GREEN HILLS CENTER (WEST LIBERTY, OH) has a 4 out of 5 star overall rating, with strong quality measures but weaker staffing at 2 stars and reported nurse staffing below the federal benchmark (3.73 vs 4.1 hours per resident per day). It had 0 fines in the last 24 months and a 3-star health inspection rating, with recent citations in accident prevention/supervision, care plan completion, and food handling.
Last inspection: September 11, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7345.
Staffing detail
Registered nurses
0.69
Licensed practical nurses
0.89
Nurse aides
2.16
Weekend nursing
3.43
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
10.6%9.8%Improving
Residents with a fall causing major injury
4.8%4.8%No change
Residents with pressure ulcers (bedsores)
2%1.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
12.3%3.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.7%9.1%Worsening
Residents whose ability to walk got worse
3.5%10.7%Worsening
Long-stay residents on antianxiety or sleep medication
28.1%31.6%Worsening
Short-stay residents newly given an antipsychotic
0%2.9%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.7%41.9%Worsening
Residents with depressive symptoms
34.5%31.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
98.4%87.1%Worsening
Short-stay residents given the seasonal flu vaccine
—87.1%—
Short-stay residents given the pneumonia vaccine
88.5%92.2%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2019 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: D
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited September 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,801 in total fines.
Federal fine
Jan 22, 2024
$16,801
Operator & ownership
Ownership
Non profit - Other
Chain
Part of OTTERBEIN SENIORLIFE · 19 homes · 2.9 stars avg
Occupancy
69.4 residents on an average day (94% of 74 beds)
Resident voice
Resident council
Medicare history
Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.