The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Greendale Forest Nursing and Rehabilitation Center
Snow Hill, NC · Medicare-certified · 115 beds
Needs attention
For-profitChain member
Data as of September 1, 2026
1 of 5 overall
Greendale Forest Nursing and Rehabilitation Center in Snow Hill, NC has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection results. It reports 3.33 nurse hours per resident per day versus the 4.1 federal benchmark, and it has had $9,620 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.3307 hrs/resident/day
Quality measures
Last inspection: June 18, 2026Penalties, last 24 months: $9,620recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3307.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 0.78
- Nurse aides
- 2.26
- Weekend nursing
- 3.04
Hours per resident per day.
Total staff turnover: 30%
Registered nurse turnover: 38%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8%6.7%Improving
Residents with a fall causing major injury
1%3.3%Worsening
Residents with pressure ulcers (bedsores)
4.7%8.9%Worsening
Residents with a urinary tract infection
2.1%4.6%Worsening
Residents who lost too much weight
5.9%1.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.6%8%Worsening
Residents whose ability to walk got worse
—12%—
Long-stay residents on antianxiety or sleep medication
11.5%11.9%No change
Short-stay residents newly given an antipsychotic
2.4%2%No change
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
4.5%2.4%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.2%—
Long-stay residents given the pneumonia vaccine
79.4%94.5%Improving
Short-stay residents given the seasonal flu vaccine
—66.2%—
Short-stay residents given the pneumonia vaccine
43.3%52.1%Improving
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $9,620 was recorded.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $18,132 in total fines.
- $9,620
Federal fine
Mar 27, 2025
- $8,512
Federal fine
Apr 26, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of PRINCIPLE LONG TERM CARE · 40 homes · 3 stars avg
- Occupancy
- 105.3 residents on an average day (92% of 115 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.