Green Hills Center: Dialysis Care Failure Cited - OH
Federal health inspectors visited Green Hills Center on September 11, 2025, responding to a complaint. By the time they left, they had cited the facility for six separate deficiencies. One of them involved dialysis, a treatment that keeps people alive by doing the work a failing kidney no longer can.
The citation fell under a category inspectors use specifically for dialysis: whether a facility provides safe and appropriate care for residents who require those services. Inspectors determined Green Hills Center did not.
The severity level assigned was a D, meaning inspectors found no documented actual harm to the resident involved, but concluded the potential for more than minimal harm existed. That distinction matters. A D-level finding is not a near-miss in the casual sense. It means a gap in care was present, it affected a real person, and something worse could have followed.
The inspection report does not describe what specifically went wrong. It does not name the resident, describe what dialysis services were at issue, or explain how the failure was identified. What it establishes is that the deficiency existed, that it was isolated rather than widespread, and that inspectors believed the resident faced real risk.
Dialysis is not a treatment with much margin. Patients who depend on it typically receive it multiple times a week, often for three to four hours at a stretch, because their kidneys have lost the ability to filter waste and fluid from their blood. Miss a session, administer it incorrectly, fail to monitor a patient properly during or after treatment, or neglect the access point where needles or catheters enter the body, and the consequences can move quickly from serious to catastrophic. Infections at dialysis access sites can reach the bloodstream. Fluid and electrolyte imbalances can affect the heart.
A nursing home resident requiring dialysis is, almost by definition, someone already managing multiple serious conditions. The overlap between end-stage kidney disease and the kinds of conditions that bring people to long-term care facilities in the first place means these are not patients who can absorb errors easily.
Green Hills Center reported a correction date of November 27, 2025, roughly two and a half months after the inspection. The report does not describe what the facility changed, retrained, or put in place to address the deficiency.
The dialysis citation was one of six deficiencies found during the September visit. The inspection report reviewed for this article does not detail the other five. What the record shows is that a complaint brought inspectors to the door, and inspectors left with a list.
Complaint inspections are not routine. They are triggered, meaning someone, whether a resident, a family member, a staff member, or someone else with knowledge of conditions inside the facility, contacted regulators with a concern serious enough to send surveyors out. The inspection that followed produced six citations, including one involving the safety of a person whose survival depends on a machine doing what their body cannot.
The facility has until late November to demonstrate the problem has been corrected. Whether the resident at the center of the dialysis citation received the care they needed in the weeks before inspectors arrived, during the inspection period itself, or in the months since, the report does not say.
What it says is that someone required dialysis, and the care provided was not what it should have been.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Green Hills Center from 2025-09-11 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 21, 2026 · Our methodology
GREEN HILLS CENTER in WEST LIBERTY, OH was cited for violations during a health inspection on September 11, 2025.
Federal health inspectors visited Green Hills Center on September 11, 2025, responding to a complaint.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.