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GREENHILL VILLAS

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GREENHILL VILLAS is a for profit - corporation facility in MOUNT PLEASANT, TX with 150 certified beds and a 1-star overall CMS rating. The facility has 46 deficiency records on file. Total penalties: $151K.

2530 GREENHILL RD, MOUNT PLEASANT, TX 75455

Phone: 9035720974

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

2/5

Long-Stay Quality

4/5

Facility Information

Provider Number
676241
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
150
Residents
79
In Hospital
Yes
County
Titus
Last Inspection
Jun 19, 2025

Staffing Data

RN Hours
0.25 (nat'l avg: 0.68)
LPN Hours
0.76
CNA Hours
2.17
Total Nursing Hours
3.17 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
49.1%
RN Turnover
50.0%

What the CMS Record Reveals About GREENHILL VILLAS

GREENHILL VILLAS operates 150 certified beds in MOUNT PLEASANT, TX with approximately 79 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 46 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 4 penalties totaling $151K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.17 total nursing hours per resident day (national average 3.89), with RN coverage at 0.25 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, GREENHILL VILLAS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 49.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (46 most recent)

D — Isolated - Minimal harm Dec 4, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Dec 5, 2025

E — Pattern - Minimal harm Oct 30, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 31, 2025

H — Pattern - Actual harm Oct 30, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 31, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 20, 2025

E — Pattern - Minimal harm Jun 19, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jun 20, 2025

E — Pattern - Minimal harm Jun 19, 2025 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2025

E — Pattern - Minimal harm Jun 19, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 20, 2025

D — Isolated - Minimal harm Jun 19, 2025 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jun 20, 2025

J — Isolated - Jeopardy Feb 18, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 23, 2024

D — Isolated - Minimal harm Feb 18, 2025 Tag: 0573

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Category: Resident Rights Deficiencies

Corrected: Feb 20, 2025

E — Pattern - Minimal harm Nov 26, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 10, 2024

K — Pattern - Jeopardy Sep 9, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Sep 9, 2024 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Sep 9, 2024 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Sep 9, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 10, 2024

D — Isolated - Minimal harm Sep 9, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Sep 10, 2024

E — Pattern - Minimal harm May 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: May 22, 2024

F — Widespread - Minimal harm May 21, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm May 21, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm May 21, 2024 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm May 21, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm May 21, 2024 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: May 22, 2024

D — Isolated - Minimal harm May 8, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 9, 2024

D — Isolated - Minimal harm May 8, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 9, 2024

E — Pattern - Minimal harm Mar 22, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 23, 2024

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 28, 2023

D — Isolated - Minimal harm Jul 27, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 27, 2023

K — Pattern - Jeopardy Apr 2, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Apr 3, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 30, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Mar 30, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Mar 30, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2023

E — Pattern - Minimal harm Mar 29, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0688

Provide 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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 30, 2023

D — Isolated - Minimal harm Mar 29, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Mar 30, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 2.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 6.4% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 100.0% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 3.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 15.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 22.3% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 28.6% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 12.3% Yes

Penalty History 4 penalties totaling $151K

Date Type Amount
Feb 18, 2025 Fine $13K
Sep 9, 2024 Fine $115K
Mar 29, 2023 Fine $10K
Mar 29, 2023 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for GREENHILL VILLAS?
GREENHILL VILLAS has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (2★).
What are the staffing levels at GREENHILL VILLAS?
GREENHILL VILLAS reports 3.17 total nursing hours per resident day (national average: 3.89). RN hours are 0.25 per resident day (national average: 0.68). Nursing staff turnover is 49.1%.
How many beds does GREENHILL VILLAS have?
GREENHILL VILLAS has 150 certified beds with approximately 79 residents. The facility is located at 2530 GREENHILL RD, MOUNT PLEASANT, TX 75455.
Does GREENHILL VILLAS have any deficiencies on record?
Yes, GREENHILL VILLAS has 46 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has GREENHILL VILLAS received any fines or penalties?
Yes, GREENHILL VILLAS has received 4 penalties totaling $151K.
Who owns GREENHILL VILLAS?
GREENHILL VILLAS is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was GREENHILL VILLAS last inspected?
The most recent health inspection for GREENHILL VILLAS was on Jun 19, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for GREENHILL VILLAS?
GREENHILL VILLAS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial