Village At The Greene
VILLAGE AT THE GREENE in DAYTON, OH — inspection on February 25, 2026.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Discharge, and Room Change, stated it would be the responsibility of the Director of Nursing to assure
policy stated residents for discharge included: 1) welfare and needs cannot be met in the Manor 2)
the safety of other individuals in the Manor would otherwise be endangered, 4) the health of ither individuals in the Manor would otherwise be endangered, 5) resident has failed to pay, or to have payment made on their behalf, for the care provided by the Manor, 6) the Manor's license has been revoked, the Manor is being closed, or otherwise ceases to operate, or 7) resident is recipient of Medicare, Medicaid, or Veteran's Affair benefits and the Manor's participation in such program is terminated or denied.
The policy stated the Manor's policy to notify residents and/or responsible party in writing, by certified mail, return receipt requested, in advance to any proposed transfer or discharge from the Manor.
The notice shall be provided at least thirty days in advance of the proposed transfer or discharge.This deficiency represents non-compliance investigated under Complaint Number 2631508.
365497 02/25/2026
Village at the Greene 4381 Tonawanda Trail Dayton, OH 45430
Review of the medical record revealed a discharge date of 10/16/25.
Review of the medical record revealed a quarterly Minimum Data Set (MDS) assessment dated [DATE], which indicated Resident #48 was cognitively intact and was dependent upon staff for bathing, toilet hygiene, bed mobility and transfers and required set-up assistance with eating.
Review of the medical record for Resident #48 revealed no documentation to support a discharge summary/recapitulation of stay was completed or the facility obtained physician orders for the residents discharge from the facility on 10/16/25. 2.
Review of the medical record for Resident #52 revealed an admission date of 07/05/24 with medical diagnoses of multiple sclerosis, left hemiplegia, cerebral infarction, diabetes mellitus, and chronic kidney disease stage IV.
Further review, revealed Resident #52 was transferred to the hospital on [DATE], readmitted to the facility on [DATE], and then discharged to another facility on 09/24/25.
Review of the medical record for Resident #52 revealed a quarterly MDS assessment, dated 06/30/25, which indicated Resident #52 was cognitively intact and was dependent for bed mobility, bathing, toileting and transfers.
The MDS indicated Resident #52 received nutrition via tube feeding.
Review of the medical record for Resident #52 revealed no documentation to support a discharge summary/recapitulation of stay was completed or the facility obtained physician orders for the resident's discharge from the facility on 09/24/25.
Interview on 02/25/26 at 10:15 A.M. with Director of Nursing (DON) confirmed the medical records for Residents #48 and #52 did not contain documentation to support the facility completed discharge summary/recapitulation of stay or obtained physician orders prior to discharges.
Review of the facility policy titled, Admissions, Transfers, Discharge, and Room Change, stated it would be the responsibility of the Director of Nursing to assure that resident discharges are made only upon the physician's written order unless the resident is leaving AMA and that transfers and discharges are documented in the resident's clinical record.
Review of the facility policy titled, Discharge Summary, stated when the Manor (facility) anticipates discharge of a resident they must have a discharge summary that includes recapitulation of resident's stay, a final summary of the resident's health status at the time of discharge that is available for release to authorized persons and agencies, with consent of the resident or representative, reconciliation of all pre-discharge medications with the resident's post-discharge medications, and a post discharge plan of care that was developed with the participate of the resident and his/her family, which will assist the resident to adjust to his/her new living environment.
This deficiency was based on incidental findings discovered during the course of this complaint investigation.
365497 02/25/2026
Village at the Greene 4381 Tonawanda Trail Dayton, OH 45430
Review of the care plan for Resident #09, dated 12/08/25 revealed resident had altered cardiovascular status r/t Hypertension, iron deficiency anemia with intervention of to give oxygen as ordered by the physician.
Further review of the care plan, dated 12/08/25 revealed resident had altered respiratory status/difficulty breathing related to sleep apnea and chronic obstructive pulmonary disease (COPD) with intervention of provide oxygen as ordered.
Review of admission Medicare 5-Day Minimum Data Set (MDS) dated [DATE] revealed Resident #09 was cognitively intact. Resident #09 required set-up assistance with eating and oral hygiene. Resident #09 required supervision assistance with personal hygiene.
Resident required partial assistance with bathing. Resident #09 required substantial assistance with toileting hygiene, bed mobility, and transfers. Resident #09 was dependent on staff assistance with dressing and wheelchair. Resident #09 used oxygen therapy.
Review of the physician orders for Resident #09 revealed no physician order to a c-pap machine.
Further review revealed no physician order for oxygen administration.
Review of the clinical admission progress note dated 12/07/25 at 12:10 A.M. revealed Resident #09 on oxygen (O2) via mask with oxygen saturation at 94 %.
Review of the skilled evaluation note dated 12/25/25 at 3:43 A.M. revealed Resident #09 on oxygen (O2) via continuous positive airway pressure (CPAP) oxygen saturation at 93%.
Review of the skilled evaluation note dated 01/03/26 at 2:58 A.M. revealed Resident #09 on oxygen (O2) via nasal cannula with oxygen saturation at 95%.
Review of the skilled evaluation note dated 02/01/26 at 10:16 A.M. revealed Resident #09 on oxygen (O2) via nasal cannula with oxygen saturation at 92%.
Review of the skilled evaluation note dated 02/08/26 at 10:52 A.M. revealed Resident #09 on oxygen (O2) via nasal cannula with oxygen saturation at 96%.
Review of the skilled evaluation noted dated 02/11/26 at 12:33 A.M. revealed Resident #09 was on room air with oxygen saturation at 96%.
Review of the skilled evaluation noted dated 02/22/26 at 8:44 A.M. revealed Resident #09 was on room air with oxygen saturation at 90%.
Observation on 02/23/26 at 9:40 A.M. revealed a CPAP machine, and oxygen concentrator and a portable oxygen tank in Resident #09's room.
All of the items were off and not in use.
Observation on 02/24/26 at 7:06 A.M. revealed Resident #09 in bed with CPAP mask on resident with oxygen on at 2 liters attached through CPAP tubing with CPAP on at 6 cmH20.
Interview on 02/24/26 at 7:15 A.M. with Resident #09 revealed uses her CPAP with oxygen attached every night while sleeping.
Interview with Resident #09 also confirmed she uses two liters of oxygen and she has used both since admission.
Observation on 02/25/26 at 7:08 A.M. revealed Resident #09 in bed with CPAP mask on resident with oxygen on at 2 liters attached through CPAP tubing with CPAP on at 6 cmH20.
Interview on 02/25/26 at 7:47 A.M. with Licensed Practical Nurse (LPN) #132 confirmed Resident #09 uses her CPAP and oxygen every night and it is removed by staff off the resident in the morning when she wakes up.
Interview also confirmed the resident did not have a physician's order for the CPAP setting of 6cmH20 or the oxygen of 2 liters.
Interview on 02/25/26 at 11:48 A.M. with the Director of Nursing (DON) confirmed Resident #09 is on oxygen and has oxygen in her room.
Interview on 02/25/26 at 12:00 P.M. with the DON confirmed Resident #09 has not had a physician's order for oxygen or a physician's order for the CPAP use since admission on [DATE].
Review of the Oxygen Policy, dated 11/2022 revealed oxygen will be used in a safe manner.
This deficiency represents non-compliance investigated under Complaint Number 1319833 (OH00165332).
365497 02/25/2026
Village at the Greene 4381 Tonawanda Trail Dayton, OH 45430
Services, stated Occupational, Physical, and Speech Therapy services are ordered by a physician, or
functional performance through specialized therapy interventions and to transition to restorative
between therapy services and the interdisciplinary team.
This deficiency represents non-compliance investigated under Complaint Number 2631508.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.