Nursing homeActive
Greenfield Skilled Nursing And Rehabilitation
238 South Washington Street, Greenfield, OH 45123937981334950 certified beds · 37 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
15
● 0● 15● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-22
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 4
Staffing 1
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Ohio Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-22 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2025-08-20 | Complaint | 040 | CMS-2567 (Care Compare) | — |
| 2024-12-05 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-05-24 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 366038-20260422-F554
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 366038-20260422-F656
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 366038-20260422-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-28Record 366038-20260422-F690
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 366038-20250820-F568
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 366038-20250820-F602
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 366038-20250820-F610
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-16Record 366038-20250820-F627
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F645
F646Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F646
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F803
F808Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-01-08Record 366038-20241205-F812
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-23Record 366038-20230524-F644
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.71
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.47
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours2.94
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover53%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover56%
Facility
Ohio
National
Ohio 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Ohio | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.6% | 3.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.7% | 8.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 0.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 3.2% | 5.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.9% | 6.2% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 29.8% | 25.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| D'amico, Daniel Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | — | — |
| Slyk, Michael Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 67% | — | — |
| Mstc Development Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ryder, Gwynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| D'amico, Daniel Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| D'amico, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Juschka, Dirk Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mstc Development Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ryder, Gwynn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Slyk, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Slyk, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Valentour, Leona Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Michael Slyk — 7 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.
No county cost figures on file for Highland.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Edgewood Manor Of Greenfield Greenfield | 0.6 mi | 2026-06-23 | 0190 |
| Embassy Of Valley View Frankfort | 9.0 mi | 2026-02-26 | 140 |
| Copper Knoll Health & Rehab LLC Washingtn C H | 12.6 mi | 2026-06-17 | 070 |
| Court House Manor Washington Court Hou | 13.7 mi | 2025-03-26 | 081 |
| Cedarvale Commons Rehabilitation and Healthcare Ce Washington Court Hou | 13.8 mi | 2025-07-09 | 1280 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |