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Complaint Investigation

Edgewood Manor Of Greenfield

May 28, 2026 · Greenfield, OH · 850 Nellie Street
Citations 2
CMS Rating 2/5
Beds 60
Provider ID 365221
Healthcare Facility
Edgewood Manor Of Greenfield
Greenfield, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

EDGEWOOD MANOR OF GREENFIELD in GREENFIELD, OH — inspection on May 28, 2026.

Found 2 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

FF0677
Quality of Life and Care Deficiencies

Review of Resident #32's Medicare 5-day Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating a moderately impaired cognition for daily decision-making abilities. Resident #32 was noted to be dependent of staff for bathing, dressing and toileting hygiene.

Review of the facility's current bathing schedule revealed Resident #32 was scheduled to receive a bath or shower twice a week on Wednesday and Saturday's nights.

Review of the bathing task for Resident #32 from 03/01/26 through 05/24/26 revealed there was a 10-day span between 03/25/26 through 04/05/26 where no bath or shower was documented as being offered, received, or refused.

Interview on 05/27/26 at 3:10 P.M. with the Director of Nursing verified there was a 10-day span where Resident #32 was not noted to have received or been offered a bath or shower. Resident #32 was noted to still be at the facility during this time.

The DON claimed they were not sure why Resident #32 would not have received a bath or shower during that time frame.

Review of the facility policy titled Shower/Tub Bath, revised on 02/2018 revealed that the purpose of this procedure is to provide cleanliness, provide comfort to the resident and to observe the condition of the resident's skin.

Noted under Documentation section of this policy was the information to be documented when a bath or shower was completed which included the date and time the bath or shower was performed, name and title of the individual who assisted along with if the resident refused the bath or shower and any interventions taken.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

365221 05/28/2026

Edgewood Manor of Greenfield 850 Nellie Street Greenfield, OH 45123

Review of the plan of care dated 05/10/26 and revised 05/11/26 revealed Resident #32 was at risk for falls and had an actual fall with no injury.

Interventions related to fall safety included keeping a call light in reach.

Review of Resident #32's Medicare 5-day Minimum Data Set (MDS) 3.0 assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 10 out of 15 indicating a moderately impaired cognition for daily decision-making abilities. Resident #32 was noted to be dependent of staff for bathing, dressing and toileting hygiene.

Observation on 05/26/26 at 4:00 P.M. of Resident #32's room revealed resident was out of room at that time. A push pad call light was noted to be on the floor under the room divider curtain and not within reach if needed.

Observation on 05/27/26 at 9:36 A.M. revealed Resident #32 laying supine in bed with the bed in the lowest position, the left side of the bed up against the wall and the right side of the bed had a fall mat on the floor next to the bed. A touch pad call light was observed on the floor under the room divider curtain as observed the previous day.

Interview on 05/27/26 at 9:39 A.M. with Licensed Practical Nurse (LPN) #2 verified Resident #32's call light was on the floor and not within reach. LPN #2 claimed call lights should be within reach at all times.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GREENFIELD, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from EDGEWOOD MANOR OF GREENFIELD or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

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.