Aperion Care Greenfield
5430 W Us 40, Greenfield, IN 46140 · Hancock County · (317) 894-3301
60 certified beds, about 51 residents a day · For profit - Corporation · Medicare and Medicaid since 1985
CMS Care Compare ratings, data as of September 1, 2026 · CCN 155254 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 30, 2025, inspectors cited 7 health deficiencies (the Indiana average is 7.2, the national average 9.2).
None of its 31 health citations since June 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.92 hours per resident per day, against 3.69 across Indiana and 3.86 nationally. Registered nurses accounted for 0.38 of those hours.
38.5% of nursing staff left within the year CMS measured (Indiana average 45.9%).
CMS links it to Aperion Care, an affiliated group of 33 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 31 health citations on file.
September 30, 2025Standard inspection · 7 citations
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement interventions as care planned for Resident 7's edema, failed to follow the user manual's guidelines for safe operation of a Broda chair for Resident 5, failed to set up a gynecologist appointment for Resident 18, failed to complete neurological checks for Resident 40 after an unwitnessed fall, and failed to monitor, document, and address drooling for Resident 8. The deficient practice affected 5 of 5 residents reviewed for quality of care.
- E Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure the narcotic reconciliation records were signed by the on-going nursing staff and the off-going nursing staff at each of three (3) shift changes daily to reflect the accuracy of the narcotic medication counts and the facility did not maintain expired medications within the facility for 1 of 1 resident. These actions had the potential to adversely affect all residents of the facility that receive narcotic medications and 1 of 1 resident who had one expired medication. (Resident 24)
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review, the facility failed to assist a resident with putting on a bra, provide a resident with clean clothes and geriatric chair, and transport a resident in a geriatric chair in a dignified manner by pulling them backwards for 3 of 3 residents reviewed for dignity (Resident 38, Resident 5 and Resident 24).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to accurately encode a Minimum Data Set (MDS) assessment for 1 of 2 residents reviewed for hospice. (Resident 5)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to implement an intervention after a fall, failed to provide appropriate footwear, and failed to have fall interventions in place as care planned for 2 of 2 residents reviewed for falls (Resident 38 and Resident 24).
- 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.
Inspectors wroteBased on interview and record review, the facility failed to follow a physician's order to flush an indwelling catheter ( a thin, flexible tube inserted into the bladder to drain urine continuously) with normal saline every shift as ordered for 1 of 1 resident reviewed for catheter care. (Resident 40)
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure only medications with appropriate labels were present in 1 of 2 medication carts during 1 of 2 medication cart observations. (Facility)
October 15, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the Indiana Department of Health (IDOH) timely for 1 of 3 residents reviewed for abuse. (Resident B)
August 30, 2024Standard inspection · 18 citations
- F Dispose of garbage and refuse properly.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure trash was contained within the dumpster and lids were closed on the dumpster for 52 of 52 residents in the facility.
- E Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure fluids were available at the bedside for 7 of 7 residents reviewed for accommodation of needs. (Residents 21,19, 30, 43, 41, 31, and 35)
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from physical abuse for 5 of 5 residents reviewed for abuse. (Residents 2, 13, 31, 33, and 45)
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to place soiled linen in bags when transported through the hallway; ensure soiled linen was contained in soiled utility bins located in the hallway of the facility; and ensure PPE (personal protective equipment) was properly discarded after resident care, prior to leaving the room for 2 of 2 soiled utility bins randomly observed; 1 of 1 random observation of soiled linen transportation by staff; and 7 of 7 residents who were or resided in rooms with a roommate who were in EBP (enhanced barrier precautions). (Residents 5, 11, 29, 30, 36, 45, and 150)
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a homelike environment for 2 of 12 residents reviewed for a clean environment. (Resident 43 and Resident 31)
- 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.
Inspectors wroteBased on interview and record review, the facility failed to maintain documentation Resident 5's representative was provided with a bed hold policy for 1 of 1 resident reviewed for hospitalization.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on interview and record review, the facility failed to accurately encode Minimum Data Set (MDS) information for 2 of 19 residents reviewed from MDS accuracy. (Resident 5 and Resident 19)
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident 11 had a completed Preadmission Screening and Resident Review (PASARR) prior to admission to the facility for 1 of 3 residents reviewed for PASARR.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on interview and record review, the facility failed to hold regularly scheduled care plan meetings for 1 of 2 residents reviewed for care planning. (Resident 45)
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow scheduled activities calendar or provide outside activities for 3 of 3 residents reviewed for activities. (Resident 34, Resident 41, and Resident 35).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, observation, and record review, the facility failed to date a dry dressing to a skin impairment (Resident 1) and failed to complete skin assessment as care planned (Resident 34) for 2 of 2 residents reviewed for skin impairments.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure optometry services were provided timely to a resident who consented to receive optometry services for 1 of 3 residents reviewed for vision or hearing services. (Resident 34)
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on interview, observation, and record review, the facility failed to complete quarterly smoking assessments for 1 of 1 resident reviewed for smoking safety. (Resident 23)
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased in interview, observation, and record review, the facility failed to supervise a dependent resident with administration of an aerosol generating procedure for 1 of 1 reviewed for respiratory care. (Resident 30)
- 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.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure medication storage rooms did not contain expired supplies for 2 of 2 medication rooms observed. (Facility)
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on interview and record review, the facility failed to ensure Resident 19 had a routine lab drawn per physician order for 1 of 1 resident reviewed for laboratory services.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure dental services were provided timely to a resident with no bottom dentures for 1 of 2 residents reviewed for dental status and services. (Resident 34)
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on interview and record review, the facility failed to ensure an antibiotic was appropriate for the treatment of a urinary tract infection (UTI) for 1 of 2 residents reviewed for antibiotic therapy. (Resident 45)
June 27, 2023Standard inspection · 5 citations
- D Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a dignity bag to cover a catheter. This affected 1 of 3 residents reviewed for catheters. (Resident 13)
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on interview and record review, the facility failed to complete a grievance form to include the date of resident and/or responsible party notification of the resolution of a grievance and to list the disposition of the grievance for 1 of 2 residents reviewed for the grievance process. (Resident 22)
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review the facility failed to implement pressure relieving boots as ordered by the physician for a resident with a pressure ulcer for 1 of 3 residents reviewed for pressure ulcer (Resident 12).
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to maintain a Foley catheter in a manner to prevent Urinary Tract Infection (UTI) by keeping it from being in contact with the floor for 1 of 5 residents reviewed for catheter (Resident 12).
- D Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and record review, the facility failed to ensure a Registered Nurse (RN) was utilized for at least 8 hours a day on 1/14/23, 1/28/23, 2/25/23, 3/25/23, 6/4/23, and 6/18/23, upon review on the daily schedules for June of 2023 and the Payroll Based Journal Staffing Data Report for the quarter of January 1, 2023, to March 31, 2023.
Fire safety inspections
43 fire safety citations on file: 18 on September 30, 2025, 16 on August 30, 2024, 9 on June 27, 2023.
Every fire safety citation43 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- F Develop a communication plan.
- F Establish emergency prep training and testing.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Meet other general requirements that are deficient.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install an approved automatic sprinkler system.
- E Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E Provide properly sized and located linen or trash receptacles.
- E Ensure proper usage of power strips and extension cords.
- D Have properly installed electrical wiring and gas equipment.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- C Have simulated fire drills held at unexpected times.
- F Implement emergency and standby power systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E Install corridor and hallway doors that block smoke.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have properly installed electrical wiring and gas equipment.
- C Develop and maintain an Emergency Preparedness Program (EP).
- C Conduct risk assessment and an All-Hazards approach.
- C Include a process for Emergency Preparedness collaboration.
- C Develop Emergency Preparedness policies and procedures.
- C Develop a communication plan.
- C List the names and contact information of those in the facility.
- C Establish emergency prep training and testing.
- C Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- C Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have properly installed electrical wiring and gas equipment.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Indiana | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.92 | 3.69 | 3.86 |
| Registered nurses | 0.38 | 0.67 | 0.69 |
| All nursing staff on weekends | 2.32 | 3.25 | 3.42 |
| Nurse aides | 1.80 | ||
| Licensed practical nurses | 0.74 | ||
| Nursing staff turnover (share who left in a year) | 38.5% | 45.9% | 45.8% |
| Registered nurse turnover | 33.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.52 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.16 on weekdays and 2.32 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.00 in April to June 2025 to 2.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.92 | 0.38 | 3.16 | 2.32 | 0.2% | 0 of 90 | 51 |
| Oct to Dec 2025 | 2.99 | 0.39 | 3.24 | 2.37 | 0.7% | 0 of 92 | 52 |
| Jul to Sep 2025 | 2.93 | 0.37 | 3.13 | 2.45 | 0.8% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.00 | 0.36 | 3.21 | 2.48 | 0.3% | 0 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Indiana, Jan to Mar 2026 | 3.63 | 0.62 | 3.80 | 3.19 | 3.4% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Indiana | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 24.6 | 11.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 0.4 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.1 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 3.9 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.3 | 11.9 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 65.1 | 13.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.2 | 1.6 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.4 | 1.8 |
Owners and operators
Legal business name: DAVIESS COUNTY HOSPITAL. CMS links this home to Aperion Care, a group of 33 nursing homes averaging 2 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Daviess County Hospital | 5% or greater direct ownership interest | Organization | 100% | 09/01/2017 |
| Adams, Jennifer | Contracted managing employee | Individual | 03/01/2024 | |
| Rosselot, Carla | Contracted managing employee | Individual | 03/01/2024 | |
| Steiner, Deron | Corporate director | Individual | 09/01/2017 | |
| Conroy, Tracy | Corporate officer | Individual | 09/01/2017 | |
| Rodewald, Amanda | Corporate officer | Individual | 09/01/2017 | |
| Aperion Care Greenfield, LLC | Operational/managerial control | Organization | 03/01/2024 | |
| Aperion Care Inc | Operational/managerial control | Organization | 03/01/2024 | |
| Berkowitz, David | Operational/managerial control | Individual | 03/01/2024 | |
| Goldfarb, Brian | Operational/managerial control | Individual | 03/01/2024 | |
| Hoffman, Joshua | Operational/managerial control | Individual | 03/01/2024 | |
| Meystel, Jay | Operational/managerial control | Individual | 03/01/2024 | |
| Meystel, Yosef | Operational/managerial control | Individual | 03/01/2024 | |
| Spector, Jennifer | Operational/managerial control | Individual | 03/01/2024 | |
| Turofsky, Steven | Operational/managerial control | Individual | 03/01/2024 | |
| Ulbert, Lisa | Operational/managerial control | Individual | 03/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on September 30, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on September 30, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on September 30, 2025: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on September 30, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.32 hours per resident per day, below the Indiana average of 3.25.
Other nursing homes nearby
- Springhurst Health Campus Greenfield, 0.6 mi · 3 of 5 stars · 25 citations
- Greenfield Healthcare Center Greenfield, 1.2 mi · 5 of 5 stars · 16 citations
- Brickyard Healthcare - Brandywine Care Center Greenfield, 1.4 mi · 2 of 5 stars · 41 citations
- Majestic Care of McCordsville McCordsville, 9.1 mi · 4 of 5 stars · 17 citations
- Morristown Manor Morristown, 10.3 mi · 4 of 5 stars · 30 citations
- Westminster Village North Indianapolis, 10.8 mi · 2 of 5 stars · 42 citations
- Harrison Terrace Indianapolis, 12.7 mi · 2 of 5 stars · 20 citations
- Wildwood Healthcare Center Indianapolis, 13.1 mi · 1 of 5 stars · 29 citations
Indiana contacts for a concern about a nursing home
These are the official offices in Indiana. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Indiana Department of Health, Division of Long-Term Care, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Indiana Long-Term Care Ombudsman Program, 800-622-4484. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Indiana Department of Health, Nursing Home Report Cards, where Indiana publishes its own records on licensed homes.
Common questions
- What is Aperion Care Greenfield's Medicare star rating?
- CMS rates Aperion Care Greenfield 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Aperion Care Greenfield get at its last inspection?
- 7 health deficiencies at the standard inspection on September 30, 2025. The Indiana average is 7.2.
- Has Aperion Care Greenfield been fined?
- CMS lists no fines in the last three years.
- Does Aperion Care Greenfield accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Aperion Care Greenfield?
- CMS lists 16 owners and managers, and links the home to Aperion Care. Legal business name: DAVIESS COUNTY HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.