CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 2655472026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Greenville Health Care Center

117 Sycamore Street · Greenville, MO 63944 · Wayne County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds60CMS provider file
Recent citation rows23current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-03-2182025-03-211
Cycle 22024-02-2822024-02-283
Cycle 32022-08-3182022-08-311
02 / CITATION DETAIL

23 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-07-23 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-08-21 · complaint
2025-03-21 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0755Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0758Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0760Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · HEALTHF0880Severity F · widespread; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2025-03-21 · FIREK0281Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Install proper backup exit lighting.

Correction field: Deficient, Provider has date of correction · 2025-04-23
2024-02-28 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2024-04-18
2024-02-28 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-04-18
2024-02-28 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2024-04-18
2024-02-28 · FIREK0923Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2024-04-18
2022-08-31 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor 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.

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0689Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0690Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0759Severity D · isolated; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0812Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · HEALTHF0880Severity E · pattern; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2022-10-15
2022-08-31 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2022-10-15
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • RELIANT CARE GROUP LLCOrganization · DIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/01/2016
  • RCG INCOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 12/01/2016
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 03/01/2018
  • DESTEFANE, RICHARDIndividual · INDIRECT OWNERSHIP INTEREST
    NOT APPLICABLE · since 03/01/2018
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2016
  • ARSHAD, ABDULLAHIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/15/2024
  • DESTEFANE, RICHARDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/01/2016
  • MURRAY, STEVENIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/15/2025
  • DESTEFANE, RICHARDIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 05/28/2026
  • RELIANT CARE MANAGEMENT COMPANY LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 05/28/2025
  • RICHARD J. DESTEFANE REVOCABLE LIVING TRUSTOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • TLG II LLPOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2016
  • WAYNE COUNTY ASSOCIATES, L.L.C.Organization · ADP OF THE SNF
    NOT APPLICABLE · since 12/01/2016
  • ARSHAD, ABDULLAHIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 09/15/2024
  • DESTEFANE, RICHARDIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2018
  • MURRAY, STEVENIndividual · ADP OF THE SNF
    NOT APPLICABLE · since 07/15/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hoursper resident day
RN hoursper resident day
Weekend nurse hoursper resident day
Staff turnover64.1%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Missouri ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.