Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

VILLAGE AT THE GREENE

DAYTON, OH · 52 certified beds · Last Life Safety survey February 28, 2025

CMS Certification Number 365497 · first certified June 1980

Ownership

Operated by HCF MANAGEMENT · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

14
Citations on file
CMS's current file
3
Life Safety surveys
CMS's current file
2
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within OH

14 citations — more than 41% of the 924 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in CMS's current file.

The latest survey found 2 citations; the earlier surveys on file averaged 6. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: October 2026 to October 2027. This facility’s last Life Safety survey was February 2025. Facilities in OH are typically surveyed 19–32 months after the last one (median 26), measured over 985 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to about three years in Virginia. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities cited for sprinkler inspection and testing in CMS’s current file are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

5 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

8 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations in CMS's current file

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility14OH median16National median11
Citations in CMS's current file, compared
MeasureCitations
This facility14
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
62020-0162022-1222025-02
Citations at each Life Safety survey
Survey dateCitations
January 9, 20206
December 13, 20226
February 28, 20252

Most-cited tags

Most-cited tags at this facility
K-03452E-00372E-00391K-02911K-07111K-02111E-00241E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-02-28
E-0037Establish staff and initial training requirements.22022-12-13
E-0039Conduct testing and exercise requirements.12020-01-09
K-0291Install emergency lighting that can last at least 1 1/2 hours.12020-01-09
K-0711Provide a written emergency evacuation plan.12020-01-09
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-02-28
E-0024Establish policies and procedures for volunteers.12022-12-13
E-0004Develop and maintain an Emergency Preparedness Program (EP).12020-01-09

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 5
  • Smoke Deficiencies 3
  • Egress Deficiencies 3
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies5
Smoke Deficiencies3
Egress Deficiencies3
Gas, Vacuum, and Electrical Systems Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

February 28, 2025 — 2 citations

Citations issued on February 28, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (March 21, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 21, 2025)

December 13, 2022 — 6 citations

Citations issued on December 13, 2022
TagWhat the surveyor checksStatus
E-0024Establish policies and procedures for volunteers.Deficient, Provider has plan of correction
E-0037Establish staff and initial training requirements.Deficient, Provider has plan of correction
K-0222Add 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.Deficient, Provider has date of correction (February 13, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 13, 2023)
K-0915Have proper power supply for life support equipment.Deficient, Provider has date of correction (February 24, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 13, 2023)

January 9, 2020 — 6 citations

Citations issued on January 9, 2020
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has plan of correction (February 25, 2020)
E-0037Establish staff and initial training requirements.Deficient, Provider has plan of correction (February 25, 2020)
E-0039Conduct testing and exercise requirements.Deficient, Provider has plan of correction (February 25, 2020)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 27, 2020)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (February 27, 2020)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (February 27, 2020)

Reflects the CMS posting of October 1, 2026. Surveys conducted in the last few months may not appear yet.