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Greenville Health Care Center
Nursing Home & Assisted Living · Greenville, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Greenville Health Care Center

Greenville Health Care Center

Nursing Home & Assisted Living · Greenville, MO
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
117 Sycamore St, Greenville, MO 63944-0000 View map Calculator: See prices in your area
Greenville Health Care Center accepts Medicare, Medicaid, and private pay.
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Greenville Health Care Center accepts Medicare, Medicaid, and private pay.

Overview of Greenville Health Care Center

Under Crystal Layman’s administration, Greenville Health Care Center is a 60-bed skilled nursing home in Greenville, Missouri, a small rural community in the southeastern part of the state. Owned by Kimberly Mcdaniel and operated by Greenville Health Care Center, LLC, it accepts Medicare, Medicaid, and private pay. This gives families numerous ways to cover care costs.

With 57 of its 60 beds filled, the community is well-occupied at 95 percent capacity. The average stay length hovers around 508 days, indicating a solid focus on longer-term care instead of short-term rehabilitation. Daily nursing support totals around 1 hour 54 minutes per resident, broken down among registered nurses, licensed practical nurses, and certified nursing aides. A doctor is on staff, offering residents easy access to medical oversight and clinical decision-making in the home. The location in Greenville scores 24 on the Walk Score scale, reflecting the car-dependent nature of much of rural Missouri. Visiting family members will then want to plan to drive to the facility rather than walking or taking public transit.

With ongoing inspection data on file since 2018, Greenville Health Care Center is regulated by Missouri’s Department of Health and Senior Services, Division of Regulation and Licensure.

Facility Direct Line (573) 224-3298
Facility Direct Line (573) 224-3298 greenvillehc@gmail.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
1h 54m per day
Rank #280 / 282Nurse hours — State benchmarkedThis home is ranked 280th out of 282 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 282 Missouri facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 11m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 29m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 30m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 1h 59m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 7m per day

Capacity and availability

Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
508 days
Bed community size
60-bed community Rank #343 / 454Bed count — State benchmarkedThis home is ranked 343rd out of 454 homes in Missouri. Shows this facility's certified or reported bed count compared to other Missouri facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 24 / 100 Rank #429 / 563Walk Score — State benchmarkedThis home is ranked 429th out of 563 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
95%
Rank #18 / 434Occupancy rate — State benchmarkedThis home is ranked 18th out of 434 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 434. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Missouri average: 66.6%
Occupied beds
57 / 60
Average occupied beds in Missouri homes 72 beds

License Details

Facility TypeSkilled Nursing Facility
StatusActive
IssuanceFebruary 21, 2026
ExpirationFebruary 20, 2028
CountyWayne
License Number053390
CMS Certification Number265547
Certification TypeMedicare / Medicaid

Ownership & Operating Entity

Greenville Health Care Center is legally operated by Greenville Health Care Center, LLC, and administered by Crystal Layman.

Corporate EntityGREENVILLE HEALTH CARE CENTER, LLC
Owner NameGreenville Health Care Center, LLC

Type Of Units

Skilled Nursing Facility
60 units
Total beds
60 units

Staffing & Medical

1 service
Doctor on Staff

Amenities & Lifestyle

Touring HoursMonday - Friday: 8am-5pm, Saturday: Closed, Sunday: Closed

Contact Greenville Health Care Center

Inspection History

In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.

Since 2018 · 8 years of data 63 deficiencies 10 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2018 vs. Missouri state average
Overall vs. MO average 3 Worse Metrics worse than Missouri average:
• Total deficiencies (80% above)
• Deficiencies per year (80% above)
• Deficiencies per inspection (117% above) 0 Better No metrics in this bucket.
Latest Inspection March 21, 2025 Annual Inspection

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityMO Averagevs. MO Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 6335 This facility has 80% more total deficiencies than a typical Missouri assisted living residence (63 vs. MO avg 35).↑ 80% worse
Deficiencies per year Info Average deficiencies per year since 2018. 7.94.4 This facility has 80% more deficiencies per year than a typical Missouri assisted living residence (7.9 vs. MO avg 4.4).↑ 80% worse
Deficiencies per inspection Info Average deficiencies per inspection. 6.32.9 This facility has 117% more deficiencies per inspection than a typical Missouri assisted living residence (6.3 vs. MO avg 2.9).↑ 117% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityMO Averagevs. MO Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 1012 This facility has had 17% fewer total inspections than the Missouri average (10 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 17% fewer

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A

Last Health inspection on Jul 2025

Total health citations
18 Rank #66 / 287Health citations — State benchmarkedThis home is ranked 66th out of 287 homes in Missouri. Shows this facility's total health deficiency citations benchmarked to the Missouri State average, with a ranking across all 287 MO facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
4.5 Rank #105 / 287Citations per inspection — State benchmarkedThis home is ranked 105th out of 287 homes in Missouri. Shows average deficiency citations per CMS inspection for this facility versus the Missouri mean across 287 facilities with citation data. Lower is better.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 18 citations resulted from standard inspections; and 1 of 18 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A
0 serious citations State average: N/A
18 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 4 years)
Abuse/Neglect moderate citation Jul 23, 2025
Corrected
Infection Control moderate citation Mar 21, 2025
Corrected
Pharmacy moderate citation Mar 21, 2025
Corrected
Pharmacy moderate citation Mar 21, 2025
Corrected

Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 62
Employees 50
Contractors 12
Staff to resident ratio 1.09 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 15
Average shift 9.8 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 13,490

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 6 RN Staff are full-time employees. No contractors work on this role. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 7 LPN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 8 CNA Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.9 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.4%

1,271 contractor hours this quarter

Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Nurse Aide in Training190194,4477784%10.6
Licensed Practical Nurse7072,4277784%10.8
Certified Nursing Assistant8082,0487582%9.9
Medication Aide/Technician5051,3917683%11.4
Nurse Practitioner1015206571%8
Physical Therapy Aide0224556065%7.4
Registered Nurse6064515257%8.2
Speech Language Pathologist0224296166%7
Administrator1014165257%8
Dental Services Staff1014165257%8
Qualified Social Worker0112243942%5.7
RN Director of Nursing101881112%8
Respiratory Therapy Technician022652628%2.5
Physical Therapy Assistant022271314%2.1
Medical Director0112433%8
Occupational Therapy Assistant0112433%8
Occupational Therapy Aide0112433%8
Clinical Nurse Specialist1011622%8
19 Nurse Aide in Training
% of Days 84%
7 Licensed Practical Nurse
% of Days 84%
8 Certified Nursing Assistant
% of Days 82%
5 Medication Aide/Technician
% of Days 83%
1 Nurse Practitioner
% of Days 71%
2 Physical Therapy Aide
% of Days 65%
6 Registered Nurse
% of Days 57%
2 Speech Language Pathologist
% of Days 66%
1 Administrator
% of Days 57%
1 Dental Services Staff
% of Days 57%
1 Qualified Social Worker
% of Days 42%
1 RN Director of Nursing
% of Days 12%
2 Respiratory Therapy Technician
% of Days 28%
2 Physical Therapy Assistant
% of Days 14%
1 Medical Director
% of Days 3%
1 Occupational Therapy Assistant
% of Days 3%
1 Occupational Therapy Aide
% of Days 3%
1 Clinical Nurse Specialist
% of Days 2%
View All Staffing Data

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 16.2
48% worse than State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 28.8
48% worse than State average

State average: 19.5

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 39.2%
99% worse than State average

State average: 19.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 34.9%
69% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 12.2%
33% better than State average

State average: 18.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.4%
42% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
46% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
64% better than State average

State average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 1.9%
65% better than State average

State average: 5.6%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 17.9%
39% worse than State average

State average: 12.8%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.2%
In line with State average

State average: 22.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 86.8%
In line with State average

State average: 85.2%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 94.3%
In line with State average

State average: 90.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.5%
39% better than State average

State average: 66.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

35% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

18% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

47% of new residents, often for long-term daily care.

Typical stay 5 - 6 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 57
Medicare
5
8.8% of residents
Medicaid
52
91.2% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$167.7K
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.8M Rank #242 / 292Revenue — State benchmarkedThis home is ranked 242nd out of 292 homes in Missouri. Shows this facility's annual revenue compared to the Missouri average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$167.7K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
-$269
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #224 / 292Payroll — State benchmarkedThis home is ranked 224th out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.1M 56.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #92 / 292Payroll % — State benchmarkedThis home is ranked 92nd out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.8M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.9M
How we calculate these figures

This home is administered by Crystal Layman.

This home is owned by Kimberly Mcdaniel

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 265547

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (47% of admissions), and a typical Medicaid stay runs around 5 - 6 years.

Admissions
17 total

Coverage residents most often arrive under.

Medicare 35%
Private pay 18%
Medicaid 47%
Discharges
36 total

Coverage residents most often leave under.

Medicare 28%
Private pay 8%
Medicaid 64%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Greenville Health Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Greenville's city center to Greenville Health Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Greenville Health Care Center

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Frequently Asked Questions about Greenville Health Care Center

Is Greenville Health Care Center in a walkable area?

Greenville Health Care Center has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Greenville Health Care Center?

According to MO state health department records, Greenville Health Care Center's license number is 053390.

When does Greenville Health Care Center's license expire?

According to MO state health department records, Greenville Health Care Center's license expires on February 20, 2028.

What is the occupancy rate at Greenville Health Care Center?

Greenville Health Care Center's occupancy is 95%.

Does Greenville Health Care Center operate as a for-profit or non-profit?

Greenville Health Care Center is registered as a for-profit in MO.

Who is the administrator of Greenville Health Care Center?

Crystal Layman is the administrator of Greenville Health Care Center.

How many beds does Greenville Health Care Center have?

Greenville Health Care Center has 60 beds.

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