Greenbriar Nursing Center
501 West Lexington Road, Eaton, OH 45320 · Preble County · (937) 456-9535
74 certified beds, about 67 residents a day · For profit - Corporation · Medicare and Medicaid since 1991
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365854 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 27, 2025, inspectors cited 2 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 28 health citations since March 2019 was rated as actual harm or immediate jeopardy.
CMS lists 1 fine totaling $28,626 in the last three years; the largest was $28,626, and the latest is dated April 11, 2025.
Nurses and nurse aides worked 3.18 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.34 of those hours.
34.5% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Lionstone Care, an affiliated group of 24 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
903/19
1004/22
211/23
112/23
102/24
202/25
111/25
205/26
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 28 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
2E
0F
Potential for minimal harm
0A
0B
0C
May 14, 2026Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to notify the physician for a change in orthostatic blood pressure and failed to notify a resident's family of new physician orders and changes in condition. This affected one (Resident #58) of twelve residents reviewed for change in condition. The facility census was 66.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to schedule Computed Tomography (CT) testing and obtain results in a timely manner. This affected one (Resident #68) of twelve reviewed for diagnostic services. The facility census was 66.
November 20, 2025Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure skin care treatments were timely initiated when a resident was admitted with a pressure ulcer. This affected one (#75) of three reviewed for wound care and services. The facility census was 70.
February 27, 2025Standard inspection · 2 citations
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure resident preadmission screening and resident reviews (PASARRs) were accurate and included resident mental health diagnoses and mental health services. This affected three (Residents #02, #61 and #63) of three residents reviewed for PASARRs. The facility census was 71 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure staff properly monitored residents receiving anticoagulants for bruising and bleeding. This affected one (Resident #16) of five residents reviewed for unnecessary medications. The facility census was 71 residents.
February 21, 2024Complaint inspection · 1 citation
- E Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on record review, review of personnel files, staff interview and review of job descriptions, the facility failed to ensure the services of a qualified Activities Director (AD). This had the potential to affect all residents who resided in the facility with the exception of four (#15, #18, #21, and #52) residents who the facility identified as not participating in activities. The facility census was 57.
December 5, 2023Complaint inspection · 1 citation
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on medical record review and staff, resident and eye specialist staff interviews, the facility failed to schedule an eye specialist appointment timely. This affected one (#112) out of the three residents reviewed for appointments. The facility census was 60.
November 29, 2023Complaint inspection · 2 citations
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interviews, and policy reviews, the facility failed to notify the physician of a resident's significant weight loss. This affected one (#100) resident out of the three residents reviewed for weight loss. The facility census was 63.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record reviews, staff and resident interviews, and policy review, the facility failed to ensure resident weights were obtained to monitor nutritional status. This affected two (#54 and #100) out of the three residents reviewed for weight loss. The facility census was 63.
April 11, 2022Standard inspection · 10 citations
- E Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, staff interview, review of the manufacturers recommendations and policy review the facility failed to ensure one resident (#95) had an order for oxygen administration. The facility failed to ensure documentation of oxygen administration for one resident (#94) and the facility failed to ensure oxygen tubing was labeled and dated for four residents (#31, #36, #94 and #95) of four residents reviewed for oxygen use. The facility census was 47.
- 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 closed medical record review, staff interview, and policy review, the facility failed to ensure one resident (#44) of one reviewed for hospitalization received a bed hold notice upon transfer. The facility census was 47.
- D Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Inspectors wroteBased on closed medical record review, staff interview, and policy review, the facility failed to ensure one resident (#44) of one reviewed for hospitalization received a transfer notice upon transfer. The facility census was 47.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure resident care plans were developed with measurable objectives, timelines or interventions. This affected one resident (#19) of 14 reviewed for care planning. The facility census was 47.
- 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 and staff interviews the facility failed to implement new safety interventions following a fall experienced by two residents (#17 and #95) of five residents (#02, #07, #17, #32, and #95) reviewed for falls. The facility census was 47.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review, observation, staff interview and policy review the facility failed to ensure a pressure wound was assessed. This affected one resident (#19) of three residents reviewed for pressure ulcers. The facility census was 47.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure a urine sample for the laboratory test urinalysis was obtained in a timely manner. This affected one resident (#30) of one resident reviewed for urinary tract infection (UTI). The facility census was 47.
- D Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Inspectors wroteBased on medical record review and staff interview the facility failed to notify the primary care provider (PCP) of urinalysis culture and sensitivity results. This affected one resident (#30) one resident reviewed for urinary tract infection. The census was 47.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review the facility failed to ensure proper infection control protocols in regards to equipment used to provide supplemental oxygen. This affected one resident (#36) out of four residents reviewed for supplemental oxygen use. The facility census was 47.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, staff interview, review of the infection surveillance documentation and policy review the facility failed to implement antibiotic stewardship protocols to ensure appropriate antibiotic use. This affected one resident (#30) of one resident review for urinary tract infection. The census was 47.
March 21, 2019Standard inspection · 9 citations
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on record review, policy review and staff interview, the facility failed to timely address advance directive preferences to clarify the resident's preference. This affected one (#4) of 24 residents records reviewed in the first phase of the survey. The total facility census was 61.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on resident record review and staff interviews; the failed to provide a skilled nursing facility advanced beneficiary notice (SNF ABN) (form CMS-10055) and a notice of medicare non coverage (NOMNC) (form CMS 10123) to a resident who was discharged from Medicare A services when benefit days were not exhausted and the resident remained at the facility. Additionally, the facility failed to provide a NOMNC to a resident who had skilled benefit days remaining, was discharged from Medicare A services, and discharged from the facility immediately following the last covered skilled day. This affected two (#7 and #58) of three residents reviewed for liability notice. The census was 61.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on resident record review and staff interview; the facility failed to timely complete minimum data set (MDS) assessments. This affected three (#13, #54, and #163) of 24 resident reviewed for accuracy and timing of the MDS assessment. The census was 61.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on record review and staff interview, the facility failed to develop a comprehensive care plan that included addressing behavior/mood problems. This affected two (#41 and #47) of five residents reviewed for unnecessary medications. The total resident census was 61.
- 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 record review, family and staff interview, and review of facility policies, the facility failed to involve the resident and/or resident family or legal representative in the care planning process. This affected three (#20, #22, #60) of three residents reviewed for care plans. The total resident census was 61.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, staff interview and review of facility policy for nail care, the facility failed to provide timely nail care to a diabetic resident unable to care for himself. This affected one (#41) of one residents reviewed for Activities of daily living. The total resident census was 61.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review and staff interview, the facility staff failed to follow physician daily weight orders. This affected one (#161) of one resident reviewed for dialysis services. The total facility census was 61.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on record review, resident and facility staff interview, the facility failed ensure residents with hearing deficits received timely treatment. This affected two (#36 and #16) of two residents reviewed for hearing services. The facility census was 61.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on record review and staff interview, the facility failed to monitor psychotropic medications for side effects. This affected one (#47) of five reviewed for unnecessary medications. The total facility census was 61.
Fire safety inspections
13 fire safety citations on file: 3 on February 27, 2025, 6 on April 11, 2022, 4 on March 21, 2019.
Every fire safety citation13 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F List the names and contact information of those in the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install a fire alarm system that can be heard throughout the facility.
- E Have proper medical gas storage and administration areas.
- D Have power receptacles that are properly grounded.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- E Have properly located and lighted "Exit" signs.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| April 11, 2025 | Fine | $28,626 |
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) | 3.18 | 3.69 | 3.86 |
| Registered nurses | 0.34 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.28 | 3.42 |
| Nurse aides | 1.89 | ||
| Licensed practical nurses | 0.95 | ||
| Nursing staff turnover (share who left in a year) | 34.5% | 48.7% | 45.8% |
| Registered nurse turnover | 20.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.19 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 3.29 on weekdays and 2.92 on weekends, 11% 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 3.11 in April to June 2025 to 3.18 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 | 3.18 | 0.34 | 3.29 | 2.92 | 0.0% | 1 of 90 | 67 |
| Oct to Dec 2025 | 3.24 | 0.28 | 3.33 | 3.02 | 0.0% | 0 of 92 | 67 |
| Jul to Sep 2025 | 3.02 | 0.28 | 3.14 | 2.71 | 0.0% | 0 of 92 | 69 |
| Apr to Jun 2025 | 3.11 | 0.28 | 3.24 | 2.77 | 0.0% | 1 of 91 | 68 |
| 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 | 3.5 | 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 | 5.1 | 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 | 5.0 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 5.7 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.6 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.4 | 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 | 2.4 | 1.8 | 1.8 |
Owners and operators
Legal business name: GREENBRIAR SNF OPCO LLC. CMS links this home to Lionstone Care, a group of 24 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Lionstone Carnation Opco Holdings, LLC | 5% or greater direct ownership interest | Organization | 100% | 06/28/2024 |
| Kazarnovsky, Solomon | 5% or greater indirect ownership interest | Individual | 25% | 06/28/2024 |
| Stein, Abba | 5% or greater indirect ownership interest | Individual | 25% | 06/28/2024 |
| Cross River Bank | 5% or greater mortgage interest | Organization | 06/28/2024 | |
| Kazarnovsky, Solomon | Managing control - governing body | Individual | 06/28/2024 | |
| Stein, Abba | Managing control - governing body | Individual | 06/28/2024 | |
| Lionstone Carnation Opco Holdings, LLC | Operational/managerial control | Organization | 06/28/2024 | |
| Bennett Frankart, Dayna | Operational/managerial control | Individual | 06/28/2024 | |
| Kazarnovsky, Solomon | Operational/managerial control | Individual | 06/28/2024 | |
| Stein, Abba | Operational/managerial control | Individual | 06/28/2024 | |
| Klugman, Jacob | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/24/2025 | |
| Stein, Shalom | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/24/2025 | |
| Sternbuch, Daniel | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 10/24/2025 | |
| Des Capital LLC | Adp of the SNF | Organization | 06/28/2024 | |
| Greenbriar Propco LLC | Adp of the SNF | Organization | 06/28/2024 | |
| Jrk Investments LLC | Adp of the SNF | Organization | 06/28/2024 | |
| Lionstone Carnation Propco Holdings LLC | Adp of the SNF | Organization | 06/28/2024 | |
| PC Carnation Holdings LLC | Adp of the SNF | Organization | 06/28/2024 | |
| Peace Capital Holdings II LLC | Adp of the SNF | Organization | 06/28/2024 | |
| Sms 2021 Trust | Adp of the SNF | Organization | 06/28/2024 | |
| Bennett Frankart, Dayna | Adp of the SNF | Individual | 10/24/2025 | |
| Ferguson, Harold | Adp of the SNF | Individual | 10/24/2025 | |
| Kazarnovsky, Solomon | Adp of the SNF | Individual | 06/28/2024 | |
| Stein, Abba | Adp of the SNF | Individual | 06/28/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on November 20, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on May 14, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on February 27, 2025: "Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 2 problems in this area, most recently on May 14, 2026: "Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.92 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Vancrest Health Care Center of Eaton Eaton, 0.2 mi · 3 of 5 stars · 12 citations
- Maple Gardens Rehabilitiation and Nursing Center Eaton, 1.5 mi · 4 of 5 stars · 18 citations
- Arbor Trace Health & Living Community Richmond, 11.6 mi · 5 of 5 stars · 18 citations
- Forest Park Health Campus Richmond, 12.6 mi · 3 of 5 stars · 16 citations
- Brookhaven Nursing & Rehabilitation Center Brookville, 13.1 mi · 5 of 5 stars · 15 citations
- Brickyard Healthcare - Golden Rule Care Center Richmond, 13.3 mi · 1 of 5 stars · 45 citations
- New Lebanon Rehabilitation and Healthcare Center New Lebanon, 13.5 mi · 2 of 5 stars · 63 citations
- Rosebud Village Richmond, 14.8 mi · 3 of 5 stars · 21 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 Greenbriar Nursing Center's Medicare star rating?
- CMS rates Greenbriar Nursing Center 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Greenbriar Nursing Center get at its last inspection?
- 2 health deficiencies at the standard inspection on February 27, 2025. The Ohio average is 10.5.
- Has Greenbriar Nursing Center been fined?
- Yes. CMS lists 1 fine totaling $28,626 in the last three years.
- Does Greenbriar Nursing Center 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 Greenbriar Nursing Center?
- CMS lists 24 owners and managers, and links the home to Lionstone Care. Legal business name: GREENBRIAR SNF OPCO LLC.
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.