CCN 365362 · Logan County, Ohio
Green Hills Center
6557 US 68 South, West Liberty, OH 43357
Green Hills Center is a 74-bed nonprofit nursing home in West Liberty, Ohio, first certified for Medicare or Medicaid in 1977. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 72.6 residents a day, about 98% of its certified beds. It has an active FHA-insured Section 232 loan: $8.5 million originally, at 2.51%, with $7.7 million outstanding as of September 30, 2026 and maturity in January 2057.
Facility facts
- Certified beds
- 74
- Average residents per day
- 72.6 (98.1% of beds)
- Ownership type
- Non profit - Other
- Certification
- Medicare and Medicaid
- Legal business name
- West Liberty Care Center Inc
- Certified since
- Oct 13, 1977
- Chain or affiliated group
- Otterbein Seniorlife (20 facilities, chain average 3.1 stars)
- Location
- Rural, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Ohio median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 3.53 | 3.57 | 3.68 |
| RN hours per resident per day | 0.57 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 3.16 | ||
| Nursing staff turnover | not reported | 48.5% | 44.9% |
| Occupancy (residents / beds) | 98.1% | 87.2% | 85.7% |
| Fines reported by CMS | 1 totaling $16,801 | ||
| Health deficiencies, latest standard survey | 6 (Sep 11, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Green Hills Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Otterbein Lsc, LLCOrganization | Direct Ownership Interest | 100% | 12/23/2024 |
| Otterbein HomeOrganization | Indirect Ownership Interest | 100% | 12/23/2023 |
| Daniels, NicoleIndividual | Operational / Managerial Control | n/a | 07/01/2025 |
| Kratz, CharlesIndividual | Operational / Managerial Control | n/a | 12/23/2024 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Dec 29, 2021 | 223(a)(7) refinance of a construction loanHUD project name: Green Hills Community, 159 beds. Lender at endorsement: Merchants Capital Corp. | $8,488,200 | Active: 2.51%, $7,738,309 balanceMatures Jan 1, 2057. Servicer: Vium Capital Mortgage LLC | 04343143 |
| Jun 17, 2010 | 223(f) refinance or purchaseHUD project name: Green Hills Retirement Center, 145 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $9,200,000 | Ended Dec 29, 2021Prepayment | 04322046 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.