Ayden Healthcare of Greenville

Name: Ayden Healthcare of Greenville
Address: 243 MARION DRIVE, Greenville, OH, 45331, US
Telephone: 9375483141

243 Marion Drive, Greenville, OH 45331 · Darke County · 92 certified beds · avg 70 residents/day · certified since Jul 1, 1980

Part of chain: AYDEN HEALTHCARE (11 facilities, chain avg rating 2.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

$15,593

Fines, last 3 years

2.79

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Dec 21, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Dec 6, 2023 (Past Non-Compliance)

All citations in the current public record (38)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Dec 4, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 4, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Dec 4, 2025	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 4, 2025	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Jul 2, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jul 2, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
May 7, 2025	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint
May 7, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
May 7, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
May 7, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Dec 26, 2024	F · Potential for harm, facility-wide	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint
Dec 26, 2024	F · Potential for harm, facility-wide	The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint
Dec 26, 2024	F · Potential for harm, facility-wide	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Dec 26, 2024	D · Potential for harm, one-off	The facility did not provide proper care or assistance for a resident who uses a prosthesis, such as an artificial limb. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Sep 19, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Dec 21, 2023	▲ J · Immediate jeopardy, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 21, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jun 14, 2023	F · Potential for harm, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jun 14, 2023	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
May 4, 2021	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 4, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 4, 2021	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 4, 2021	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
May 4, 2021	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
May 4, 2021	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 12).

Year	Citations	Serious (G–L)	Worst severity that year
2021	6	0	E
2023	8	1	J ▲
2024	6	0	F
2025	18	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $15,593.

Date	Type	Amount / length
Dec 21, 2023	Fine	$15,593

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.79	3.45	3.95	bottom 12% in Ohio; bottom 8% in the U.S.
Registered Nurse hours	0.45	0.60	0.69	bottom 29% in Ohio; bottom 30% in the U.S.
Weekend total nurse staffing	2.41	3.07	3.50	bottom 8% in Ohio; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.42	0.48	top 27% in Ohio; top 33% in the U.S.
Total nursing staff turnover (%)	44.3	48.7	45.8	top 38% in Ohio; top 48% in the U.S.
RN turnover (%)	64.3	43.9	42.9	bottom 19% in Ohio; bottom 16% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.15, RN 0.51, weekend 2.72. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Buckeye Family Trust	Organization	5% or Greater Direct Ownership Interest	51%	12/31/2025
Katz, George	Individual	5% or Greater Direct Ownership Interest	25%	02/01/2025
Kazarnovsky, Solomon	Individual	5% or Greater Direct Ownership Interest	12%	02/01/2025
Lahasky, Ephram	Individual	Indirect Ownership Interest	NOT APPLICABLE	12/31/2025
Stein, Abba	Individual	5% or Greater Direct Ownership Interest	12%	02/01/2025
Buckeye Family Trust	Organization	Operational/Managerial Control	NOT APPLICABLE	12/31/2025
Buckeye Family Trust	Organization	Trustee of the SNF	NOT APPLICABLE	12/31/2025
Cusner, Adam	Individual	Corporate Officer	NOT APPLICABLE	01/27/2025
Cusner, Adam	Individual	Operational/Managerial Control	NOT APPLICABLE	01/27/2025
Cusner, Adam	Individual	ADP of the SNF	NOT APPLICABLE	01/27/2025
Degyansky, Jeffrey	Individual	Corporate Officer	NOT APPLICABLE	01/01/2020
Degyansky, Jeffrey	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Degyansky, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Goldish, Eliezer	Individual	Corporate Officer	NOT APPLICABLE	10/09/2023
Goldish, Eliezer	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Goldish, Eliezer	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Kazarnovsky, Solomon	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2024
Kazarnovsky, Solomon	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2024
Lahasky, Ephram	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2025
Lahasky, Ephram	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Rest Haven Nursing Home INC	0.5 mi	Greenville, OH	★★★★☆	3/5
Village Green Rehabilitation and Healthcare Center	0.8 mi	Greenville, OH	★★★★★	5/5
Brethren Retirement Community	1.7 mi	Greenville, OH	★★☆☆☆	2/5
Versailles Rehabilitation and Health Care Center	10.1 mi	Versailles, OH	★★★★☆	4/5
Union City Care Center	10.8 mi	Union City, OH	★★★★★	4/5
Stillwater Skilled Nursing and Rehabilitation	14.5 mi	Covington, OH	★★☆☆☆	3/5
Piqua Manor	18.6 mi	Piqua, OH	★★★☆☆	3/5
Pineknoll Rehabilitation Centre	19.0 mi	Winchester, IN	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Greenville →

Facility data as of CMS processing date 2026-08-01. CCN 365532.

The Care File

Visit checklist — Ayden Healthcare of Greenville

243 Marion Drive, Greenville, OH 45331 · 9375483141

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $15,593

Most serious findings on record:

▲ Dec 21, 2023 (F-0684, Immediate jeopardy, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365532 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)