Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

WILLOWS OF GREENSBURG

GREENSBURG, IN · 100 certified beds · Last Life Safety survey May 20, 2026

CMS Certification Number 155210 · first certified February 1983

Ownership

Independently operated (no chain recorded by CMS) · Government - City/county

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within IN

25 citations — more than 78% of the 507 certified nursing homes in IN. Compared within IN rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 8 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens April 2027 — about 7 months from now. This facility’s last Life Safety survey was May 2026. Facilities in IN are typically surveyed 11–14 months after the last one (median 13), measured over 883 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 25 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IN, and nationally. Surveyors differ markedly between states, so the IN figure is the meaningful one.

This facility25IN median15National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in IN15
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-05142025-0482026-05
Citations at each Life Safety survey
Survey dateCitations
May 30, 20243
April 7, 202514
May 20, 20268

Most-cited tags

Most-cited tags at this facility
K-05213K-03632K-09212K-03242K-03212E-00391K-03511K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.32026-05-20
K-0363Install corridor and hallway doors that block smoke.22026-05-20
K-0921Ensure that testing and maintenance of electrical equipment is performed.22026-05-20
K-0324Provide properly protected cooking facilities.22026-05-20
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22026-05-20
E-0039Conduct testing and exercise requirements.12025-04-07
K-0351Install an approved automatic sprinkler system.12025-04-07
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-04-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Services Deficiencies 4
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Services Deficiencies4
Egress Deficiencies3
Emergency Preparedness Deficiencies2
Miscellaneous Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 20, 2026 — 8 citations

Citations issued on May 20, 2026
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (June 3, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 2, 2026)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 3, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 3, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.No revisit needed
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 3, 2026)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 26, 2026)
K-0927Have proper fire barriers, ventilation and signs for the transfilling of oxygen.Deficient, Provider has date of correction (June 9, 2026)

April 7, 2025 — 14 citations

Citations issued on April 7, 2025
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 15, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 30, 2025)
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (June 30, 2025)
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (June 30, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 30, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (June 30, 2025)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 30, 2025)
K-0361Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.Waiver has been granted (July 21, 2025)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (June 30, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (May 9, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (June 30, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 30, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (June 30, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (June 30, 2025)

May 30, 2024 — 3 citations

Citations issued on May 30, 2024
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 28, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 28, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Waiver has been granted (June 28, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.