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Home / Ohio / Louisville

Green Meadows Skilled Nursing and Rehab

7770 Columbus Road Ne, Louisville, OH 44641 · Stark County · (330) 875-1456

110 certified beds, about 93 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1983

Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365604 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on February 10, 2025, inspectors cited 19 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 51 health citations since October 2019, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $28,763 in the last three years; the largest was $28,763, and the latest is dated December 20, 2023.

Nurses and nurse aides worked 3.75 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

52.3% 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.

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 51 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
32D
11E
5F
Potential for minimal harm
0A
1B
1C
May 21, 2026Complaint inspection · 6 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on observations, record reviews and interviews, the facility failed to maintain sufficient levels of staff to meet the total care needs of all residents. This affected five residents (#109, #113, #114, and #184) of five residents reviewed for personal care services and had the potential to affect all 93 residents residing in the facility. The facility census was 93.
  2. F
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on observation and interview, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff and the public. This had the potential to affect all 93 residents of the facility. The facility census was 93.
  3. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on record review, observation of dining, interview, and review of facility policy, the facility failed to promote resident dignity and independence while dining, by standing over residents while assisting them to eat and not assisting the resident into a position to be able to feed themselves. This affected four residents (#24, #87,#92, and #65) of eleven residents observed for dining needs. The facility census was 93.
  4. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior and to maintain a temperature between 71 degrees Fahrenheit (F) and 81 degrees F in the shower room of the E-Wing, which was the facility memory care unit. This affected all 26 of 26 residents residing on the facility's E-Wing. The facility census was 93.
  5. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on medical record review, policy review, resident observations, and staff and resident interviews, the facility failed to assist residents who were dependent on staff for their needs including timely incontinence care, getting up for meals timely, and bathing/showering as scheduled. This affected three residents (#109, #114, and #184) of three residents reviewed for provision of care. The facility identified 56 residents as needing assistance with incontinence care, bathing/showering, and required use of a mechanical lift to set up in chair for meals. The facility census was 93.
  6. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 15, 2026
    Inspectors wroteBased on review of the medical record and facility policy, observations, and staff interview, the facility failed to ensure appropriate hand hygiene to stop the spread of infection. This affected one resident (#113) of two residents observed for incontinence care. The facility census was 93.
February 10, 2025Standard inspection, Complaint inspection · 19 citations
  1. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of Quality Assurance (QA) committee meeting attendance sheets, policy review and interview, the facility failed to ensure a QA meeting was held the first quarter of 2024. This had the potential to affect all 89 residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on record reviews, observations, interviews, facility policy review, and review of Centers for Disease Control (CDC) Guidelines, the facility failed to ensure a comprehensive infection control program was maintained to ensure the health and safety of all residents in the facility including timely notification of the local health department (LHD) regarding positive cases of Coronavirus (COVID-19), failed to have a procedure in place to address staff illness, failed to ensure a comprehensive water maintenance program was continuously implemented, failed to clean the rubber stopper of a multi-use insulin pen and failed to track and trend potential outbreak illness in the facility. This affected Resident #23, #35, #69, #71, #73, #186, #187 and #235 but had the potential to affect all 89 residents residing in the facility.
  3. E
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observations, interviews, record reviews, and facility policy, the facility failed to ensure the E wing (memory care unit) was homelike by having a basin on the hallway floor outside of Resident #55's room to collect water from a ceiling leak for an extended period of time and by having walls in disrepair in 9 resident's (#24, #35, #54, #62, #63, #76, #78, #335, and #336) rooms. This affected 10 residents (#24, #35, #54, #55, #62, #63, #76, #78, #335, and #336) out of 26 residents who resided on the E wing (memory care unit).
  4. E
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of employee files and staff interviews, the facility failed to consistently complete staff evaluations for two Certified Nursing Assistants (CNA). This was identified in two personnel files (CNA #367 and #370) out of five employee files reviewed and had the potential to affect all residents except the 26 residents (#12, #17, #18, #20, #24, #29, #30, #35, #42, #45, #48, #49, #53, #54, #55, #59, #61, #62, #63, #66 #76, #78, #79, #335, #336, #337) on the E wing where CNA #367 and #370 had not worked.
  5. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of the closed medical record, review of facility investigation, interview and review of the facility policy the facility failed to ensure Resident #82 was free from physical restraints. This affected one resident ( Resident #82) of three reviewed for accidents.
  6. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of a Self Reported Incident (SRI) with the facility's investigation, policy review, medical record review, and interview, the facility failed to ensure protection of a resident during an investigation of emotional/verbal abuse and the facility failed to ensure a thorough investigation was completed into allegations of verbal/emotional abuse. This affected one (Resident #188) of two residents reviewed for abuse.
  7. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of the medical record and interview with the staff the facility failed to ensure a Significant Change assessment was completed for Resident #2 after initiating hospice services. This affected one resident (Resident #2) of 26 residents reviewed for comprehensive assessments.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of the medical record and interview with the staff the facility failed to ensure the comprehensive assessment accurately reflected a pressure ulcer for Resident #82 and correct hearing status and anti-anxiety medication use for Resident #44. This affected two residents ( Resident #44 and #82) of 26 residents reviewed for comprehensive assessments.
  9. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on record review and interview, the facility failed to develop a comprehensive care plan to include hearing loss and monitoring the correct dialysis access for Resident #44, constipation and diarrhea for Resident #71, and oxygen use for Resident #67. This affected three residents (#44, #67, and #71) of 26 resident records reviewed. The facility census was 89.
  10. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observations, interviews, record review, and facility policy review, the facility failed to ensure Resident #55's doorway was free from potential fall hazards. This affected one (#55) resident of three residents reviewed for accidents. The facility census was 89.
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, interviews, record review, manufacturer's instructions, and facility policy review, the facility failed to ensure Resident #42 received nectar thick liquids as ordered. This affected one resident (#42); however, it had the potential to affect seven residents (#1, #30, #35, #42, #43, #50, #63) the facility identified as being on a thickened liquids. The facility census was 89.
  12. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observation, record review, and interview, the facility failed to ensure Resident #67 had physician's orders for oxygen use, oxygen tubing was dated at the time it was changed, and administration of oxygen was documented in the medical record at the time of each administration and Resident #2's oxygen cannula was stored properly. This affected two residents (#2 and #67) of three residents reviewed for respiratory care. The facility census was 89.
  13. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on record review, review of the facility's dialysis contract, and interview, the facility failed to monitor vital signs and weights before and after dialysis for Residents #52 and #239, and failed to maintain adequate communication with the outside dialysis center for Resident #239. This affected two residents (#52 and #239) of three reviewed for dialysis. The facility census was 89.
  14. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on record review, interviews, and facility policy review, the facility failed to ensure narcotic pain medications were provided according to physician orders and non-pharmacologic pain relief interventions were encouraged prior to medication administration. This affected one resident (#14) of five residents reviewed for unnecessary medications. The facility census was 89.
  15. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on observations, review of the medical record and interview with staff the facility failed to ensure multi-dose insulin pens were dated as to when they were first accessed. This affected three residents (Resident #11,#25 and #242) of 24 residents prescribed insulin.
  16. D
    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
    F773 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on medical record review and interview, the facility failed to ensure a physician order was written prior to obtaining a laboratory test. This affected one (Resident #71) of five residents reviewed for medication use.
  17. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wrote2. On 02/03/25 at 1:49 P.M., Resident #71 reported she had problems with constipation and sometimes went four to six days before she was able to have a bowel movement . Resident #71 stated this was not a new problem. While at home she used a little round pill. Review of Resident #71's medical record revealed diagnoses including cerebral infarction, type two diabetes mellitus, depression, migraine, hypertension, hyperlipidemia, hypothyroidism, anxiety disorder, delusional disorder, osteoporosis, and constipation. A quarterly Minimum Data Set (MDS) assessment dated [DATE] indicated Resident #71 was cognitively intact and able to make herself understood. [...]
  18. C
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on policy review and interview, the facility failed to establish comprehensive written policies and procedures related to the Quality Assurance (QA) process. This had the potential to affect all 89 residents.
  19. B
    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.
    F625 · Resident Rights · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) March 15, 2025
    Inspectors wroteBased on review of the medical record, review of the facility bed hold notices and interview with staff the facility failed to ensure bedhold notices were given to Resident #52 and #82 before a hospital transfer. This affected two residents ( Resident #52 and #82) of three reviewed for hospitalization.
October 11, 2024Complaint inspection · 1 citation
  1. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review, self-reported incident (SRI) review and interview, the facility failed to ensure medications were not misappropriated. This finding affected two (Residents #20 and #28) of three residents reviewed for medication administration.
March 6, 2024Complaint inspection · 1 citation
  1. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on observation, interview, record review, and facility investigation review the facility failed to prevent Resident #18 from exiting the facility unsupervised. This affected one resident (Resident #18) of three residents reviewed for accidents. The facility census was 102.
December 20, 2023Complaint inspection · 3 citations
  1. G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 6, 2024
    Inspectors wroteBased on review of resident photographs, facility fall log review, resident medical record review, facility policy review and staff interview, the facility failed to appropriately identify and assess an acute change in Resident #98's condition (including altered mental status/and increased falls) to provide timely medical intervention/treatment for the resident. This affected one resident (#98) of three residents reviewed for falls. The facility census was 98. Actual harm occurred on 11/29/23 when Resident #98, who experienced an acute change in condition including three falls within an hour (between 8:00 A.M. and 9:00 A.M.), was not comprehensively assessed or provided timely medical evaluation/intervention. [...]
  2. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the facility fall log, resident medical record and staff interview, the facility failed to ensure Resident #98's physician and family were timely notified of a change in resident condition including falls and hospital transfer. This affected one resident (#98) of three residents reviewed for falls. The facility census was 98.
  3. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of facility fall log, review of resident photographs, medical record review and staff interview, the facility failed to implement comprehensive, individualized and effective interventions to decrease the risk of falls for Resident #98. This affected one resident (#98) of three residents reviewed for falls. The facility census was 98.
September 13, 2023Complaint inspection · 3 citations
  1. E
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on record review and staff interview the facility failed to ensure the comprehensive Minimum Data Set (MDS) 3.0 assessments were completed accurately. This affected five residents (Residents #10, #29, #34, #40, and #61) of six residents reviewed for pain and anxiety medication usage. The facility census was 102. Findings Include: 1. Medical record review revealed Resident #10 was admitted to the facility on [DATE] with diagnoses of acute respiratory failure, cardiogenic shock, diabetes, heart disease, and partial paralysis of the left side after a stroke. Review of the physician's orders for Resident #10 revealed an order dated 08/31/23 for Oxycodone (a narcotic pan medication) 5 milligrams (mg) every eight hours as needed for pain. Attempt and document non-pharmacological interventions dated 08/31/23. [...]
  2. E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on record review, staff interview, and staff education, the facility failed to document why as needed pain medications were being administered and what non-pharmacological interventions were attempted prior to administering pain medication. This affected six residents (Residents #10, #29, #45, #61, #65 and #97) of six residents reviewed for pain medication documentation. The facility census was 102. Findings Include: 1. Medical record review revealed Resident #10 was admitted to the facility on [DATE] with diagnoses of acute respiratory failure, cardiogenic shock, diabetes, heart disease, and partial paralysis of the left side after a stroke. Review of the physician's orders for Resident #10 revealed an order dated 08/31/23 for Oxycodone (a narcotic pan medication) 5 milligrams (mg) every eight hours as needed for pain and to attempt and document non-pharmacological interventions. [...]
  3. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 22, 2023
    Inspectors wroteBased on staff interview, record review, and pharmacy dispensing records the facility failed to implement a gradual dose reduction for psychotropic anxiety medication as ordered. This affected one resident (Resident #84) of six residents reviewed for controlled substance usage. The facility census was 102. Findings Include: Medical review revealed Resident #84 was admitted to the facility on [DATE] with diagnoses including schizoaffective disorder, dementia without behavioral disturbance, arthritis, autistic disorder, bipolar disorder, anxiety, and glaucoma. Review of the physician's orders for Resident #84 revealed an order dated 08/09/21 for Ativan (a psychotropic anti-anxiety medication) 0.5 milligrams (mg) orally every evening at bedtime. On 08/07/23 an order was written to decrease the dosage to 0.25 mg every evening at bedtime. [...]
October 6, 2022Standard inspection · 12 citations
  1. F
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on interview and review of personnel files, the facility failed to ensure employees did not have a finding entered into the State of Ohio Nurse Aide Registry. This had the potential to affect all 93 residents residing in the facility.
  2. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on observations, interviews, record and activity calendar review, the facility failed to provide an ongoing activities program for the residents on the secured dementia unit to improve boredom, loneliness and frustration that could result in distress or agitation. This affected three of three residents (#8, #63, and #73) reviewed for activities with the potential to affect all 23 residents on the secured dementia unit in a facility of 93 residents.
  3. E
    Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
    F741 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on observations, interviews, review of activity calendars, review of staffing patterns and review of the facility assessment, the facility failed to have sufficient quantity of staff to provide the necessary behavioral health, psychosocial and dementia care to residents with consideration of the number, acuity, and diagnoses of the residents. This affected all 23 residents (#7, #8, #14, #26, #30, #34, #40, #41, #44, #48, #55, #59, #61, #62, #63, #68, #69, #70, #73, #74, #75, #130, and #131) on the secured dementia unit out of 93 residents.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on observation, medical record review, interview, and review of product information, the facility failed to properly disinfect equipment being removed from a resident's room who had a diagnosis of clostridium difficile. This had the potential to affect eight residents (#18, #19, #28, #80, #184, #186, #230, and #280) of 93 residents.
  5. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on facility self reported incident review, resident interview, medical record review and staff interview. The facility failed to ensure residents were treated with dignity and respect by staff members. This affected three (Residents #50, #52 and #230) of three residents reviewed for staff treatment. The facility census was 93.
  6. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on medical record review, electronic narcotic dispense records, policy review, schedule review and staff interview, the facility failed to ensure narcotic medications were dispensed appropriately and not misappropriated by staff members. This affected two (Residents #15 and #31) of six residents reviewed for medications. The facility census was 93.
  7. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident and resident's representative in writing of the reason for transfer/discharge to the hospital and send a copy of the notice to the Long-Term Care Ombudsman. This affected one of two residents (#81) reviewed for hospitalization.
  8. 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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident and/or the resident's representative of the facility policy for bed hold, including reserve bed payment. This affected two residents reviewed for hospitalization (#35 and #81) of 93 residents in the facility.
  9. D
    Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
    F646 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure pre-admission screening and resident review was resubmitted after a significant change with new updated mental illness diagnosis. This affected two (Resident #31 and #64) of two residents reviewed for pre-admission screening and resident review. The facility census was 93.
  10. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on resident interview, observation, medical record review and staff interview, the facility failed to ensure residents dependent upon staff assistance with meals were provided assistance as indicated. This affected one (Resident #31) of three residents reviewed for assistance. The facility census was 93.
  11. D
    Provide enough food/fluids to maintain a resident's health.
    F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to reassess and implement interventions for Resident #8's nutritional status following an identification of poor intake resulting in a significant weight loss. This affected one resident (#8) out of three residents (#40 and #284) reviewed for nutrition.
  12. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 11, 2022
    Inspectors wroteBased on medical record review, policy review, review of pharmacy delivery records, and interview, the facility failed to ensure ordered medications were available for administration. This affected one (Resident #181) of five residents reviewed for medication use and one additional resident (Resident #185) who addressed a concern during initial review.
October 3, 2019Standard inspection · 6 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on observation, policy review, manufacturer guidelines review, and interview, the facility failed to properly sanitize a glucometer. This had the potential to affect five of five residents (Residents #42, #51, #72, #73, #79) who were ordered glucometer testing on the East Hallway of the facility. Facility census was 84.
  2. D
    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
    F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on interview and record review the facility failed to timely implement the restorative nursing programs (RNP) for Resident #81. This affected one of two residents reviewed for RNP.
  3. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on observation, medical record review, resident interview, family interview, facility policy review and staff interview, the facility failed to timely identify, assess and document resident wounds. This affected two (Resident #77 and #63) of three residents reviewed for non-pressure skin conditions. The facility also failed to provide appropriate care and services for constipation for one (Resident #24) of five residents reviewed for medications. The facility census was 84.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on medical record review, policy review, and interview, the facility failed to ensure a fall intervention was in place for Resident #12. This affected one (Resident #12) of three residents reviewed for falls.
  5. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on interview and record review the facility failed to ensure a comprehensive and individualized bladder program was in place to ensure Resident #81 remained as continent as possible. This affected one of one resident reviewed for bladder incontinence. This facility identified 36 residents on the restorative scheduled toileting program.
  6. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2019
    Inspectors wroteBased on interview and record review the facility failed to ensure the antibiotic stewardship program was implemented for Resident #81, who received an antibiotic (ATB) for an urinary tract infection (UTI) that did not meet the McGreer criteria the facility used for ATB stewardship. This affected one of one resident reviewed for ATB use. The facility had five residents receiving antibiotics.

Fire safety inspections

20 fire safety citations on file: 6 on February 10, 2025, 5 on October 6, 2022, 9 on October 3, 2019.

Every fire safety citation20 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · February 10, 2025 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · February 10, 2025 · Corrected (the home has a date of correction)
  3. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · February 10, 2025 · Corrected (the home has a date of correction)
  4. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · February 10, 2025 · Corrected (the home has a date of correction)
  5. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · February 10, 2025 · Corrected (the home has a date of correction)
  6. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · February 10, 2025 · Corrected (the home has a date of correction)
  7. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · October 6, 2022 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 6, 2022 · Corrected (the home has a date of correction)
  9. 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.
    K 222 · October 6, 2022 · Corrected (the home has a date of correction)
  10. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · October 6, 2022 · Corrected (the home has a date of correction)
  11. E
    Have proper medical gas storage and administration areas.
    K 923 · October 6, 2022 · Corrected (the home has a date of correction)
  12. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · October 3, 2019 · Corrected (the home has a date of correction)
  13. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · October 3, 2019 · Corrected (the home has a date of correction)
  14. F
    Have simulated fire drills held at unexpected times.
    K 712 · October 3, 2019 · Corrected (the home has a date of correction)
  15. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · October 3, 2019 · Corrected (the home has a date of correction)
  16. F
    Have power receptacles that are properly grounded.
    K 912 · October 3, 2019 · Corrected (the home has a date of correction)
  17. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · October 3, 2019 · Corrected (the home has a date of correction)
  18. E
    Meet other general requirements that are deficient.
    K 300 · October 3, 2019 · Corrected (the home has a date of correction)
  19. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 3, 2019 · Corrected (the home has a date of correction)
  20. E
    Have proper medical gas storage and administration areas.
    K 923 · October 3, 2019 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
December 20, 2023Fine $28,763

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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.753.693.86
Registered nurses0.450.640.69
All nursing staff on weekends3.353.283.42
Nurse aides2.38
Licensed practical nurses0.92
Nursing staff turnover (share who left in a year)52.3%48.7%45.8%
Registered nurse turnover53.3%43.9%42.9%
Administrators who left0

CMS expects 4.34 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 3.92 on weekdays and 3.35 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 3.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.750.453.923.35 21.5%1 of 9093
Oct to Dec 20253.890.574.073.45 17.5%0 of 9293
Jul to Sep 20253.960.744.183.40 12.8%0 of 9292
Apr to Jun 20253.910.604.183.22 14.7%0 of 9190
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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

Staff pay at this home

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.

Official wage estimates for Ohio

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
6.95.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.30.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.53.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.41.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
7.96.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.93.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
7.88.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.924.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
4.912.912.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Green Meadows Skilled Nursing and Rehab's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (49.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

49.0% 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. 59 eligible stays.

Potentially preventable readmissions

10.6% 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. 60 eligible stays.

Infections that led to a hospital stay

5.6% this home

No different from the national rate

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. 38 eligible stays.

Self-care and mobility at discharge

51.4% 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. 37 residents counted.

Falls with major injury

0.0% 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. 57 residents counted.

New or worsened pressure ulcers

3.0% 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. 57 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 9 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.

Owners and operators

Legal business name: PROGRESSIVE GREEN MEADOWS, LLC.

NameRoleTypeShareSince
Allegiance Healthcare Holdco LLCDirect ownership interestOrganization12/01/2024
Fejcc TrustIndirect ownership interestOrganization01/01/2022
Mdatas TrustIndirect ownership interestOrganization01/01/2022
Mrs Family TrustIndirect ownership interestOrganization01/01/2022
Capital Finance LLC5% or greater security interestOrganization12/01/2024
Finkelstein, EliezerManaging control - governing bodyIndividual01/01/2022
Finkelstein, EliezerCorporate officerIndividual01/01/2022
Hochstadter, NatanCorporate officerIndividual01/01/2022
Capital Finance LLCOperational/managerial controlOrganization12/01/2024
Progressive Quality Care IncOperational/managerial controlOrganization04/01/2002
Dewald, ShiloOperational/managerial controlIndividual12/01/2024
Finkelstein, EliezerOperational/managerial controlIndividual01/10/2022
Rawal, IshOperational/managerial controlIndividual12/01/2024
Daubenmire, KevinAdp of the SNFIndividual01/01/2022
Dewald, ShiloAdp of the SNFIndividual12/01/2024
Finkelstein, EliezerAdp of the SNFIndividual01/01/2022
Rawal, IshAdp of the SNFIndividual12/01/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 16 problems in this area, most recently on May 21, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 8 problems in this area, most recently on May 21, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on February 10, 2025: "Assess the resident when there is a significant change in condition"
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on May 21, 2026: "Provide and implement an infection prevention and control program."

Other nursing homes nearby

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Common questions

What is Green Meadows Skilled Nursing and Rehab's Medicare star rating?
CMS rates Green Meadows Skilled Nursing and Rehab 2 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Green Meadows Skilled Nursing and Rehab get at its last inspection?
19 health deficiencies at the standard inspection on February 10, 2025. The Ohio average is 10.5.
Has Green Meadows Skilled Nursing and Rehab been fined?
Yes. CMS lists 1 fine totaling $28,763 in the last three years.
Does Green Meadows Skilled Nursing and Rehab 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 Green Meadows Skilled Nursing and Rehab?
CMS lists 17 owners and managers. Legal business name: PROGRESSIVE GREEN MEADOWS, LLC.

Sources

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