Greenwich Woods Rehabilitation
1165 King Street · Greenwich, CT · 06831 · 2035311335
217 certified beds For profit - Limited Liability company
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $130,496 in fines in the last 24 months.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$130,496 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 4.04 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 3.48 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 2 · $130,496 |
Inspection citations (31 in the current record)
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Immediate jeopardy · L March 19, 2025
Provide and implement an infection prevention and control program.
Corrected April 23, 2025 · Infection Control
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Potential for harm · D March 19, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected April 23, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
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.
Corrected April 23, 2025 · Resident Rights
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Potential for harm · D March 19, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 19, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
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.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · E March 19, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D March 19, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · E March 19, 2025
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected April 23, 2025 · Nursing and Physician Services
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Potential for harm · E March 19, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · D March 19, 2025
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.
Corrected April 23, 2025 · Pharmacy Service
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Potential for harm · D March 19, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 19, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected April 23, 2025 · Infection Control
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Potential for harm · E March 19, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected April 23, 2025 · Infection Control
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No harm found · B March 19, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 23, 2025 · Resident Rights
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No harm found · B March 19, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected April 23, 2025 · Resident Rights
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Potential for harm · D December 19, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 27, 2025 · Quality of Life and Care
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Potential for harm · D December 19, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 27, 2025 · Resident Assessment and Care Planning
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Actual harm · G November 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D July 14, 2022
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 5, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 14, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 5, 2022 · Quality of Life and Care
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Potential for harm · E July 14, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 5, 2022 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 19, 2025 | Fine | $122,478 |
| November 15, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 075309 · certified since June 24, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.