Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The Manor At Greendale during CMS and state inspections, most recent first.
The facility failed to serve meals simultaneously to residents seated at the same table, affecting several residents in both the main and memory care dining rooms. Observations and interviews confirmed delays of up to 22 minutes, causing discomfort among residents who preferred to be served together.
The facility failed to ensure proper infection control practices, including hand hygiene during meal tray distribution, PPE use for a resident on droplet precautions, and sanitary management of a catheter bag. Staff were observed not performing hand hygiene and not wearing PPE, affecting multiple residents. Additionally, a catheter bag was seen dragging on the floor, with no specific facility policy in place for catheter infection control.
A resident with a history of falls and multiple health conditions had a care plan intervention for their bed to be in the lowest position to reduce fall risk. However, observations over several days showed the bed was consistently in the highest position, confirmed by staff interviews. This failure to adhere to the care plan intervention resulted in a deficiency.
A resident with respiratory conditions was found unresponsive with a nasal cannula off and oxygen saturation at 82%, below the ordered level. Staff were unaware of the specific oxygen orders, and a pulse oximeter was not immediately available. The resident's oxygen was adjusted by a respiratory therapist, improving saturation levels.
A resident's medication was improperly stored in the top drawer of the E-Hall medication cart, as confirmed by the DON. The resident had a complex medical history, including pancreatic cancer and COPD. The facility's policy requires medications to be stored safely and securely, which was not followed.
A facility failed to maintain accurate and complete documentation for a resident with multiple diagnoses, including infection and diabetes. The resident's medical record contained inconsistent and incomplete information about several wounds, with varying measurements and descriptions across different progress notes. A nurse admitted to falsely documenting a wound evaluation without completing it, violating the facility's documentation policy.
Failure to Serve Meals Simultaneously to Residents
Penalty
Summary
The facility failed to ensure that residents seated at the same table were served meals together, affecting several residents in both the main dining room and the memory care dining room. Observations revealed that meals were delivered from the kitchen on a cart, but not all residents at the tables were served simultaneously, resulting in a time lapse of up to 10 minutes. Interviews with Certified Nursing Assistants confirmed that certain residents were not served at the same time as their tablemates. Residents expressed their preference to be served together, indicating discomfort with the current practice. In the memory care unit, a similar issue was observed where a resident waited 22 minutes for her meal while her tablemate was already eating. This delay was confirmed by a CNA who had to retrieve an additional cart of meal trays from the kitchen. The affected residents were cognitively intact and required minimal assistance with eating, highlighting the importance of serving meals simultaneously to maintain their dignity and respect their preferences.
Infection Control Deficiencies in Hand Hygiene, PPE Use, and Catheter Management
Penalty
Summary
The facility failed to ensure proper hand hygiene practices were followed by staff during meal tray distribution on the C-Hall. Observations revealed that a CNA and an LPN delivered lunch trays to multiple residents without performing hand hygiene before or after the delivery. This was confirmed by interviews with the staff involved, despite one LPN denying the failure. The lack of hand hygiene affected several residents and had the potential to impact all residents receiving meal trays on the C-Hall. Additionally, the facility did not ensure that staff wore appropriate personal protective equipment (PPE) when entering the room of a resident on droplet precautions. Observations showed that two CNAs entered the room of a resident with multiple health conditions, including MRSA, without donning any PPE, despite facility policy requiring masks and gloves for such precautions. Interviews with the CNAs confirmed the failure to wear PPE. The facility also failed to maintain a resident's catheter collection bag in a sanitary manner. The catheter bag was observed dragging on the floor while the resident was being transported in a wheelchair, which was acknowledged as an infection control issue by the CNA involved. The facility lacked a specific policy regarding catheter infection control, as confirmed by the Administrator.
Failure to Maintain Bed in Lowest Position for Fall Risk Resident
Penalty
Summary
The facility failed to ensure that a resident's bed was consistently maintained in the lowest position as per the care plan intervention to reduce the risk of falls. This deficiency affected a resident who was admitted with multiple diagnoses, including acute and chronic respiratory failure, pneumonia, chronic obstructive pulmonary disease, asthma, and sleep apnea. The resident was alert, oriented, able to communicate clearly, continent of bowel and bladder, had a history of falls, and was at moderate risk for skin breakdown with a Braden score of 17. The care plan specifically included an intervention for the bed to be in the lowest position to mitigate fall risks. Despite this intervention, multiple observations over several days revealed that the resident's bed was consistently found in the highest position. These observations were confirmed by interviews with various staff members, including a CNA and two LPNs, who verified the bed's incorrect positioning. The facility's Fall Reduction Policy, which mandates that fall risk assessment outcomes be incorporated into the resident's care plan, was not adhered to in this instance, leading to the deficiency.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to ensure that oxygen was administered as ordered for Resident #222, who was admitted with diagnoses including acute and chronic respiratory failure with hypoxia, pneumonia, chronic obstructive pulmonary disease, asthma, and sleep apnea. The physician's order specified that oxygen should be administered at five liters per minute via nasal cannula to maintain oxygen saturation above 90%, with the option to increase to 10 liters per minute for mobility needs. However, during an observation, the resident was found unresponsive with a nasal cannula resting on her chest and the oxygen concentrator set to 8 liters per minute. The resident's oxygen saturation was recorded at 82%, which was below the required level. Interviews with staff revealed a lack of awareness regarding the specific oxygen orders for Resident #222. A CNA was unaware of the orders, and an LPN confirmed the resident's decreased level of consciousness and was unsure of the oxygen orders. The LPN attempted to arouse the resident and placed the nasal cannula back into her nose but did not have a pulse oximeter readily available. After obtaining a pulse oximeter, the LPN confirmed the low oxygen saturation and sought assistance from a respiratory therapist. The respiratory therapist adjusted the oxygen flow rate, resulting in an improved oxygen saturation level. The facility's policy on medication administration indicated that medications, including oxygen, should be administered according to physician orders, which was not adhered to in this instance.
Improper Medication Storage in E-Hall Medication Cart
Penalty
Summary
The facility failed to ensure that medication was stored appropriately, affecting a resident who received medication from the E-Hall medication cart. During an observation, it was found that two capsules, identified as Zenpep Oral Capsule Delayed Release Particles 40000-126000 unit, were improperly stored in the top drawer of the medication cart. This was confirmed by the Director of Nursing (DON) during an interview, who verified that the capsules belonged to the resident. The resident involved had a complex medical history, including malignant neoplasm of the pancreas, secondary malignant neoplasm of bone, malnutrition, COPD, asthma, lumbar radiculopathy, hypertension, depression, insomnia, GERD, hyperlipidemia, anemia, and neuropathy. The facility's policy on medication storage, dated 02/11/21, mandates that medications and biologicals be stored safely, securely, and properly, which was not adhered to in this instance.
Incomplete and Inaccurate Documentation of Resident's Wounds
Penalty
Summary
The facility failed to ensure accurate and complete documentation in the medical records of a resident, which was identified during a review of 18 records. Specifically, the medical record of a resident with multiple diagnoses, including infection, asthma, and diabetes, was found to have incomplete and inconsistent documentation regarding the resident's wounds. Upon admission, several wounds were noted, but descriptions and measurements were either missing or inconsistent across different progress notes. For instance, a surgical wound on the left medial ankle was documented with varying measurements and descriptions in different notes, and a late entry by a registered nurse revealed additional details that were not initially recorded. Furthermore, an interview with the registered nurse responsible for the documentation revealed that the nurse admitted to falsely documenting a wound evaluation without completing it, acknowledging the documentation was incomplete. The facility's policy on documentation requires a complete and accurate account of the resident's signs and symptoms, which was not adhered to in this case. This deficiency in documentation directly affected the resident's medical record, leading to discrepancies in the recorded information about the resident's condition and care.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Findlay
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fox Run Manor | 2 mi | ★★★★★ | 0 | 0 |
| Birchaven Retirement Village | 2 mi | ★★★★★ | 4 | 0 |
| Heritage The | 3.3 mi | ★★★★★ | 10 | 0 |
| Briar Hill Health Campus | 9.2 mi | ★★★★★ | 0 | 0 |
| Serenity Spring Senior Living At Arlington | 11.2 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.