Greenfield Skilled Nursing and Rehabilitation
238 South Washington Street · Greenfield, OH · 45123 · 9379813349
50 certified beds For profit - Corporation Chain: Michael Slyk
Why this verdict
- 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 prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.39 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.73 | 0.55–0.75 |
| Weekend hours / resident-day | 2.72 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | 1 · $15,269 |
Inspection citations (19 in the current record)
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Potential for harm · D April 22, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 28, 2026 · Quality of Life and Care
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Potential for harm · E August 20, 2025 · found via complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D August 20, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 20, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected September 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 20, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 16, 2025 · Resident Rights
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Potential for harm · D December 5, 2024
Ensure each resident receives an accurate assessment.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 5, 2024
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Corrected January 8, 2025 · Resident Assessment and Care Planning
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Potential for harm · E December 5, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 8, 2025 · Nutrition and Dietary
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Potential for harm · E December 5, 2024
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected January 8, 2025 · Nutrition and Dietary
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Potential for harm · F December 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 8, 2025 · Nutrition and Dietary
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Immediate jeopardy · J July 19, 2023 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected June 18, 2023 · Quality of Life and Care
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Potential for harm · D May 24, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected June 23, 2023 · Resident Assessment and Care Planning
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Potential for harm · D January 23, 2020
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 9, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2020
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 9, 2020 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 23, 2020
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 9, 2020 · Resident Rights
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Potential for harm · D January 23, 2020
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 March 9, 2020 · Resident Rights
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Potential for harm · D January 23, 2020
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 9, 2020 · Quality of Life and Care
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Potential for harm · D January 23, 2020
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 March 9, 2020 · Pharmacy Service
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 19, 2023 | Fine | $15,269 |
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 366038 · certified since November 30, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.