Greenfield Skilled Nursing and Rehabilitation

Name: Greenfield Skilled Nursing and Rehabilitation
Address: 238 SOUTH WASHINGTON STREET, Greenfield, OH, 45123, US
Telephone: 9379813349

238 South Washington Street, Greenfield, OH 45123 · Highland County · 50 certified beds · avg 37 residents/day · certified since Nov 30, 1995

Part of chain: MICHAEL SLYK (7 facilities, chain avg rating 2.9★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.33

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (15)

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
Apr 22, 2026	D · Potential for harm, one-off	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.
Apr 22, 2026	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.
Apr 22, 2026	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
Apr 22, 2026	D · Potential for harm, one-off	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.
Aug 20, 2025	E · Potential for harm, repeated	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
Aug 20, 2025	E · Potential for harm, repeated	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
Aug 20, 2025	D · Potential for harm, one-off	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
Aug 20, 2025	D · Potential for harm, one-off	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
Dec 5, 2024	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 5, 2024	E · Potential for harm, repeated	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.
Dec 5, 2024	E · Potential for harm, repeated	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.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Dec 5, 2024	D · Potential for harm, one-off	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.
Dec 5, 2024	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
May 24, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2023	1	D
2024	6	F
2025	4	E
2026	4	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.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

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)	2.33	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, 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. 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: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

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

Questions to ask on your visit

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

"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How do you manage residents' personal funds, and how often do families receive an accounting?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
"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
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

Compare this facility with the 3 closest →

All facilities in Greenfield →

Facility data as of CMS processing date 2026-08-01. CCN 366038.

The Care File

Visit checklist — Greenfield Skilled Nursing and Rehabilitation

238 South Washington Street, Greenfield, OH 45123 · 9379813349

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How do you manage residents' personal funds, and how often do families receive an accounting?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Before a resident is discharged or transferred, how do you make sure the new place can actually meet their needs?"
☐ "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 366038 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)