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

Village At The Greene

4381 Tonawanda Trail, Dayton, OH · (937) 426-5033

CMS overall rating

1 of 5

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Certified beds
52
Residents per day
43
Ownership
For-Profit
Chain
Hcf Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 5, 1980

1

How this home got 1 star

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

    no change

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

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Village At The Greene carries 160.25 inspection points. That is fewer than 12% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 160.25 pts · 1★

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

59 health citations on record since 2020. 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 3 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 2 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 45 4 pts
E 7 8 pts
F 2 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.

Harm and immediate-jeopardy citations (5)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 6, 2025 · Complaint inspection · Quality of Life and Care · F689 · Corrected December 26, 2024

  2. J

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

    December 13, 2022 · Standard inspection · Quality of Life and Care · F686 · Corrected February 9, 2023

  3. J

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    December 13, 2022 · Standard inspection · Quality of Life and Care · F689 · Corrected February 9, 2023

  4. J

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

    December 13, 2022 · Standard inspection · Quality of Life and Care · F690 · Corrected February 9, 2023

  5. G

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

    December 13, 2022 · Standard inspection · Quality of Life and Care · F684 · Corrected February 9, 2023

Everything else, by area of care

Quality of Life and Care18E
  1. D

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

    February 25, 2026 · Complaint · F695 · Corrected March 20, 2026

  2. D

    Provide or get specialized rehabilitative services as required for a resident.

    February 25, 2026 · Complaint · F825 · Corrected March 20, 2026

  3. E

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

    February 28, 2025 · Complaint · F677 · Corrected March 21, 2025

  4. 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.

    February 28, 2025 · Standard · F690 · Corrected March 21, 2025

  5. D

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

    February 28, 2025 · Standard · F692 · Corrected March 21, 2025

  6. D

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

    February 28, 2025 · Standard · F695 · Corrected March 21, 2025

  7. D

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    February 28, 2025 · Standard · F698 · Corrected March 21, 2025

  8. D

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

    January 6, 2025 · Complaint · F677 · Corrected January 17, 2025

  9. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 17, 2024 · Complaint · F689 · Corrected August 5, 2024

  10. D

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

    April 16, 2024 · Complaint · F677 · Corrected April 22, 2024

  11. E

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

    December 13, 2022 · Standard · F677 · Corrected February 9, 2023

  12. D

    Provide activities to meet all resident's needs.

    December 13, 2022 · Standard · F679 · Corrected February 9, 2023

  13. D

    Provide appropriate foot care.

    December 13, 2022 · Standard · F687 · Corrected February 9, 2023

  14. D

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    December 13, 2022 · Standard · F693 · Corrected February 9, 2023

  15. D

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

    January 9, 2020 · Standard · F677 · Corrected February 27, 2020

  16. D

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    January 9, 2020 · Standard · F688 · Corrected February 27, 2020

  17. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 9, 2020 · Standard · F689 · Corrected February 27, 2020

  18. 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.

    January 9, 2020 · Standard · F690 · Corrected February 27, 2020

Resident Assessment and Care Planning12D
  1. D

    Assess the resident when there is a significant change in condition

    February 28, 2025 · Standard · F637 · Corrected March 21, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    February 28, 2025 · Standard · F641 · Corrected March 21, 2025

  3. D

    Ensure each resident receives an accurate assessment.

    December 13, 2022 · Standard · F641 · Corrected February 9, 2023

  4. D

    PASARR screening for Mental disorders or Intellectual Disabilities

    December 13, 2022 · Standard · F645 · Corrected February 9, 2023

  5. D

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    December 13, 2022 · Standard · F655 · Corrected February 9, 2023

  6. D

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

    December 13, 2022 · Standard · F656 · Corrected February 9, 2023

  7. D

    Plan the resident's discharge to meet the resident's goals and needs.

    December 13, 2022 · Standard · F660 · Corrected February 9, 2023

  8. D

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    December 13, 2022 · Standard · F661 · Corrected February 9, 2023

  9. D

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

    January 9, 2020 · Standard · F638 · Corrected February 27, 2020

  10. D

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    January 9, 2020 · Standard · F640 · Corrected February 27, 2020

  11. D

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

    January 9, 2020 · Standard · F656 · Corrected February 27, 2020

  12. D

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

    January 9, 2020 · Standard · F657 · Corrected February 27, 2020

Resident Rights7E
  1. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    February 25, 2026 · Complaint · F627 · Corrected March 20, 2026

  2. D

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    February 25, 2026 · Complaint · F628 · Corrected March 20, 2026

  3. D

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

    March 4, 2024 · Complaint · F580 · Corrected April 22, 2024

  4. E

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    December 13, 2022 · Standard · F623 · Corrected February 9, 2023

  5. E

    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.

    December 13, 2022 · Standard · F625 · Corrected February 9, 2023

  6. D

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    December 13, 2022 · Standard · F553 · Corrected February 9, 2023

  7. D

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

    December 13, 2022 · Standard · F580 · Corrected February 9, 2023

Infection Control5D
  1. D

    Provide and implement an infection prevention and control program.

    February 28, 2025 · Standard · F880 · Corrected March 21, 2025

  2. D

    Provide and implement an infection prevention and control program.

    July 17, 2024 · Complaint · F880 · Corrected August 5, 2024

  3. D

    Provide and implement an infection prevention and control program.

    December 13, 2022 · Standard · F880 · Corrected February 9, 2023

  4. D

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    December 13, 2022 · Standard · F883 · Corrected February 9, 2023

  5. D

    Provide and implement an infection prevention and control program.

    January 9, 2020 · Standard · F880 · Corrected February 27, 2020

Pharmacy Service4D
  1. D

    Ensure medication error rates are not 5 percent or greater.

    February 28, 2025 · Standard · F759 · Corrected March 21, 2025

  2. D

    Ensure that residents are free from significant medication errors.

    February 28, 2025 · Standard · F760 · Corrected March 21, 2025

  3. D

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    February 28, 2025 · Standard · F761 · Corrected March 21, 2025

  4. D

    Ensure that residents are free from significant medication errors.

    July 17, 2024 · Complaint · F760 · Corrected August 5, 2024

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    January 6, 2025 · Complaint · F607 · Corrected January 17, 2025

  2. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    January 6, 2025 · Complaint · F609 · Corrected January 17, 2025

  3. D

    Respond appropriately to all alleged violations.

    January 6, 2025 · Complaint · F610 · Corrected January 17, 2025

Nutrition and Dietary2E
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    February 28, 2025 · Standard · F812 · Corrected March 21, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    December 13, 2022 · Standard · F812 · Corrected February 9, 2023

Administration2F
  1. F

    Have a plan that describes the process for conducting QAPI and QAA activities.

    December 13, 2022 · Standard · F865 · Corrected February 9, 2023

  2. F

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    December 13, 2022 · Standard · F867 · Corrected February 9, 2023

Nursing and Physician Services1E
  1. E

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    December 13, 2022 · Standard · F725 · Corrected February 9, 2023

Inspection history

  1. 2025-02-28

    16 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (7 deficiencies)

  2. 2022-12-13

    29 health deficiencies · 6 fire-safety deficiencies

    Top issue: Quality of Life and Care (10 deficiencies)

  3. 2020-01-09

    14 health deficiencies · 6 fire-safety deficiencies

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

4

Nursing time per resident, per day

Each resident here gets about 4 h 26 min of nursing staff time a day, 1 h 14 min of it from a registered nurse.

This home

4 h 26 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 52% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.

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

$14,505 in federal fines on record over the past three years.

DatePenaltyAmount
2025-01-06Fine$14,505

6

Resident outcomes

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

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.3 pts better100.0%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine6.3 pts better100.0%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1.9 pts better1.2%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms16.2 pts better15.4%31.6%13.5%
Percentage of long-stay residents who lose too much weight1.7 pts better4.4%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication20.2 pts worse45.7%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.2 pts better8.3%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 worsened0.2 pts worse5.5%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased0.9 pts better4.1%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 infection2.1 pts worse2.5%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.2 pts worse22.1%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.4 pts worse3.6%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine20.3 pts better98.7%78.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visitAbout the same12.6%12.6%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better0.5%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.9 pts better93.3%76.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.2 pts better24.2%24.4%23.4%

·

Who owns and runs it

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

Show ownership list
NameRoleShareHomes
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv5% Or Greater Indirect Ownership Interest · Organization7%18 facilities
Chad M. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%15 facilities
David V. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Jeffrey L. Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Joseph L. Unverferth 12-15-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Lawrence G. Unverferth 12-13-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
R. Steven Unverferth 12-14-11 Irrv Grantor Tr5% Or Greater Indirect Ownership Interest · Organization6%13 facilities
Joann C. Unverferth 12-29-04 Revocable Trust5% Or Greater Indirect Ownership Interest · Organization5%20 facilities
Barton, Mary BethCorporate Director · Individual0%2 facilities
Barton, Mary BethAdp Of The SNF · Individual0%2 facilities
Hcf Management, Inc.Operational/Managerial Control · Organization0%21 facilities
Klay, CelesteCorporate Director · Individual0%12 facilities
Klay, CelesteCorporate Officer · Individual0%12 facilities
Romes, KerriCorporate Director · Individual0%20 facilities
Romes, KerriCorporate Officer · Individual0%20 facilities
Romes, KerriOperational/Managerial Control · Individual0%20 facilities
Shaw, AnthonyCorporate Officer · Individual0%20 facilities

·

Fire safety

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

Emergency Preparedness5C
  1. C

    Establish policies and procedures for volunteers.

    December 13, 2022 · E24 · Not yet marked corrected

  2. C

    Establish staff and initial training requirements.

    December 13, 2022 · E37 · Not yet marked corrected

  3. C

    Establish staff and initial training requirements.

    January 9, 2020 · E37 · Corrected February 25, 2020

  4. C

    Conduct testing and exercise requirements.

    January 9, 2020 · E39 · Corrected February 25, 2020

  5. C

    Develop and maintain an Emergency Preparedness Program (EP).

    January 9, 2020 · E4 · Corrected February 25, 2020

Smoke3F
  1. F

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

    February 28, 2025 · K345 · Corrected March 21, 2025

  2. F

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

    December 13, 2022 · K345 · Corrected February 13, 2023

  3. F

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    January 9, 2020 · K346 · Corrected February 27, 2020

Egress3F
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 28, 2025 · K211 · Corrected March 21, 2025

  2. 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.

    December 13, 2022 · K222 · Corrected February 13, 2023

  3. F

    Install emergency lighting that can last at least 1 1/2 hours.

    January 9, 2020 · K291 · Corrected February 27, 2020

Gas, Vacuum, and Electrical Systems2F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    December 13, 2022 · K918 · Corrected February 13, 2023

  2. E

    Have proper power supply for life support equipment.

    December 13, 2022 · K915 · Corrected February 24, 2023

Miscellaneous1F
  1. F

    Provide a written emergency evacuation plan.

    January 9, 2020 · K711 · Corrected February 27, 2020

·

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