CCN 366038 · Highland County, Ohio
Greenfield Skilled Nursing and Rehabilitation
238 South Washington Street, Greenfield, OH 45123
Greenfield Skilled Nursing and Rehabilitation is a 50-bed for-profit nursing home in Greenfield, Ohio, first certified for Medicare or Medicaid in 1995. CMS rates it 4 out of 5 stars overall in its September 2026 data, and it averaged 37.1 residents a day, about 74% of its certified beds. It has an active FHA-insured Section 232 loan: $2 million originally, at 3.97%, with $1.8 million outstanding as of September 30, 2026 and maturity in August 2050.
Facility facts
- Certified beds
- 50
- Average residents per day
- 37.1 (74.2% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Greenfield SNF Inc
- Certified since
- Nov 30, 1995
- Chain or affiliated group
- Michael Slyk (7 facilities, chain average 2.9 stars)
- Location
- Rural
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 | 4 of 5 | State spread: 118 at 1, 216 at 2, 180 at 3, 190 at 4, 209 at 5 | |
| Health inspections | 4 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.47 | 3.57 | 3.68 |
| RN hours per resident per day | 0.71 | 0.59 | 0.58 |
| Weekend nurse hours per resident per day | 2.94 | ||
| Nursing staff turnover | 53.1% | 48.5% | 44.9% |
| Occupancy (residents / beds) | 74.2% | 87.2% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 4 (Apr 22, 2026) | ||
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). Greenfield Skilled Nursing and Rehabilitation meets that part today: 4 stars overall, 4 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 |
|---|---|---|---|
| D'amico, DanielIndividual | Direct Ownership Interest | 33% | 12/01/2018 |
| Slyk, MichaelIndividual | Direct Ownership Interest | 67% | 09/01/2022 |
| Mstc Development IncOrganization | Operational / Managerial Control | n/a | 12/01/2018 |
| Ryder, GwynnIndividual | Operational / Managerial Control | n/a | 03/28/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Dec 1, 2018 | Greenfield SNF Inc | Hc SNF LLC |
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 |
|---|---|---|---|---|
| Oct 20, 2022 | 223(a)(7) refinance of a 223(f) loanHUD project name: Greenfield Skilled Nursing and Rehabilitation, 50 beds. Lender at endorsement: Newpoint Real Estate Capital LLC | $1,951,800 | Active: 3.97%, $1,791,972 balanceMatures Aug 1, 2050. Servicer: Newpoint Real Estate Capital | 04622138 |
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.