Highland County, Ohio · Nursing home
Greenfield Skilled Nursing and Rehabilitation
4 of 5 overall from CMS
238 South Washington Street, Greenfield, OH 45123
At a glance
- Overall rating 4 of 5 Above the state average of 3.2
- Nurse time per resident, per day 3.47 hours Below the state average of 3.69
- Nursing staff who left in a year 53.1% Above the state average of 48.7%
- Health citations, last 3 inspection cycles 15 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 74.2% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Greenfield Skilled Nursing and Rehabilitation is a 50-bed nursing home in Greenfield, Ohio (Highland County). CMS rates it 4 of 5 stars overall as of Sep 2026. It reports 3.47 nurse staffing hours per resident per day, below the Ohio average of 3.69. CMS lists no fines in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 37.1
- Certified since
- 1995 (31 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Michael Slyk (7 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Greenfield Skilled Nursing and Rehabilitation
Chosen from this home's public data.
- Nursing staff turnover is 53.1%, above the Ohio average of 48.7%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 2.94 hours per resident on weekends against 3.47 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 74.2% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 4 of 5 Ohio average 3.2
- Health inspections 4 of 5 Ohio average 2.8
- Staffing 1 of 5 Ohio average 2.4
- Quality measures 5 of 5 Ohio average 4.4
The vertical line marks the Ohio average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.47 h Ohio average 3.69
- Nurse aides 1.81 h Ohio average 2.09
- Licensed practical nurses 0.95 h Ohio average 0.95
- Registered nurses 0.71 h Ohio average 0.64
- All staff, weekends 2.94 h Ohio average 3.28
How much nurse staffing is enough? All bars share one scale, 0 to 11 hours. The vertical line marks the Ohio average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover53.1%
- Ohio average48.7%
- Registered nurse turnover55.6%
- Ohio average43.9%
- Administrators who left2
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Ohio and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 3.2% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.9% | 6.2% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 0.2% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 94.2% | 30.1% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 4.7% | 3.2% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 92.7% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 3.5% | 6.1% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.8% | 25.5% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.3% | 94.5% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 3.6% | 3.4% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.1% | 21.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.7% | 8.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.19 | 1.73 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.27 | 1.80 | 1.78 |
Short-stay residents
| Measure | This home | Ohio | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.5% | 78.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 0.0% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.0% | 75.6% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% | 24.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.8% | 12.9% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 15 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy. 5 were cited in connection with a complaint investigation.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 22, 2026 | 4 | 2 |
| Dec 5, 2024 | 10 | 2 |
| May 24, 2023 | 1 | 8 |
Ohio homes averaged 10.5 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (15)
-
DPotential for more than minimal harm, isolated
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights · Deficient, Provider has date of correction (May 28, 2026)
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 28, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care · Deficient, Provider has date of correction (May 28, 2026)
-
EPotential for more than minimal harm, pattern
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
Show 10 more
-
EPotential for more than minimal harm, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from the wrongful use of the resident's belongings or money.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Sep 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Sep 16, 2025)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 8, 2025)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 8, 2025)
-
EPotential for more than minimal harm, pattern
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Jan 8, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 8, 2025)
-
DPotential for more than minimal harm, isolated
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 8, 2025)
-
DPotential for more than minimal harm, isolated
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 8, 2025)
-
DPotential for more than minimal harm, isolated
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jun 23, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
Ohio homes averaged 0.6 fines and $26,381 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Ohio
- Size808 of 922 by certified beds
- Ohio average residents per day73.7
- ChainMichael Slyk
- Chain average overall rating2.9 of 5
- Resident or family councilBoth
- Homes in Highland County5
Common questions
What is the CMS star rating for Greenfield Skilled Nursing and Rehabilitation?
Greenfield Skilled Nursing and Rehabilitation has an overall rating of 4 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 1 and quality measures is 5.
How many beds does Greenfield Skilled Nursing and Rehabilitation have?
Greenfield Skilled Nursing and Rehabilitation has 50 certified beds. It averages 37.1 residents per day, about 74.2% of its certified beds.
How much nursing care do residents get at Greenfield Skilled Nursing and Rehabilitation?
The home reports 3.47 hours of nurse staffing per resident per day, including 0.71 hours from registered nurses. The Ohio average is 3.69 hours and 0.64 hours from registered nurses.
Has Greenfield Skilled Nursing and Rehabilitation been fined?
CMS lists no fines for this home in the past three years.
Does Greenfield Skilled Nursing and Rehabilitation accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 2 of 5 Edgewood Manor of Greenfield 60beds 78.7%in use 3.17nurse hours a day
- 5 of 5 Embassy of Valley View 50beds 84.0%in use 3.18nurse hours a day
- 1 of 5 Vineyards at Concord, the 32beds 74.7%in use 2.88nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Highland County
Who to call in Ohio
These offices serve residents of every nursing home in Ohio.
- Long-term care ombudsman Office of the State Long-Term Care Ombudsman 1-800-282-1206 An advocate for residents and their families.
- File a complaint about a nursing home Complaint Unit 1-800-342-0553 The state agency that inspects nursing homes.
Ohio staffing, bed-hold and Medicaid rules · Residents' rights in every state
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 366038. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.