Federal inspection record · CMS data as of October 1, 2026
Greenfield Skilled Nursing And Rehabilitation
238 South Washington Street, Greenfield, OH · (937) 981-3349
- Certified beds
- 50
- Residents per day
- 41
- Ownership
- For-Profit
- Chain
- Michael Slyk
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 30, 1995
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Greenfield Skilled Nursing And Rehabilitation carries 29 inspection points. That is fewer than 78% of Ohio's 913 rated homes.
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
15 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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
Resident Assessment and Care Planning5D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Rights3E
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure 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.
- E
Ensure 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.
Quality of Life and Care2D
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 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.
Freedom from Abuse, Neglect, and Exploitation2E
- E
Respond appropriately to all alleged violations.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Inspection history
2026-04-22
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-12-05
10 health deficiencies · 2 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2023-05-24
1 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 17 min of nursing staff time a day, 35 min of it from a registered nurse.
This home
3 h 17 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 50% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better | 100.0% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts worse | 88.9% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts worse | 4.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms65.9 pts worse | 97.5% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts worse | 8.2% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.2 pts worse | 32.7% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.9 pts better | 2.6% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.8 pts better | 3.5% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.6 pts worse | 6.6% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.9 pts worse | 21.8% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1 pts worse | 4.2% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine19.9 pts better | 98.3% | 78.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.9 pts better | 9.7% | 12.6% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better | 0.0% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine11.4 pts better | 87.8% | 76.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.1 pts better | 12.3% | 24.4% | 23.4% |
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Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Slyk, Michael | 5% Or Greater Direct Ownership Interest · Individual | 67% | 8 facilities |
| D'amico, Daniel | 5% Or Greater Direct Ownership Interest · Individual | 33% | 8 facilities |
| D'amico, Daniel | Corporate Officer · Individual | 0% | 8 facilities |
| D'amico, Daniel | Adp Of The SNF · Individual | 0% | 8 facilities |
| Juschka, Dirk | Adp Of The SNF · Individual | 0% | 11 facilities |
| Mstc Development Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Mstc Development Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Ryder, Gwynn | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Ryder, Gwynn | Adp Of The SNF · Individual | 0% | 8 facilities |
| Slyk, Michael | Corporate Officer · Individual | 0% | 8 facilities |
| Slyk, Michael | Adp Of The SNF · Individual | 0% | 8 facilities |
| Valentour, Leona | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress6F
- E
Have correct number of accessible exits for each story.
- E
Have correct number of accessible exits for each story.
- F
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
- F
Have correct number of accessible exits for each story.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke5F
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
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★★★★★- Worst citation, 3 yrs
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Embassy Of Valley View
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-
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