Brethren Retirement Community
750 Chestnut Street, Greenville, OH 45331 · Darke County · (937) 547-8000
80 certified beds, about 72 residents a day · Non profit - Corporation · Medicare and Medicaid since 1967
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365014 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 6, 2025, inspectors cited 8 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 20 health citations since May 2019, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.37 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.
51.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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.
505/19
306/22
106/24
803/25
104/25
109/25
105/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
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 20 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
16D
0E
2F
Potential for minimal harm
0A
0B
0C
May 19, 2026Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, observation, staff interview and review of facility policy,the facility failed to ensure wound treatment orders were completed as ordered. This affected one resident (#12) of three reviewed for wounds. The facility census was 67.
September 19, 2025Complaint inspection · 1 citation
- F 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 staff interviews, employee record review, and policy review, the facility failed to employ a full time Director of Nursing (DON) for the skilled nursing facility. This had the potential to affect all 71 residents in the facility.
April 14, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interviews, review of self-reported incident (SRI), review of witness statements, review of in-service, review of employee file, review of corrective action, and review of policy, the facility failed to protect residents from neglect/physical abuse. This affected one (#1) of three residents reviewed for abuse. The facility census was 67.
March 6, 2025Standard inspection · 8 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, staff interview, and review of facility policies, the facility failed to ensure pressure ulcer care treatments were initiated timely and wound assessments were thoroughly completed to prevent the worsening of a pressure ulcer. Actual harm occurred to Resident #12 when the resident was readmitted to the facility with a stage II pressure ulcer (partial-thickness skin loss with exposed dermis) on assessment and no treatment orders were implemented until concerns were voiced by the resident's representative several days later. This resulted in Resident #12's pressure ulcer worsening to a stage III pressure ulcer (full-thickness skin loss) and associated deterioration and drainage. This affected one (#12) of three residents reviewed for pressure ulcers. The facility census was 69.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, a resident representative interview, and staff interview, the facility failed to ensure residents were provided a dignified dining experience when residents were not provided meals timely. This affected three (#19, #47, and #53) of ten residents observed in the 500 Hall dining room. The facility census was 69.
- 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, staff interview, and policy review, the facility failed to ensure wheelchairs were maintained in a clean and sanitary manner. This affected one (#1) of five reviewed for wheelchair cleanliness. The facility census was 69.
- 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 medical record review, resident representative interview, staff interview, and policy review, the facility failed to ensure care conferences were completed as required. This affected one (#32) of one residents reviewed for care conferences. The facility census was 69.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to ensure pharmacy recommendations were reviewed by the physician and failed to ensure physician responses to pharmacy recommendations were accurate. This affected two (#11 and #31) of the five residents reviewed for medications. The facility census was 69.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure recommendations for gradual dose reductions of psychotropic medications were attempted or completed as required. This affected one (#11) of five residents reviewed for medications. The facility census was 69.
- D Provide or get specialized rehabilitative services as required for a resident.
Inspectors wroteBased on observation, staff and resident interview, nurse practitioner interview, and medical record review, the facility failed to ensure residents received specialized rehabilitative services as determined by their comprehensive plan of care to assist them to attain, maintain or restore, their highest practicable level of physical, mental, functional and psycho-social well-being. This affected one (#28) of two residents reviewed for activities of daily living. The census was 69.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, facility policy review, and review of the Centers for Disease Control and Prevention (CDC) website, the facility failed to ensure residents on infection control precautions had appropriate signage posted, failed to ensure adequate personal protective equipment (PPE) was worn for care provided to residents on infection control precautions, and failed to ensure PPE was properly disposed of after use. This affected three (#12, #38, and #179) of three residents reviewed for infection control precautions. The facility census was 69.
June 18, 2024Complaint inspection · 1 citation
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on record review, review of facility self-reported incidents (SRI's), staff interviews, and review of the facility policy, the facility failed to conduct a thorough neglect investigation. This affected one (#44) of three residents reviewed for neglect. The facility census was 76.
June 13, 2022Standard inspection · 3 citations
- F Ensure staff are vaccinated for COVID-19
Inspectors wroteBased on review of Centers for Medicare and Medicaid Services (CMS) memorandum QSO-22-09-ALL, review of the COVID-19 staff vaccination status, review of staffing schedules, review of the list of COVID positive resident, staff interview, and review of the facility policy; the facility failed to ensure the staff COVID-19 vaccination rate was 100%. This had the potential to affect all 63 residents who resided in the facility. The census was 63.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview and policy review, the facility failed to ensure a resident had his call light within reach while sitting in his recliner. This affected one (Resident #19) of twenty four residents observed on the initial pool. The census was 63.
- D Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and policy review, the facility failed to ensure staff used gloves and performed hand washing as appropriate. This affected 13 (Residents #3, #6, #9, #10, #12, #19, #23, #25, #32, #39, #40, #255, and #256) of 13 residents who receive meals on the fifth floor. The census was 63. Finds include: During observation of meal service on the fifth floor on 06/08/22 at 11:45 A.M., Dietary Aide #254 cleaned his hands and put on gloves. He started serving meals. Without removing his gloves, he went out to the dining room, retrieved items from the refrigerator and got coffee and other drinks for residents. He came back into the serving area. He did not change his gloves or wash his hands after reentering the serving area. During interview at the time of the observation, Dietary Aide #254 stated he puts gloves on and they are on for the duration of meal service. [...]
May 16, 2019Standard inspection · 5 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, review of an incident report, observation, staff interview and policy review, the facility failed to ensure Resident #88's fall interventions were implemented to prevent falls in accordance with the resident's fall risk care plan. This resulted in actual harm when Resident #88's call light was not within reach at the time the resident experienced a fall, the resident was subsequently hospitalized and required surgical intervention for a left hip fracture. In addition, the facility failed to ensure staff implemented a second resident's (#14) fall interventions in accordance with the care plan which did not result in injury. This affected two (#88 and #14) of two residents reviewed for falls and accidents. The facility census was 110.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and staff interview, the facility failed to notify the resident/resident representative in writing of a transfer/discharge to the hospital. This affected one (#104) of four resident records reviewed for hospitalization. The census was 110.
- 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 medical record review and staff interview, the facility failed to notify the resident/resident representative of the facility's bed hold policy when a resident was transferred to the hospital. This affected one (#104) of four resident records reviewed for hospitalization. The census was 110.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on medical record review, observations and staff and resident interview, the facility failed to provide an individualized activity program designed to meet the interests and total care needs of Resident #61. This affected one (#61) out of two residents reviewed for activities. The facility census was 110.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observations and staff interview, the facility failed to ensure one resident's bruise was documented in the medical record and monitored for changes affecting one (#44) out of four residents reviewed for non-pressure skin issues. Additionally, the facility failed to monitor a residents weights and input/output as ordered by the physician regarding a residents cardiac status affecting one (#1) out of 22 residents reviewed for appropriate care and services. The facility census was 110.
Fire safety inspections
12 fire safety citations on file: 4 on March 6, 2025, 5 on June 13, 2022, 3 on May 16, 2019.
Every fire safety citation12 citations
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have proper medical gas storage and administration areas.
- 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 Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- 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.
- E Install an approved automatic sprinkler system.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| March 6, 2025 | Payment Denial | 22 days from April 2, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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 | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.37 | 3.69 | 3.86 |
| Registered nurses | 0.57 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.76 | 3.28 | 3.42 |
| Nurse aides | 2.35 | ||
| Licensed practical nurses | 1.45 | ||
| Nursing staff turnover (share who left in a year) | 51.5% | 48.7% | 45.8% |
| Registered nurse turnover | 27.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.55 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 4.62 on weekdays and 3.76 on weekends, 19% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.32 in April to June 2025 to 4.37 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 | 4.37 | 0.57 | 4.62 | 3.76 | 21.9% | 0 of 90 | 72 |
| Oct to Dec 2025 | 4.30 | 0.49 | 4.48 | 3.82 | 17.9% | 0 of 92 | 73 |
| Jul to Sep 2025 | 4.29 | 0.47 | 4.54 | 3.63 | 21.5% | 1 of 92 | 70 |
| Apr to Jun 2025 | 4.32 | 0.52 | 4.56 | 3.73 | 21.9% | 0 of 91 | 69 |
| 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.
Quality measures
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 | 22.7 | 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 | 2.1 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.7 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 30.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 18.5 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 4.2 | 1.8 | 1.8 |
Owners and operators
Legal business name: BRETHREN RETIREMENT COMMUNITY.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Fifth Third Bank, National Association | 5% or greater mortgage interest | Organization | 09/01/2010 | |
| Allread, Kara | W-2 managing employee | Individual | 03/30/2010 | |
| Eubank, Carl | W-2 managing employee | Individual | 03/30/2010 | |
| Gasper, Lisa | W-2 managing employee | Individual | 03/30/2010 | |
| Hill, Holly | W-2 managing employee | Individual | 03/30/2010 | |
| Jaros, Frank | W-2 managing employee | Individual | 03/30/2010 | |
| Keen, Jami | W-2 managing employee | Individual | 12/01/2021 | |
| Neff, Pamela | W-2 managing employee | Individual | 03/30/2010 | |
| Overfield, Melody | W-2 managing employee | Individual | 03/30/2010 | |
| Randolph, Michael | W-2 managing employee | Individual | 03/30/2010 | |
| Warner, John | W-2 managing employee | Individual | 07/01/2007 | |
| Arnold, Matthew | Corporate director | Individual | 01/01/2010 | |
| Keller, John | Corporate director | Individual | 01/01/2011 | |
| Kepler, David | Corporate director | Individual | 01/01/2012 | |
| Riesser, Lawrence | Corporate director | Individual | 01/01/2011 | |
| Warner, John | Corporate officer | Individual | 07/01/2007 |
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 6 problems in this area, most recently on May 19, 2026: "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 5 problems in this area, most recently on March 6, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 14, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on March 6, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
Other nursing homes nearby
- Ayden Healthcare of Greenville Greenville, 1.7 mi · 1 of 5 stars · 38 citations
- Rest Haven Nursing Home Inc Greenville, 2.1 mi · 4 of 5 stars · 16 citations
- Village Green Rehabilitation and Healthcare Center Greenville, 2.4 mi · 5 of 5 stars · 9 citations
- Union City Care Center Union City, 11.3 mi · 4 of 5 stars · 24 citations
- Versailles Rehabilitation and Health Care Center Versailles, 11.7 mi · 2 of 5 stars · 24 citations
- Stillwater Skilled Nursing and Rehabilitation Covington, 15.2 mi · 2 of 5 stars · 23 citations
- Pineknoll Rehabilitation Centre Winchester, 18.8 mi · 4 of 5 stars · 8 citations
- Brickyard Healthcare - Richmond Care Center Richmond, 19.2 mi · 1 of 5 stars · 59 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. 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: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Brethren Retirement Community's Medicare star rating?
- CMS rates Brethren Retirement Community 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brethren Retirement Community get at its last inspection?
- 8 health deficiencies at the standard inspection on March 6, 2025. The Ohio average is 10.5.
- Has Brethren Retirement Community been fined?
- CMS lists no fines in the last three years.
- Does Brethren Retirement Community 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 Brethren Retirement Community?
- CMS lists 16 owners and managers. Legal business name: BRETHREN RETIREMENT COMMUNITY.
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.