243 Marion Drive, Greenville, OH 45331 · Darke County · (937) 548-3141
92 certified beds, about 70 residents a day · For profit - Corporation · Medicare and Medicaid since 1980
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365532 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on December 4, 2025, inspectors cited 12 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 38 health citations since May 2021, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $15,593 in the last three years; the largest was $15,593, and the latest is dated December 21, 2023.
Nurses and nurse aides worked 3.15 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.51 of those hours.
44.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Ayden Healthcare, an affiliated group of 11 nursing homes.
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.
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 38 health citations on file.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to prepare food in a safe and sanitary manner to protect against foodborne illness. This had the potential to affect all 65 residents residing in the facility as the facility did not identify any residents with an order of nothing by mouth.
Inspectors wroteBased on observations, staff interview, and review of The International Pharmacopoeia guidance, the facility failed to ensure the resident's eye drops that were open were not used beyond four weeks of open date and failed to ensure all eye drops that were opened had an open date. This affected two of three medications cards observed for medication storage. This affected six residents (#12, #23, #27, #46, #54, and #56) reviewed for medication storage. The facility census was 65.
Inspectors wroteBased on observation and staff and resident interview, the facility failed to ensure resident bed linens were clean. This affected one (#29) out of 19 residents reviewed. The facility census was 65.
Inspectors wroteBased on medical record review, review of the facility incident log, staff interview, and policy review, the facility failed to follow the abuse policy related to an injury of unknown origin. This affected one resident (#78) of five residents reviewed. The facility census was 65. Based on medical record review, review of the facility incident log, review of the witness statements, staff interview, and policy review, the facility failed to follow the abuse policy related to an injury of unknown origin. This affected one resident (#78) of five residents reviewed. The facility census was 65.
Inspectors wroteBased on medical record review, facility incident log, staff interview, and facility policy review, the facility failed to report an injury of unknown origin to the state surveying agency. This affected one resident (#78) of five residents reviewed. The facility census was 65. Based on medical record review, review of the facility incident log, staff interview, and policy review, the facility failed to report an injury of unknown origin to the state surveying agency. This affected one resident (#78) of five residents reviewed. The facility census was 65.
Inspectors wroteBased on medical record review, staff interviews, review of the facility's incident investigation, and policy review, the facility failed to complete a thorough investigation into a resident's injury of unknown source when the resident obtained a hematoma with bleeding to her head. This affected one (Resident #78) of five residents reviewed for abuse, misappropriation, neglect, and injury of unknown origin. The facility census was 65.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure a resident care plan addressed their dental needs. This affected one (Resident #55) out of 19 residents reviewed for care planning. The facility census was 65. Findings Include:Review of the medical record revealed Resident #55 was admitted to the facility on [DATE]. Diagnoses included Parkinson's disease without dyskinesia, mild protein calorie malnutrition, human immunodeficiency virus disease, type two diabetes mellitus, and adult physical abuse. Review of Resident #55's quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident was moderately cognitively impaired and required supervision with eating. [...]
Inspectors wroteBased on interview, record review, and policy review, the facility failed to provide appropriate oral care. This affected one (Resident #62) of two residents reviewed for dental care. The facility census was 65. Based on medical record review, staff interview, and policy review, the facility failed to provide appropriate oral care. This affected one (#62) of two residents reviewed for dental care. The facility census was 65. Findings Include: Review of the medical record for Resident #62 revealed an admissions date of 03/31/15 with diagnoses including hemiplegia and hemiparesis following cerebral infraction affecting left dominant side and muscle weakness. Review of the Minimum Data Set (MDS) for Resident #62 dated 10/07/25 revealed the resident was cognitively intact and required assistance with activities of daily living. [...]
Inspectors wroteBased on record review, observation, and staff and resident interview, the facility failed to provide an activities program that supported residents in their choice of activities. This affected one resident (#57) of two residents sampled for activities. The facility census was 65. Based on medical record review, review of the activity participation document, staff and resident interview, and policy review, the facility failed to provide an activities program that supported residents in their choice of activities. This affected one resident (#57) of two residents sampled for activities. The facility census was 65. Findings Include:Record review for Resident #57 revealed this resident was admitted to the facility on [DATE] with the following diagnoses: [...]
Inspectors wroteBased on observation, interview, and record review, the facility failed to follow the menu for residents on a puree diet. This had the potential to affect three residents (#9, #12, and #54) who receive a puree diet . The facility census was 65.
Inspectors wroteBased on observation, staff interview, record review, review of Centers for Disease Control and Prevention (CDC) guidance, and facility policy review, the facility failed to ensure staff wore the appropriate personal protective equipment (PPE) for residents who were in Enhanced Barrier Precautions (EBP). This affected one (Resident #3) of two residents reviewed for EBP. The facility census was 65.
Inspectors wroteBased on observation, record review and interview, the facility failed to ensure a resident's call light was in working order. This affected one (#55) of 24 residents reviewed for call lights. The facility census was 65.
Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to ensure the physician was updated regarding a wound change affecting Resident #10. The facility also failed to ensure wound treatments and assessments were obtained timely affecting two (#10, #13) of three reviewed for wounds. The facility census was 63.1. Review of medical record for Resident #10 revealed an admission date of 04/16/25. Diagnoses included malignant neoplasm of mouth, tracheostomy and gastrostomy tubes, and skin graft to the right forearm. The resident was discharged on 05/09/25 to the hospital and did not return. Review of the admission Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview Mental Status (BIMS) score of 10 indicating impaired cognition. [...]
Inspectors wroteBased on record review, observation, staff interview and policy review the facility failed to ensure proper infection control practices were followed during incontinence care. This affected one (#13) of three residents reviewed for incontinence care. The facility census was 63. Review of medical record for Resident #13 revealed an admission date of 11/14/21 with diagnoses including diabetes mellitus type II, morbid obesity, depression and chronic obstructive pulmonary disease. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #13 dated 04/09/25 revealed a Brief Interview Mental Status (BIMS) score of 15, indicating intact cognition. Resident #13 required supervision for meals and was dependent upon staff for bed mobility, transfers and toileting hygiene. Observation on 07/01/25 at 2:42 P.M. [...]
Inspectors wroteBased on medical record reviews, staff interview, and policy review, the facility failed to ensure psychotropic medications had appropriate documentation for medical use and failed to ensure as needed (PRN) psychotropic medications had a date for re-evaluation of use or duration of use dates. This affected two (#05 and #16) residents out of three residents reviewed for medication administration. The facility census was 60.
Inspectors wroteBased on medical record review, observations, staff interviews, and policy review, the facility failed to properly measure pressure ulcers and ensure treatments were completed as ordered. This affected one (#36) resident out of three residents reviewed for adequate wound care and services. The facility census was 60.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure medications were available for administration. This affected one (#10) resident out of the three residents reviewed for medication administration. The facility census was 60.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure insulin injector pens were dated when opened. This affected one (#09) resident out of three residents reviewed for medication administration. The facility census was 60.
Inspectors wroteBased on review of contractor services invoices, interview with outside contractor service, and staff interview, the facility failed to remain solvent by paying all contractors for their services. This had the potential to affect all 67 residents residing in the facility. The current census is 67.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY Based on staff interview, review of resident records, review of employee files, review of license verification via the Ohio Board of Nursing database, review of facility corrective action, and review of staffing schedules the facility failed to ensure all nurses who were providing care to resident had active licenses. This had the potential to affect all residents residing in the facility. The current census is 67.
Inspectors wroteBased on review of contractor services invoices, interview with outside contractor service, policy review, and staff interview, the facility failed to maintain a pest control program in accordance with policy. This had the potential to affect all 67 residents residing in the facility. The current census is 67.
Inspectors wroteBased on observation, record review, resident interview, staff interview, protocol review, the facility failed to ensure a resident with a prosthesis was able to use the device, when the facility failed to timely treat the device for bed bugs. This affected one (#12) of two residents reviewed for prostheses. The current census is 67.
Inspectors wroteBased on record review, observations, review of the facility policy, review of the Self-Reporting Incident (SRI) database, and staff interviews, the facility failed to report an injury of unknown origin to the State Agency. This affected one (#15) out of 11 residents reviewed for abuse allegations not being reported. The current census is 68.
Inspectors wroteBased on record review, observations, review of the facility policy, review of the Self-Reporting Incident (SRI) database, and staff interviews, the facility failed to investigate an injury of unknown origin. This affected one (#15) out of 11 residents reviewed for abuse allegations not being reported. The current census is 68.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on open and closed medical record review, review of hospital records, review of an emergency medical service (EMS) report, review of the facilities self-reported incident (SRI), staff interviews, review of witness statements, physician interview, review of the American Heart Association website, and review of facility policy, the facility failed to timely notify the physician of a significant change of condition for one resident (Resident #75). This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, negative health outcomes, and/or death when Resident #75 experienced low blood pressure, with no notification to the physician of the abnormal level resulting in hospitalization and subsequent death. [...]
Inspectors wroteBased on record review, staff interview and policy review, the facility failed to document in the resident record a medical change in condition and accurately document the care and services provided. This affected one (#75) of four resident records reviewed for accurate documentation. The facility census was 71.
Inspectors wroteBased on observations and staff interview, the facility failed to post daily staffing information as required. This had the potential to affect at 73 residents residing in the facility. The facility census was 73.
Inspectors wroteBased on record review and interview, the facility failed to have an order or documentation of advance directives for Resident #37. This affected one (Resident #37) of 24 residents reviewed for advanced directives. The facility census was 73.
Inspectors wroteBased on record reviews, staff interviews, and review of Resident Assessment Instrument (RAI) manual 3.0, the facility failed to develop a comprehensive care plan for one (Resident #51) of three residents reviewed for care plan development. The facility census was 73.
Inspectors wroteBased on record review, resident and staff interviews, and policy review, the facility failed to provide showers/baths as scheduled. This affected one (Resident #6) of one resident reviewed for showers/bathing. The facility census was 73.
Inspectors wroteBased on medical record review and staff interview, the facility failed ensure the physican addressed pharmacy recommendations in a timely manner. This affected two (Residents #20 and #57) of five residents reviewed for phamacy recommendations. The facility census was 73.
Inspectors wroteBased on record reviews, staff interview, and policy review, the facility failed to ensure residents were offered the pneumococcal vaccine. This affected two (Residents #4 and #51) of the five reviewed for vaccinations. The facility census was 73.
Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure food stored in the walk in refrigerator had expiration dates, and failed to label food when opened. This had the potential for affect all resident residing in the facility with the exception of three Residents (#34, #41, and #60) identified by the facility who did not received food from the kitchen. The facility census was 66.
Inspectors wroteBased on observation, staff interview, facility policy review, and review of the Centers for Medicare and Medicaid Services (CMS) resources, the facility failed to ensure staff completed appropriate hand hygiene during meal service. This had the potential to effect 63 of 66 residents who consumed food from the kitchen. The facility identified three Residents (#34, #41, and #60) who did not consume food from the kitchen.
Inspectors wroteBased on medical record review, staff interview, resident interview, and facility policy review, the facility failed to develop a care plan for a resident who received hospice services. This affected one Resident (#44) of three reviewed for hospice services. Additionally, the facility failed to update and hold a care conference for one Resident (#27) of 18 reviewed for care planning. The facility census was 66.
Inspectors wroteBased on medical record review, resident interview and staff interview, the facility failed to ensure appropriate bowel monitoring for constipation was in place for one Resident (#8) of one reviewed for constipation. The facility census was 66.
Inspectors wroteBased on medical record review, staff interview, review of pharmacy recommendations, and review of facility policy, the facility failed to respond to and implement pharmacy recommendations approved by the physician. This affected one Resident (#30) of seven residents reviewed for unnecessary medications. The census was 66.
Inspectors wroteBased on medical record review, review of hospital records, resident interview, staff interview, and review of online medication information, the facility failed to implement a physician's order to administer an oral medication to regulate blood sugar. This affected one Resident (#271) of seven residents reviewed for medications. The facility census was 66.
11 fire safety citations on file: 3 on May 9, 2024, 6 on June 14, 2023, 2 on May 4, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| December 21, 2023 | Fine | $15,593 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.15 | 3.69 | 3.86 |
| Registered nurses | 0.51 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.72 | 3.28 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.76 | ||
| Nursing staff turnover (share who left in a year) | 44.3% | 48.7% | 45.8% |
| Registered nurse turnover | 64.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.32 on weekdays and 2.72 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.43 in April to June 2025 to 3.15 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 | 3.15 | 0.51 | 3.32 | 2.72 | 0.0% | 0 of 90 | 70 |
| Oct to Dec 2025 | 3.32 | 0.56 | 3.49 | 2.87 | 0.0% | 0 of 92 | 65 |
| Jul to Sep 2025 | 3.22 | 0.64 | 3.36 | 2.85 | 4.7% | 0 of 92 | 67 |
| Apr to Jun 2025 | 3.43 | 0.68 | 3.64 | 2.90 | 18.0% | 0 of 91 | 62 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 1.0 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 5.1 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.5 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.7 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 35.2 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 21.7 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 1.8 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Ayden Healthcare of Greenville's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (56.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
56.9% this home
No different from the national rate
US median of homes 51.5% · Ohio: 147 better, 20 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.
10.5% this home
No different from the national rate
US median of homes 10.7% · Ohio: 3 better, 7 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 37 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Ohio: 1 better, 4 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 18 eligible stays.
71.0% this home
Median of homes: Ohio55.6% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 38 residents counted.
3.5% this home
Median of homes: Ohio0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 58 residents counted.
0.0% this home
Median of homes: Ohio1.4% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 58 residents counted.
100.0% this home
Median of homes: Ohio100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 23 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: BUCKEYE FOREST AT GREENVILLE LLC. CMS links this home to Ayden Healthcare, a group of 11 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Buckeye Family Trust | 5% or greater direct ownership interest | Organization | 51% | 12/31/2025 |
| Katz, George | 5% or greater direct ownership interest | Individual | 25% | 02/01/2025 |
| Kazarnovsky, Solomon | 5% or greater direct ownership interest | Individual | 12% | 02/01/2025 |
| Stein, Abba | 5% or greater direct ownership interest | Individual | 12% | 02/01/2025 |
| Lahasky, Ephram | Indirect ownership interest | Individual | 12/31/2025 | |
| Lahasky, Ephram | Managing control - governing body | Individual | 02/01/2025 | |
| Cusner, Adam | Corporate officer | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Corporate officer | Individual | 01/01/2020 | |
| Goldish, Eliezer | Corporate officer | Individual | 10/09/2023 | |
| Buckeye Family Trust | Operational/managerial control | Organization | 12/31/2025 | |
| Cusner, Adam | Operational/managerial control | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Operational/managerial control | Individual | 05/01/2024 | |
| Goldish, Eliezer | Operational/managerial control | Individual | 05/01/2024 | |
| Kazarnovsky, Solomon | Operational/managerial control | Individual | 05/01/2024 | |
| Lahasky, Ephram | Operational/managerial control | Individual | 02/01/2025 | |
| Stein, Abba | Operational/managerial control | Individual | 05/01/2024 | |
| Buckeye Family Trust | Trustee of the SNF | Organization | 12/31/2025 | |
| Cusner, Adam | Adp of the SNF | Individual | 01/27/2025 | |
| Degyansky, Jeffrey | Adp of the SNF | Individual | 05/01/2024 | |
| Goldish, Eliezer | Adp of the SNF | Individual | 05/01/2024 | |
| Kazarnovsky, Solomon | Adp of the SNF | Individual | 05/01/2024 | |
| Stein, Abba | Adp of the SNF | Individual | 05/01/2024 |
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.
Chosen from this home's own inspection record.
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.