Greentree Health and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 22 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (14 vs median 7)
- High RN turnover (60%)
Below average in WI · Below chain average · No penalties on record
What this means for your family
While the facility has received praise for its therapy programs and recent renovations, the recent, highly specific reports of severe wound neglect are deeply concerning. If you are considering this facility, we strongly recommend requesting a tour and asking specifically about their wound care protocols and nurse-to-patient ratios during night and weekend shifts.
Google Reviews
Google Reviews
22 reviews on Google“Greentree Health and Rehabilitation Center receives highly polarized feedback, with many reviewers praising the therapy team and facility renovations, while others report severe, life-threatening neglect. While some families describe the staff as attentive and kind, recent reports of serious wound care failures and poor responsiveness suggest significant inconsistencies in the quality of care provided.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy
- Recent facility renovations and clean environment
- Friendly and engaging activities staff
- Knowledgeable nursing and CNA team
Concerns
- Severe neglect leading to serious, untreated wounds (mentioned by 2 reviewers)
- Slow response times to call lights (mentioned by 2 reviewers)
- Poor communication and staff responsiveness (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 27 analyzed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1I noticed the facility has had some recent renovations; could you show us some of the updated common areas where residents relax?
- 2With the great feedback regarding your therapy teams, how do you coordinate physical and occupational therapy sessions with a resident's daily routine?
- 3How does the nursing team ensure that call lights are answered promptly, especially during the night shifts?
- 4What specific protocols are in place to ensure medication is managed accurately and administered on schedule?
- 5How does the staff approach wound care and skin integrity monitoring to ensure every resident's physical needs are met?
- 6Could you tell us more about the daily activities organized by your engagement staff and how residents participate?
Personalized based on this facility's data
Key Review Excerpts
“The negligence that occurred to my grandmother was so extreme, that they are directly responsible an incurable deep pressure sacral wound that has spread to the bone.”
“The staff was kind and attentive, even when short-handed, and the facility was clean. My dad never had any complaints (unless fish was on the menu!).”
“I would NEVER recommend anyone to come here!! My Dad is there for a short rehab, VERY short stay. Nothing but unnecessary roughness, verbally abusive, lazy cna's that do not respond to call lights in a timely manner.”
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
5
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents whose walking got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Greentree Health and Rehabilitation Center shows concerning patterns with 37 deficiencies across five surveys, including eight complaint-triggered violations where families filed reports about abuse reporting failures and care planning issues. The facility has recurring problems with fire safety systems, medication management, and abuse prevention protocols that persist across multiple years. While all deficiencies show correction dates, the repeated nature of core safety and care issues, particularly the multiple complaints, suggests ongoing quality concerns families should carefully evaluate.
Oct 9, 2025Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Apr 23, 2025Routine11
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Apr 23, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Sep 11, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 21, 2024Routine10
Smoke Deficiencies
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Egress Deficiencies
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Smoke Deficiencies
Have an enclosure around a vertical opening shaft.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Feb 15, 2023Routine8
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Emergency Preparedness Deficiencies
Establish emergency prep training and testing.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Ownership & Operations
Who Operates This Facility
Greentree Health and Rehabilitation Center
for profit
Chain Affiliation
The Ensign Group
342 facilities nationwide
Chain avg rating: 3.2/5 · Rank 273 of 328
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
22 reviews from families & visitors
Official Website
Visit greentreehealthandrehab.com
Medicare data downloads
Original nursing home datasets
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