Nursing HomeMedicaid Investigative

Village at the Greene

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4381 Tonawanda Trail, Dayton, OH 45430|99 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

3.3/5

based on 76 Google reviews

(937) 426-5033 Directions Website

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5/ 10

high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (2/5 stars)
Above-median deficiencies (12 vs median 8.0)
High staff turnover (56%)
High RN turnover (54%)

Bottom 25% in OH · Below recommended RN staffing · Above average staffing · Below chain average · $18,699 in fines

Source: Medicare data

What this means for your family

While the facility offers modern amenities and effective physical therapy, the frequency of reports regarding severe neglect, hygiene failures, and communication breakdowns is alarming. If you choose this facility, ensure you have a daily presence or a camera system in place to monitor care, and be prepared to advocate aggressively for your loved one's basic needs.

Google Reviews

76 reviews on Google

“The Village at the Greene presents a stark contrast between its modern, clean facility and significant, recurring failures in patient care and communication. While many families praise the physical environment, therapy services, and specific staff members, a large number of reviewers report severe neglect, including long response times for call lights, poor hygiene, and dangerous lapses in medical oversight. Families considering this facility should be aware of the high frequency of complaints regarding understaffing and administrative incompetence.”

Quality Themes

Tap a score for details

Strengths

Modern, clean, and well-maintained facility
Effective physical and rehabilitation therapy programs
Engaging resident activities and events
Some highly dedicated and compassionate individual staff members

Concerns

Excessive wait times for call light responses (mentioned by 9 reviewers)
Poor hygiene and failure to assist with basic personal care (mentioned by 7 reviewers)
Chronic understaffing leading to neglect (mentioned by 6 reviewers)
Poor communication with family members regarding medical status or transfers (mentioned by 5 reviewers)
Inadequate medical oversight and medication management (mentioned by 4 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 78 analyzed

How They Respond to Reviews

57%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed some families have shared how much they appreciate the modern and clean environment here; how does the facility ensure that high standard of cleanliness is maintained in the residents' private rooms?
2With the great physical and rehab programs mentioned by others, could you tell me more about how a resident's personalized therapy plan is developed and tracked?
3How does the nursing team manage medication administration and oversight to ensure everything is handled accurately and timely?
4What is the protocol for responding to call lights, and how do you ensure residents receive prompt assistance with their personal care needs?
5How does the staff communicate important updates or changes in medical status to family members to ensure we are always kept in the loop?
6Could you describe some of the engaging daily activities or special events that help keep the residents socially connected?

Personalized based on this facility's data

Key Review Excerpts

“The staff worked closely with me caring for mom. Most of them became close to us and we felt like family at Village at the Greene. Mom was happy there and liked the staff and the food.”

Memory care family member · 2025★★★★★

“My mother was here and the way they treated her was disgusting. The nurse that was caring for her told us that she was only allowed 3 bowel bags and would have to clean her own bowel bag and reuse it which is totally outrageous.”

Long-term resident's family · 2026★☆☆☆☆

“The WORST communication and care I could have imagined. I am out of state and trying to care for my father from afar and they moved my father, with dementia and with no context of what’s happening, to a different location—without communication to any family members.”

Long-term resident's family · 2026★☆☆☆☆

Source: 76 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.62hrs

82%

Registered nurses for medical care

Total Nursing

3.99hrs

97%

All nurses + aides combined

Staff Turnover

55%

Lower is better (< 30% = good)

RN Turnover

44%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility44.3%

Worse than Avg

Here

44.3%

19.5%

25.4%

Greene

26.4%

😔

Residents with depression symptoms

↓ Lower is better

This Facility10.9%

Better than Avg

Here

10.9%

12.1%

28.2%

Greene

12.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

92.6%

Greene

87.4%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility7.4%

Better than Avg

Here

7.4%

15.4%

9.4%

Greene

15.3%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility24.9%

Worse than Avg

Here

24.9%

19.4%

21.6%

Greene

17.9%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility8.3%

Mixed vs Avgs

Here

8.3%

15.3%

6.9%

Greene

12.8%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility99.0%

Better than Avg

Here

99.0%

79.7%

75.6%

Greene

70.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

78.4%

Greene

73.7%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.9%

Better than Avg

Here

0.9%

1.6%

1.2%

Greene

1.9%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies

2penalties

Well above state avg (10.1)

17 complaint-triggered

$18,699 in fines

This facility shows concerning patterns with families filing complaint reports about abuse/neglect investigations, accident prevention, and medication errors. The 70 deficiencies across recent surveys primarily involve daily care assistance, safety/accident prevention, and medication management. While all cited issues show correction dates, recurring problems with safety and medication errors suggest ongoing challenges, and recent 2025 findings indicate persistent quality concerns that warrant careful evaluation during any visit.

Feb 25, 2026Complaint4 findings

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Feb 28, 2025Routine13 findings

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 28, 2025Complaint1 finding

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 6, 2025Complaint5 findings

0689Actual harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jul 17, 2024Complaint3 findings

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 16, 2024Complaint2 findings

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Federal Penalties

Fine

Jan 6, 2025

$14,505

Fine

May 23, 2023

$4,194

Ownership & Operations

Who Operates This Facility

Owner / Operator

Village at the Greene

Organization Type

for profit

Chain Affiliation

Chain Name

Hcf Management

Chain Size

22 facilities nationwide

Chain avg rating: 3.4/5 · Rank 20 of 22

Ownership & Management

Owners

Hcf Operations, INC

Owner · Organization

100%

Chad M. Unverferth 12-14-11 Irrv Grantor Tr