Federal inspection record · CMS data as of October 1, 2026

Greenbriar Nursing Center

501 West Lexington Road, Eaton, OH · (937) 456-9535

CMS overall rating

5 of 5

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Certified beds
74
Residents per day
65
Ownership
For-Profit
Chain
Lionstone Care
Medicare / Medicaid
Medicare + Medicaid
Certified since
November 1, 1991

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Greenbriar Nursing Center carries 31 inspection points. That is fewer than 76% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 31 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

28 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 26 4 pts
E 2 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care10E
  1. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    November 20, 2025 · Complaint · F686 · Corrected December 17, 2025

  2. E

    Ensure the activities program is directed by a qualified professional.

    February 21, 2024 · Complaint · F680 · Corrected February 23, 2024

  3. D

    Assist a resident in gaining access to vision and hearing services.

    December 5, 2023 · Complaint · F685 · Corrected December 22, 2023

  4. D

    Provide enough food/fluids to maintain a resident's health.

    November 29, 2023 · Complaint · F692 · Corrected December 22, 2023

  5. E

    Provide safe and appropriate respiratory care for a resident when needed.

    April 11, 2022 · Standard · F695 · Corrected May 3, 2022

  6. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    April 11, 2022 · Standard · F686 · Corrected May 3, 2022

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    April 11, 2022 · Standard · F690 · Corrected May 3, 2022

  8. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    March 21, 2019 · Standard · F677 · Corrected May 3, 2019

  9. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 21, 2019 · Standard · F684 · Corrected May 3, 2019

  10. D

    Assist a resident in gaining access to vision and hearing services.

    March 21, 2019 · Standard · F685 · Corrected May 3, 2019

Resident Rights6D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    May 14, 2026 · Complaint · F580 · Corrected June 4, 2026

  2. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    November 29, 2023 · Complaint · F580 · Corrected December 22, 2023

  3. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    April 11, 2022 · Standard · F625 · Corrected May 3, 2022

  4. D

    Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

    April 11, 2022 · Standard · F626 · Corrected May 3, 2022

  5. D

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    March 21, 2019 · Standard · F578 · Corrected May 3, 2019

  6. D

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    March 21, 2019 · Standard · F582 · Corrected May 3, 2019

Resident Assessment and Care Planning6D
  1. D

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    February 27, 2025 · Standard · F644 · Corrected March 14, 2025

  2. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    April 11, 2022 · Standard · F656 · Corrected May 3, 2022

  3. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    April 11, 2022 · Standard · F657 · Corrected May 3, 2022

  4. D

    Assure that each resident’s assessment is updated at least once every 3 months.

    March 21, 2019 · Standard · F638 · Corrected May 3, 2019

  5. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    March 21, 2019 · Standard · F656 · Corrected May 3, 2019

  6. D

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    March 21, 2019 · Standard · F657 · Corrected May 3, 2019

Administration2D
  1. D

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    May 14, 2026 · Complaint · F776 · Corrected June 4, 2026

  2. D

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    April 11, 2022 · Standard · F773 · Corrected May 3, 2022

Pharmacy Service2D
  1. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    February 27, 2025 · Standard · F757 · Corrected March 14, 2025

  2. D

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    March 21, 2019 · Standard · F757 · Corrected May 3, 2019

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    April 11, 2022 · Standard · F880 · Corrected May 3, 2022

  2. D

    Implement a program that monitors antibiotic use.

    April 11, 2022 · Standard · F881 · Corrected May 3, 2022

Inspection history

  1. 2025-02-27

    5 health deficiencies · 3 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  2. 2022-04-11

    10 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2019-03-21

    13 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (6 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 2 min of nursing staff time a day, 23 min of it from a registered nurse.

This home

3 h 2 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 36% of nursing staff and 20% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$28,626 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-11Fine$28,626

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.1 pts better1.61.71.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse2.11.71.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better95.8%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.3 pts better97.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts worse5.0%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms10.1 pts worse41.7%31.6%13.5%
Percentage of long-stay residents who lose too much weight2.6 pts worse8.7%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.6 pts worse30.1%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication3.8 pts better4.7%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.4 pts better3.9%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.4 pts better3.6%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.0%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.8 pts worse25.7%20.9%18.3%
Percentage of long-stay residents with pressure ulcers1.7 pts better1.5%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine1.5 pts better79.9%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.5 pts worse13.1%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts better0.7%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.9 pts better82.3%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts better18.3%24.4%23.4%

·

Who owns and runs it

24 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Lionstone Carnation Opco Holdings, LLC5% Or Greater Direct Ownership Interest · Organization100%3 facilities
Kazarnovsky, Solomon5% Or Greater Indirect Ownership Interest · Individual25%35 facilities
Stein, Abba5% Or Greater Indirect Ownership Interest · Individual25%35 facilities
Bennett Frankart, DaynaOperational/Managerial Control · Individual0%2 facilities
Bennett Frankart, DaynaAdp Of The SNF · Individual0%2 facilities
Cross River Bank5% Or Greater Mortgage Interest · Organization0%5 facilities
Des Capital LLCAdp Of The SNF · Organization0%28 facilities
Ferguson, HaroldAdp Of The SNF · Individual0%9 facilities
Greenbriar Propco LLCAdp Of The SNF · Organization0%1 facilities
Jrk Investments LLCAdp Of The SNF · Organization0%28 facilities
Kazarnovsky, SolomonManaging Control - Governing Body · Individual0%35 facilities
Kazarnovsky, SolomonOperational/Managerial Control · Individual0%35 facilities
Kazarnovsky, SolomonAdp Of The SNF · Individual0%35 facilities
Klugman, JacobIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%30 facilities
Lionstone Carnation Opco Holdings, LLCOperational/Managerial Control · Organization0%3 facilities
Lionstone Carnation Propco Holdings LLCAdp Of The SNF · Organization0%3 facilities
Pc Carnation Holdings LLCAdp Of The SNF · Organization0%1 facilities
Peace Capital Holdings Ii LLCAdp Of The SNF · Organization0%20 facilities
Sms 2021 TrustAdp Of The SNF · Organization0%77 facilities
Stein, AbbaManaging Control - Governing Body · Individual0%35 facilities
Stein, AbbaOperational/Managerial Control · Individual0%35 facilities
Stein, AbbaAdp Of The SNF · Individual0%35 facilities
Stein, ShalomIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%87 facilities
Sternbuch, DanielIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%31 facilities

·

Fire safety

13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke6F
  1. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    February 27, 2025 · K345 · Corrected March 14, 2025

  2. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 11, 2022 · K353 · Corrected May 3, 2022

  3. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    April 11, 2022 · K321 · Corrected May 3, 2022

  4. E

    Install a fire alarm system that can be heard throughout the facility.

    April 11, 2022 · K341 · Corrected May 3, 2022

  5. F

    Inspect, test, and maintain automatic sprinkler systems.

    March 21, 2019 · K353 · Corrected May 3, 2019

  6. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    March 21, 2019 · K372 · Corrected May 3, 2019

Emergency Preparedness2F
  1. F

    List the names and contact information of those in the facility.

    February 27, 2025 · E30 · Corrected March 14, 2025

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    February 27, 2025 · E4 · Corrected March 14, 2025

Egress2E
  1. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    April 11, 2022 · K232 · Corrected May 3, 2022

  2. E

    Have properly located and lighted "Exit" signs.

    March 21, 2019 · K293 · Corrected May 3, 2019

Gas, Vacuum, and Electrical Systems2E
  1. E

    Have proper medical gas storage and administration areas.

    April 11, 2022 · K923 · Corrected May 3, 2022

  2. D

    Have power receptacles that are properly grounded.

    April 11, 2022 · K912 · Corrected May 3, 2022

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    March 21, 2019 · K712 · Corrected May 3, 2019

·

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    4 h 1 min
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