For profit - Corporation · 150 certified beds · CMS number 676241
Greenhill Villas, Mount Pleasant, TX
CMS records 45 health deficiencies at Greenhill Villas in Mount Pleasant, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 19, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 3 fines totaling $154,577 in the last three years.
- 45deficiencies, 3 cycles (TX median 25)
- 15in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $154,577fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Greenhill Villas as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Greenhill Villas may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (15 deficiencies)
Standard inspection Jun 19, 2025. CMS counts 15 health deficiencies and 3 fire safety deficiencies in this cycle.
Feb 26, 2026 · Complaint inspection
2 deficiencies, highest D
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
F628 · Discharge paperwork, notices, and bed-hold information
Requirement cited (CMS): Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 27, 2026
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Oct 30, 2025 · Complaint inspection
2 deficiencies, highest H
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 31, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- H Actual harm (not immediate jeopardy), pattern
- Status
- Correction date Oct 31, 2025
Jun 19, 2025 · Standard inspection
10 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 20, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 20, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 20, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
F582 · Notice of covered and extra charges
Requirement cited (CMS): Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 20, 2025
Previous cycle: 14 deficiencies (standard inspection May 21, 2024)
Standard inspection May 21, 2024. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Feb 18, 2025 · Complaint inspection
2 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 23, 2024
F573 · Access to personal and medical records
Requirement cited (CMS): Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 20, 2025
Nov 26, 2024 · Complaint inspection
1 deficiency, highest E
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Oct 10, 2024
Sep 9, 2024 · Complaint inspection
5 deficiencies, highest K
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Sep 10, 2024
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 10, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 10, 2024
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 10, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 10, 2024
May 21, 2024 · Standard inspection
6 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 22, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 22, 2024
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 22, 2024
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 22, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 22, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 22, 2024
Earlier cycle: 16 deficiencies (standard inspection Mar 29, 2023)
Standard inspection Mar 29, 2023. CMS counts 16 health deficiencies and 0 fire safety deficiencies in this cycle.
May 8, 2024 · Complaint inspection
2 deficiencies, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 9, 2024
Mar 22, 2024 · Complaint inspection
1 deficiency, highest E
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 23, 2024
Mar 29, 2023 · Standard inspection
13 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F868 · Quality committee membership and meetings
Requirement cited (CMS): Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F698 · Dialysis care
Requirement cited (CMS): Provide safe, appropriate dialysis care/services for a resident who requires such services.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 30, 2023
F688 · Range of motion and mobility
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F676 · Maintaining daily living abilities
Requirement cited (CMS): Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 30, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Greenhill Villas; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 4 | Jun 19, 2025; Feb 18, 2025 (PNC); May 21, 2024; May 8, 2024 |
| F880 Infection prevention and control program | 4 | Oct 30, 2025; Jun 19, 2025; May 21, 2024; Mar 29, 2023 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Dec 4, 2025; Nov 26, 2024 (PNC); Mar 29, 2023 |
| F812 Food safety and sanitation | 3 | Jun 19, 2025; May 21, 2024; Mar 29, 2023 |
| F677 Help with daily care | 2 | Mar 22, 2024; Mar 29, 2023 |
| F686 Pressure ulcer prevention and care | 2 | Oct 30, 2025; Jun 19, 2025 |
| F695 Respiratory and oxygen care | 2 | Jun 19, 2025; Mar 29, 2023 |
| F698 Dialysis care | 2 | Jun 19, 2025; Mar 29, 2023 |
| F761 Drug labeling and secure storage | 2 | Jun 19, 2025; Mar 29, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Oct 30, 2025 | Fine | $27,345 |
| Feb 18, 2025 | Fine | $12,640 |
| Sep 9, 2024 | Fine | $114,592 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.10 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.38 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.64 h
- Nursing staff turnover
- 95.2% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Greenhill Villas, copied as published; Texas medians are ours.
Facility details
- Address
- 2530 Greenhill Rd, Mount Pleasant, TX 75455
- Phone
- (903) 572-0974
- County
- Titus
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 150
- Average residents per day
- 82.2
- In Medicare/Medicaid since
- Dec 22, 2009
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
- How are new medication orders filled, and how quickly can urgent medications arrive? (F755, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
Other nursing homes in Mount Pleasant and the same chain
- Focused Care at Mount Pleasant
Mount Pleasant · 84 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.