fine on record: $53K.
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Mar 27, 2024. 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 Health & Rehabilitation Center is a 120-bed nursing home in Greenville, TX, accepting Medicare and Medicaid. CMS rates it 1 star overall, with 1-star ratings on both health inspections and staffing. CMS has substantiated findings of resident abuse or neglect within the past 36 months, and six fines totaling $149,253 have been assessed. The facility is operating at roughly 62% of licensed capacity.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives approximately 176 minutes of nursing care per day, roughly 65 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 176 minutes stretch thinner than the raw number suggests. Registered nurses account for only 21 minutes of that daily total.
CMS has substantiated findings of resident abuse or neglect at this facility within the past 36 months. This is a formal federal determination, not an allegation; it reflects inspections conducted by state surveyors.
Six CMS fines totaling $149,253 have been assessed here. The median fine total among Texas nursing homes that receive any fines is roughly $20,699; this facility's total is more than seven times that figure. About 30% of Texas nursing homes have received no fines at all.
One administrator has left in the past year. This is an elevated turnover rate for a leadership position and can affect how consistently care policies are carried out day to day.
The facility is operating at roughly 62% of its 120 licensed beds — about 74 residents on a typical day. This level of low occupancy, alongside the safety flags and fine history, reflects the broader picture of this facility's standing.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Steps taken after abuse findings
CMS has substantiated abuse or neglect findings here within the past 36 months — ask what specific policy or staffing changes were made in response.
Context behind six federal fines
Six fines totaling $149,253 have been assessed by CMS — ask what the citations were for and how each was resolved.
Current administrator and tenure
One administrator left in the past year — ask who is currently in the role, how long they have been in place, and who oversees daily operations.
Registered nurse coverage per shift
CMS data shows only about 21 minutes of registered nurse time per resident per day — ask how many RNs are on duty during day, evening, and overnight shifts.
Reason for low bed occupancy
The facility is running at roughly 62% capacity — ask whether admissions have been restricted by the state or CMS at any point in the past two years.
Resident council access and frequency
A Resident Council is listed but no Family Council — ask how often the Resident Council meets and how family members can raise concerns directly with leadership.
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.