Nursing home
Greentree Manor Nursing and Rehabilitation Center
4 Greentree Drive, Waterford, CT 06385 · Map
For profit - Corporation · Part of Ryders Health Management (8 facilities) · 90 certified beds
Greentree Manor Nursing and Rehabilitation Center is a Medicare-certified nursing home in Waterford, Connecticut. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.63 hours per resident per day, below the Connecticut average of 3.83. Its most recent inspection on May 6, 2025 cited 30 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $127,702In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Greentree Manor Nursing and Rehabilitation Center compares
This facility vs. the Connecticut and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Connecticut avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.63 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.70 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.19 | 2.28 | 2.34 | below avg |
| Nursing staff turnover | 56.8% | 37.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 30.0 | 12.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $127,702, 2 total penalties.
What inspectors found at Greentree Manor Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 22, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Dec 2, 2025 · Full report (PDF) - Potential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 2, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jul 8, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Jul 8, 2025 · Full report (PDF) - Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 15, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 6, 2025 · Full report (PDF) - Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · May 6, 2025 · Full report (PDF) - Potential for harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · May 6, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 6, 2025 · Full report (PDF) - Potential for harm
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary Deficiencies · May 6, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4 Greentree Drive
Waterford, CT 06385 - CMS certification #
- 075113
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Avg residents/day
- 78.0
- Provider type
- Medicare and Medicaid
- First certified
- 1970-01-01
- Chain
- Ryders Health Management (8 facilities)
- Setting
- Urban
Part of Ryders Health Management
Ryders Health Management operates 8 nursing facilities across the United States. View all Ryders Health Management facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Greentree Manor Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Staff pay 1 federal wage case with violations found, since 2010
- Workplace safety 1 OSHA workplace safety inspection since 2023, 1 violation cited
Full public records, with dates and sources
Care and services
From the community’s website
What Greentree Manor Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24/7 Skilled Nursing Supervision
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 1, 2010 to Oct 1, 2012. Violations found: Overtime. Back wages: $736 owed to 10 employees. Employer as DOL recorded it: Greentree Manor (Ryder's Health Management). Case 1673444.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 16, 2023: complaint inspection, partial (safety). Case closed Aug 24, 2023. 1 violation cited (1 other). Penalties: $959 proposed, $959 now. OSHA record. OSHA recorded the employer as Greentree Manor Nursing and Rehabilitation Center.
Details
- Other than serious: Cited rule 1926.1101(k)(1)(i). Penalty $959 proposed, $959 now. To be fixed by Sep 29, 2023.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Lawrence & Memorial Hospital, New London. 4.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Beechwood Health & Rehabilitation Center, New London. 3.1 miles away, straight line.
- Nearest home health agency office
- Yale New Haven Health - Health At Home Southeast, Waterford. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walmart Pharmacy. 1.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 06385 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita New London Dialysis, New London, 3.9 miles away, straight line (CMS rating 4 of 5 stars)
Davita Norwich Dialysis, Norwich, 8.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 9 Medicare hospices tell CMS they serve ZIP code 06385.
- Nearest geriatric medicine practice
- The William W Backus Hospital, Norwich. 11.0 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Nothing on record |
| FEMA National Risk Index | Nothing on record | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Greentree Manor Nursing and Rehabilitation Center a good nursing home?
CMS gives Greentree Manor Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Greentree Manor Nursing and Rehabilitation Center staffed?
Greentree Manor Nursing and Rehabilitation Center reports 3.63 total nurse hours per resident per day, compared with the Connecticut average of 3.83.
Has Greentree Manor Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 30 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Greentree Manor Nursing and Rehabilitation Center have?
Greentree Manor Nursing and Rehabilitation Center is certified for 90 beds.