Greenbriar Nursing Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

51.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 53 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 54.5% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 44 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.40 therapist hours per resident per day in 2026Q1 — more than 69% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 8% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 74 beds and averages 66.9 residents a day — about 90% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.18 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.34 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.89 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.92 hrs/resident/day on weekends vs 3.29 on weekdays — 11% thinner on weekends. RN hours go from 0.38 to 0.25 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 34% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · Dcited before2026-05-14 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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.Findings include:Review of the medical record revealed Resident #68 was admitted to the facility on [DATE] and expired in the facility on [DATE]. Diagnoses included pulmonary fibrosis and congestive heart failure (CHF). The Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed Resident #68 had moderately impaired cognition.Review of the physician progress notes dated [DATE] revealed Nurse Practitioner (NP) #190 assessed Resident #68 related to reports of acute cough and congestion, worsening over the last several days. Plan of care included to continue as needed (PRN) medications for cough and new orders for a chest x-ray.Resident #68 had physician…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-14 · tag F0776 — isolated
  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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.Findings include:Review of the medical record revealed Resident #68 was admitted to the facility on [DATE] and expired in the facility on [DATE]. Diagnoses included pulmonary fibrosis and congestive heart failure (CHF). Review of the care plan dated [DATE] revealed Resident #68 had altered respiratory status and difficulty breathing related to CHF and pulmonary fibrosis. Interventions included obtaining and monitoring labs and diagnostic work as ordered.The physician progress notes dated [DATE] revealed Nurse Practitioner (NP) #188 assessed Resident #68 as a follow-up to the chest x-ray obtained [DATE] for dyspnea. Abnormal chest x-ray showed interstitial nodular fibrosis. Plan of care included new orders for outpatient chest Computed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-11-20 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: Medical record for Resident #75 revealed an admission on [DATE] with diagnoses including but not limited to hypertension, type two diabetes mellitus with diabetic neuropathy, peripheral vascular disease, and congestive heart failure. Resident #75 was transferred to the hospital on [DATE] and did not return to the facility. Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] for Resident #75 revealed cognitive impairment. Resident #75 required supervision for eating and minimal assistance with bed mobility, transfers and toileting. Resident #75 was coded in section M of the MDS as being at risk for developing pressure ulcers and coded for as having one more unhealed pressure ulcers. Resident #75 was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-02-27 · tag F0644 — isolated
  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: 1. Review of the medical record for Resident #02 revealed an admission date of 08/16/24 with diagnoses including anxiety disorder, major depressive disorder, schizoaffective disorder, type two diabetes mellitus, cerebral infarction, and epilepsy. Review of the Minimum Data Set (MDS) assessment for Resident #02 dated 01/02/25 revealed the resident was severely cognitively impaired and required assistance with activities of daily living (ADLs.) Review of the PASARR for Resident #02 dated 08/19/24 revealed the resident had mood disorders and panic or other severe anxiety disorders but did not include the resident's diagnosis of schizoaffective disorder. Interview 02/25/24 at 11:18 A.M. with the Administrator…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-02-27 · tag F0757 — failed to avoid unnecessary drugs — isolated
  Ensure each resident’s drug regimen must be free from unnecessary drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Review of the medical record for Resident #16 revealed an admission date of 12/26/23 with diagnoses including end stage renal disease, chronic obstructive pulmonary disease, and hyperlipidemia. Review of the Minimum Data Set (MDS) assessment for Resident #16 dated 12/16/24 revealed the resident was cognitively intact, required staff assistance with activities of daily living (ADLs), and received anticoagulant medication. Review of the care plan for Resident #16 dated 05/01/24 revealed the resident was on an anticoagulant related to a history of stroke. Interventions included the following: administer medications as ordered, monitor for side effects, include the resident in the treatment plan, monitor vital…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-21 · tag F0680 — pattern
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based 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. Findings include: Interview on 02/21/24 at 2:16 P.M. with the AD #154 confirmed she did not have the required certification to be an AD. AD #154 stated she was informed that the facility would provide the education to meet the qualifications to become a Certified AD; however, the facility had not provided the funds to complete the education. Interview on 02/21/24 at 3:07 P.M. with the Administrator, confirmed AD #154's background, experience, and education failed to meet the qualifications of a Certified AD. Review of the personnel record for AD #154 revealed she was hired as the facility's AD on 06/05/23. AD #154 did not have a certification in AD or the appropriate training…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-12-05 · tag F0685 — isolated
  Assist a resident in gaining access to vision and hearing services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings included: Review of the medical record for Resident #112 revealed an admission date of 01/21/13 with medical diagnoses of cerebral palsy, restless leg syndrome, paraplegia, anxiety, and depression. Review of the medical record for Resident #112 revealed a quarterly Minimum Data Set (MDS), dated [DATE], which indicated Resident #112 was cognitively intact and was dependent upon staff for toileting, bathing, bed mobility and transfers. Review of the medical record for Resident #112 revealed an Optometrist note, dated 09/25/23, which stated Resident #112's assessment revealed low vision to right eye, normal vision to left eye, ocular hypertension to left eye, retinal hemorrhage right eye and pseudophakia (fake lens) to both eyes and requested a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-11-29 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings included: Review of the medical record for Resident #100 revealed an admission date of 05/17/23 with medical diagnoses of chronic obstructive pulmonary disease (COPD), hypertension and dementia. Review of the medical record for Resident #100 revealed a significant change Minimum Data Set (MDS), dated [DATE], which indicated Resident #100 had severe cognitive impairment and required supervision with eating and supervision with dressing, transfers, and toileting. The MDS revealed no weight was documented and no weight loss noted. Review of the medical record for Resident #100 revealed no documentation to support her weight was obtained upon admission [DATE]. Further review revealed a weight on 07/01/23 at 117.2 pounds, on 10/02/23 at 103.8…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-11-29 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings included: 1. Review of the medical record for Resident #54 revealed an admission date of 06/14/22 with medical diagnoses of chronic respiratory failure, hypertension (HTN), hypothyroidism, and epilepsy. Review of the medical record for Resident #54 revealed a quarterly Minimum Data Set (MDS), dated [DATE], which indicated Resident #54 had moderate cognitive impairment and was dependent upon staff for bed mobility, dressing, toileting, and bathing, required extensive staff assistance for transfers, and set-up assistance with eating. Review of the MDS revealed no weight documented. Review of the medical record for Resident #54 revealed a nutritional risk care plan, dated 06/26/22, which indicated the facility would…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2022-04-11 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based 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. Findings include: 1. Review of the medical record for Resident #95 revealed an admission date of 02/17/22. Diagnoses included paroxysmal atrial fibrillation, cognitive communication deficit, metabolic encephalopathy, type II diabetes mellitus, end stage renal disease and dependence on renal dialysis. Review of the discharge-return modification admission minimum data set (MDS) assessment dated [DATE] revealed Resident #95 had moderate cognition deficit. The assessment indicated she was administered oxygen. Review of the physician…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$28,626 in federal fines across 1 penalty.

• $28,626 — penalty dated 2025-04-11

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIONSTONE CARE — 24 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 24 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted.

9 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $241K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH