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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.
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.
Delivering exceptional services for over 60 years, Greenwood Village South in Greenwood, IN is a well-established senior living community that offers independent living, assisted living, memory care, long-term care, and rehabilitation services. Boasting years of experience and knowledge, the community guarantees exceptional care and supportives services that allows residents to successfully age in place. With its dedication to excellence, the community has been recognized as a Best Continuing Care Retirement Community and Best Assisted Living community by the U.S. News and World Report.
Focused on nurturing residents’ overall physical, social and psychological wellbeing, the community provides a Health and Wellness Team to personally guide residents through the community’s full array of services, amenities and activities. Delicious and healthy culinary delights are served as well for an enjoyable and filling dining experience. At Greenwood Village South, residents live their golden years free of hassles and worries.
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.
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.
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.
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.
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.
This home is ranked 38th out of 287 homes in Indiana for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
|
27m per day | ▼ 33% State avg: 40m per day · National avg: 41m per day |
|
LPN / LVN
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.
|
44m per day | ▼ 4% State avg: 46m per day · National avg: 52m per day |
|
Nurse Aide
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.
|
3h 1m per day | ▲ 33% State avg: 2h 16m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
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.
|
3h 47m per day | ▲ 17% State avg: 3h 14m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
|
2m per day | ▼ 40% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
|
24m per day | ▼ 9% State avg: 27m per day · National avg: 28m per day |
Greenwood Village South is legally operated by Johnson Memorial Hospital, and administrated by Pamela Seegers.
Key information about the people who lead and staff this community.
In Indiana, the Department of Health, Division of Long Term Care is the primary regulatory body that performs onsite inspections and quality of care reviews for all licensed facilities.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the Indiana state average. The score below shows how many points this facility sits above or below the typical Indiana nursing home score (the benchmark); higher is better.
At the Indiana average for nursing homes (83/100)
Inspection score: 83 out of 100. Letter grade B. At the Indiana average for nursing homes (83/100)
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Indiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
|
This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
|
38 | 36 | This facility has 6% more total deficiencies than a typical Indiana nursing home (38 vs. IN avg 36).↑ 6% worse Rank #192 / 386 Total deficiencies — State benchmarked This home is ranked 192nd out of 386 homes in Indiana. Shows this facility's deficiencies compared to the Indiana average among 386 comparable communities in the ranking pool. |
|
Deficiencies per year
Average deficiencies per year since 2022.
|
9.5 | 9 | This facility has 6% more deficiencies per year than a typical Indiana nursing home (9.5 vs. IN avg 9).↑ 6% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
|
1.8 | 1.9 | This facility has 5% fewer deficiencies per inspection than a typical Indiana nursing home (1.8 vs. IN avg 1.9).↓ 5% better Rank #121 / 386 Deficiencies per inspection — State benchmarked This home is ranked 121st out of 386 homes in Indiana. Shows this facility's deficiencies per inspection compared to the Indiana average among 386 comparable communities in the ranking pool. |
Inspections
|
This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total visits
Combined count of all on-site visits — routine inspections, complaint visits, follow-ups, and other focused visits.
|
21 | 19 | This facility has 11% more total visits than a typical Indiana nursing home (21 vs. IN avg 19).↑ 11% worse |
|
Inspections with deficiencies
Inspections that resulted in at least one regulatory deficiency.
|
7 | 7 | This facility has inspections with deficiencies in line with the Indiana average (7 vs. IN avg 7).— At avg |
|
Inspection deficiency rate
Percentage of inspections that resulted in at least one deficiency.
|
33% | 37% | This facility has 4 percentage points lower inspection deficiency rate than a typical Indiana nursing home (33% vs. IN avg 37%).↓ 4% better |
|
Inspections
Routine, scheduled inspections conducted by state regulators.
|
11 | 13 | This facility has 15% fewer inspections than a typical Indiana nursing home (11 vs. IN avg 13).↓ 15% better |
Complaints & Investigations
|
This Facility | IN Average | vs. IN Avg |
|---|---|---|---|
|
Total complaints
Formal expressions of concern made by residents, families, or staff.
|
2 | 5 | This facility has 60% fewer total complaints than a typical Indiana nursing home (2 vs. IN avg 5).↓ 60% better Rank #50 / 352 Total complaints — State benchmarked This home is ranked 50th out of 352 homes in Indiana. Shows this facility's total complaints compared to the Indiana average among 352 comparable communities in the ranking pool. |
|
Complaints per year
Average complaints per year since 2022.
|
0.5 | 1.3 | This facility has 62% fewer complaints per year than a typical Indiana nursing home (0.5 vs. IN avg 1.3).↓ 62% better |
|
Complaint visits
On-site visits triggered by formal complaints. Formal complaints can result in multiple visits.
|
11 | 8 | This facility has 38% more complaint visits than a typical Indiana nursing home (11 vs. IN avg 8).↑ 38% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Indiana average 6
Last Health inspection on Aug 2024
Indiana average 25
Indiana average 4.12
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 6 citations resulted from standard inspections.
100% better than Indiana average
Indiana average: 0.2
100% better than Indiana average
Indiana average: 0.6
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
2545355% more staff per resident than Indiana average
0% compared with Indiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
15 total: 14 full-time employees and 1 contractor.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Assists with medical care and medications.
34 total: 18 full-time employees and 16 contractors.
34
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Helps with daily care and mobility.
155 total: 76 full-time employees and 79 contractors.
155
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
10,556 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 76 | 79 | 155 | 24,753 | 92 | 100% | 7.4 |
| Medication Aide/Technician | 20 | 35 | 55 | 8,786 | 92 | 100% | 8.3 |
| Licensed Practical Nurse | 18 | 16 | 34 | 5,500 | 92 | 100% | 7.9 |
| Registered Nurse | 14 | 1 | 15 | 4,124 | 92 | 100% | 8.5 |
| RN Director of Nursing | 6 | 0 | 6 | 2,681 | 77 | 84% | 8.1 |
| Other Dietary Services Staff | 10 | 0 | 10 | 2,402 | 92 | 100% | 6.7 |
| Speech Language Pathologist | 0 | 7 | 7 | 2,004 | 89 | 97% | 6 |
| Physical Therapy Aide | 0 | 4 | 4 | 1,680 | 76 | 83% | 6.7 |
| Physical Therapy Assistant | 0 | 4 | 4 | 830 | 74 | 80% | 6.3 |
| Dental Services Staff | 2 | 0 | 2 | 665 | 63 | 68% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 563 | 76 | 83% | 5.6 |
| Dietitian | 1 | 0 | 1 | 450 | 60 | 65% | 7.5 |
| Administrator | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 443 | 78 | 85% | 4.7 |
| Nurse Practitioner | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 420 | 56 | 61% | 7.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 341 | 51 | 55% | 6.7 |
| Feeding Assistant | 0 | 1 | 1 | 109 | 28 | 30% | 3.9 |
| Medical Director | 0 | 1 | 1 | 49 | 22 | 24% | 2.2 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 47 | 12 | 13% | 3.9 |
| Other Physician | 0 | 1 | 1 | 4 | 4 | 4% | 1 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.6
108% worse than Indiana average
Indiana average: 8.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
29.6
74% worse than Indiana average
Indiana average: 17.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
34.6%
187% worse than Indiana average
Indiana average: 12.0%
Percent of long-stay residents whose ability to move independently worsened
36.2%
152% worse than Indiana average
Indiana average: 14.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.1%
26% better than Indiana average
Indiana average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
62% better than Indiana average
Indiana average: 3.9%
Percent of long-stay high risk residents with pressure ulcers
0.4%
90% better than Indiana average
Indiana average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.5%
23% worse than Indiana average
Indiana average: 1.2%
Percent of long-stay residents who lose too much weight
10.5%
85% worse than Indiana average
Indiana average: 5.7%
Percent of long-stay residents who have depressive symptoms
3.3%
86% better than Indiana average
Indiana average: 24.1%
Percent of long-stay residents who received an antipsychotic medication
16.7%
34% worse than Indiana average
Indiana average: 12.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with Indiana average
Indiana average: 93.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.5%
In line with Indiana average
Indiana average: 95.4%
Number of hospitalizations per 1,000 long-stay resident days.
0.91
43% better than Indiana average
Indiana average: 1.60
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.70
53% better than Indiana average
Indiana average: 1.48
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.8%
21% better than Indiana average
Indiana average: 81.7%
Percent of short-stay residents who newly received an antipsychotic medication
0.6%
58% better than Indiana average
Indiana average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
92.4%
17% better than Indiana average
Indiana average: 79.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.7%
In line with Indiana average
Indiana average: 22.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.0%
5% better than Indiana average
Indiana average: 10.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
In line with Indiana average
Indiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
64.1%
19% better than Indiana average
Indiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
64.3%
27% better than Indiana average
Indiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
54% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
5% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
121
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Part of a Continuing Care Retirement Community offering multiple care levels
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.
Historical financial and operational data for Greenwood Village South based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #2 / 290Payroll — State benchmarkedThis home is ranked 2nd out of 290 homes in Indiana for payroll. Shows total annual staff payroll benchmarked to the Indiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Pets Allowed
Housing Options: Apartment / Cottage
Building Type: Two-story
Fitness and Recreation
Three Meals Per Day
Transportation Services
Most residents typically stay for a few weeks or months before returning home or moving on.
Paul Pfaff serves as the Administrator at Greenwood Village South, bringing dedicated leadership to the community. He is committed to ensuring a warm and supportive environment for residents and staff alike, overseeing daily operations with professionalism and care.
1.1 miles from city center
Estimated distance in miles from Greenwood's city center to Greenwood Village South's address, calculated via Google Maps.
Add your location
Greenwood Village South is located in Greenwood, Indiana.
Here are the financial assistance programs available to residents in Indiana.
Alexa Ulrey is the Director of Nursing at Greenwood Village South.
The legal owner and operator of Greenwood Village South is Johnson Memorial Hospital.
Greenwood Village South has a walk score of 50. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IN state health department records, Greenwood Village South's license number is 24-000010-1.
According to IN state health department records, Greenwood Village South's license expires on October 31, 2025.
Greenwood Village South's occupancy is 75.8%.
Greenwood Village South is registered as a non-profit in IN.
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