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No fines or payment denials in the published 3-year window.
238 South Washington Street, Greenfield, OH 45123 (opens Google Maps) · Highland County · (937) 981-3349· 50 certified beds · avg 37 residents/day · certified since Nov 30, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MICHAEL SLYK (7 facilities, chain avg rating 2.9★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 15 inspection findings. Open the full record below to read every finding.
The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. F-0554
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. F-0656
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 F-0686
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 22, 2026 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Apr 22, 2026 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Apr 22, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| Apr 22, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690 |
| Aug 20, 2025 | E · Potential for more than minimal harm, pattern | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint · F-0568 |
| Aug 20, 2025 | E · Potential for more than minimal harm, pattern | 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 · F-0610 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602 |
| Aug 20, 2025 | D · Potential for more than minimal harm, isolated | The facility did not make sure a transfer or discharge met the resident's needs and preferences, or did not properly prepare the resident to leave safely. · from a complaint · F-0627 |
| Dec 5, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Dec 5, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Dec 5, 2024 | E · Potential for more than minimal harm, pattern | The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows. · F-0808 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Dec 5, 2024 | D · Potential for more than minimal harm, isolated | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. · F-0646 |
| May 24, 2023 | D · Potential for more than minimal harm, isolated | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644 |
Citations from standard inspections decreased between the last two inspection cycles (6 → 4).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 6 | 0 | F |
| 2025 | 4 | 0 | E |
| 2026 | 4 | 0 | D |
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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.33 | 3.45 | 3.95 | bottom 1% in Ohio; bottom 2% in the U.S. |
| Registered Nurse hours | 0.48 | 0.60 | 0.69 | bottom 35% in Ohio; bottom 34% in the U.S. |
| Weekend total nurse staffing | 1.98 | 3.07 | 3.50 | bottom 1% in Ohio; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.32 | 0.42 | 0.48 | bottom 36% in Ohio; bottom 37% in the U.S. |
| Total nursing staff turnover (%) | 53.1 | 48.7 | 45.8 | bottom 36% in Ohio; bottom 29% in the U.S. |
| RN turnover (%) | 55.6 | 43.9 | 42.9 | bottom 31% in Ohio; bottom 28% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.47, RN 0.71, weekend 2.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.47 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Greenfield Skilled Nursing and Rehabilitation. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| D'amico, Daniel | Individual | 5% or Greater Direct Ownership Interest | 33% | 12/01/2018 |
| Slyk, Michael | Individual | 5% or Greater Direct Ownership Interest | 67% | 09/01/2022 |
| D'amico, Daniel | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2018 |
| D'amico, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2018 |
| Juschka, Dirk | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| MSTC Development INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/01/2018 |
| MSTC Development INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
| Ryder, Gwynn | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/28/2025 |
| Ryder, Gwynn | Individual | ADP of the SNF | NOT APPLICABLE | 03/28/2025 |
| Slyk, Michael | Individual | Corporate Officer | NOT APPLICABLE | 12/01/2018 |
| Slyk, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2018 |
| Valentour, Leona | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2025 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
CMS lists this facility under the chain Michael Slyk — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Edgewood Manor of Greenfield | 0.6 mi | Greenfield, OH | ★★☆☆☆ | 2/5 | |
| Embassy of Valley View | 9.0 mi | Frankfort, OH | ★★★★★ | 5/5 | |
| Vineyards at Concord, the | 11.3 mi | Frankfort, OH | ★☆☆☆☆ | 2/5 | |
| Copper Knoll Health & Rehab LLC | 12.6 mi | Washingtn C H, OH | ★★★☆☆ | 3/5 | |
| Court House Manor | 13.7 mi | Washington Court Hou, OH | ★★★★☆ | 3/5 | |
| Cedarvale Commons Rehabilitation and Healthcare Ce | 13.8 mi | Washington Court Hou, OH | ★☆☆☆☆ | 1/5 | |
| St Catherines Manor of Washington Court House | 14.0 mi | Washington Court Hou, OH | ★★★★☆ | 3/5 | |
| Hillsboro Post Acute | 14.9 mi | Hillsboro, OH | ★★★★★ | 5/5 | |
| Hillsboro Health and Rehab LLC | 15.6 mi | Hillsboro, OH | ★☆☆☆☆ | 1/5 | |
| Crestwood Ridge Skilled Nursing and Rehab | 16.4 mi | Hillsboro, OH | ★★★★☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 366038.
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