Montgomery County nursing home profile
Trotwood Health & Rehab LLC
CMS public datasets and CMS inspection records. Measurements are attributed to source files. Nothing here is medical, legal or financial advice.
Where these numbers come from, and what they cannot tell you
Public CMS nursing home and provider datasets, CMS inspection records, and provider-family source captures. These are historical measurements and official-source excerpts, not medical advice, not quality recommendations, not proof of plan network status, and not a check on what any Medicare plan covers. Resting Sycamore is not Medicare.gov and is not endorsed by any government agency.
What does CMS report about Trotwood Health & Rehab LLC at a glance?
The basics, current CMS ratings, and attributed flags in one place.
identity
Trotwood Health & Rehab LLC
4911 COVENANT HOUSE DRIVE, DAYTON, OH 45426 · 9378372651
67 certified beds · For profit - Individual · Medicare and Medicaid certified
67 certified beds · For profit - Individual · Medicare and Medicaid certified
CMS star ratings with state percentile
tick = OH median. Ratings are assigned by CMS.
signal chips
Abuse indicator YesSpecial Focus Facility NoSFF candidate list YesDays with no RN on site 12.2%Nursing turnover 88.9% vs OH 48.7%Fines, 3 yr $76,996trajectory and survey clock
8 QUARTER TREND
Not enough history in available CMS data snapshotCurrent CMS overall rating: 2
LAST INSPECTED
2024-07-232024-07-23. 736 days before the CMS release date.
Attribution. Adverse signals on this page are CMS-attributed measurements from public source snapshots, not Resting Sycamore conclusions.
What stands out in the CMS data for Trotwood Health & Rehab LLC?
A short, field-derived read of the measures surfaced on this page.
Quick read
Trotwood Health & Rehab LLC is a 67 bed For profit - Individual nursing facility in DAYTON, OH. No measure on this facility's public record stands out as above average for OH. CMS cited this facility at the immediate jeopardy level 1 time(s) in the last three years. Immediate jeopardy is the most serious category CMS uses. CMS has applied its abuse indicator to this facility, which it does when a recent inspection cited abuse related deficiencies. Staff stability is the weakest area. CMS recorded 88.9% total nursing turnover against a OH average of 48.7%. If you are considering this facility, the tour questions below were selected from these specific findings.
How does staffing look in the CMS payroll data?
Daily payroll data supports the staffing, weekend and temporary-staff measurements.
care minutes per resident per day, by role
Case-mix adjusted CMS values. Raw total nursing HPRD: 3.28.
weekend gap, derived from PBJ daily rows
Mon
3.5
Tue
3.59
Wed
3.6
Thu
3.49
Fri
3.23
Sat
2.76
Sun
2.8
Weekday 3.48 hrs · Weekend 2.78 hrs · 20.2% lower on weekends
stability and coverage
| Measure | Here | OH |
|---|---|---|
| Total nursing turnover | 88.9% | 48.7% |
| RN turnover | 90.9% | not benchmarked |
| Administrators departed, 12 mo | 1 | not benchmarked |
| Hours from temporary staff | 9.7% | 4.6% |
| Days with no RN on site | 12.2% | not benchmarked |
state staffing standard
OH standard shown for context: 2.5 direct-care HPRD · Ohio nursing home staffing standard, 2.5 direct-care HPRD, as referenced in the RSA facility standards baseline. CMS total nursing HPRD and the state direct-care standard are not identical calculations.
What did recent inspections cite, and is official narrative available?
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J 1
K
L
Actual harm
G
H
I
No harm, potential
D 13
E 8
F 4
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 26, then 28, then 31. Latest survey date: 2024-07-23.
Repeat citations
| Tag | Plain English | Previous | Latest | Sev |
|---|---|---|---|---|
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | prior cycle | latest cycle | D |
| F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | prior cycle | latest cycle | D |
| F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | prior cycle | latest cycle | E |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | prior cycle | latest cycle | D |
| F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | prior cycle | latest cycle | F |
| F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | prior cycle | latest cycle | D |
| F0921 | CMS deficiency tag | prior cycle | latest cycle |
CMS data shows 7 repeat deficiency tags between the latest two cycles.
Recent citations
| Date | Tag | Category | Sev | Found how | Corrected |
|---|---|---|---|---|---|
| 2024-07-23 | F0550 | Resident Rights Deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0580 | Resident Rights Deficiencies | D | standard | 2024-09-03 |
| 2024-07-23 | F0584 | Resident Rights Deficiencies | E | complaint | 2024-09-03 |
| 2024-07-23 | F0600 | Resident protection deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0607 | Resident protection deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0610 | Resident protection deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0657 | Resident Assessment and Care Planning Deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0685 | Quality of Life and Care Deficiencies | D | standard | 2024-09-03 |
| 2024-07-23 | F0689 | Quality of Life and Care Deficiencies | E | complaint | 2024-09-03 |
| 2024-07-23 | F0692 | Quality of Life and Care Deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0727 | Nursing and Physician Services Deficiencies | F | standard | 2024-09-03 |
| 2024-07-23 | F0755 | Pharmacy Service Deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0776 | Administration Deficiencies | D | complaint | 2024-09-03 |
| 2024-07-23 | F0791 | Quality of Life and Care Deficiencies | D | standard | 2024-09-03 |
| 2024-07-23 | F0812 | Nutrition and Dietary Deficiencies | E | complaint | 2024-09-03 |
Official CMS inspection narrative
F0550 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0580 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0584 · 2024-07-23 · severity E
Official inspection narrative not available for this citation.
F0600 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0607 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0610 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0657 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0685 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0689 · 2024-07-23 · severity E
Official inspection narrative not available for this citation.
F0692 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0727 · 2024-07-23 · severity F
Official inspection narrative not available for this citation.
F0755 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0776 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0791 · 2024-07-23 · severity D
Official inspection narrative not available for this citation.
F0812 · 2024-07-23 · severity E
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
This section preserves official CMS inspection text matched to this facility from the current provider page source.
B6-INSP Inspections and official narratives P1 DIFF CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates. CMS scope and severity Isolated Pattern Widespread Immediate jeopardy J 1 K L Actual harm G H I No harm, potential D 13 E 8 F 4 Minimal harm A B C Shaded cells were cited in the latest survey cycle. Down and right is more serious. Deficiency trend Health deficiencies by cycle: 26, then 28, then 31 . Latest survey date: 2024-07-23. Repeat citations Tag Plain English Previous Latest Sev F0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. prior cycle latest cycle D F0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. prior cycle latest cycle D F0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. prior cycle latest cycle E F0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. prior cycle latest cycle D F0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. prior cycle latest cycle F F0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. prior cycle latest cycle D F0921 CMS deficiency tag prior cycle latest cycle CMS data shows 7 repeat deficiency tags between the latest two cycles. Recent citations Date Tag Category Sev Found how Corrected 2024-07-23 F0550 Resident Rights Deficiencies D complaint 2024-09-03 2024-07-23 F0580 Resident Rights Deficiencies D standard 2024-09-03 2024-07-23 F0584 Resident Rights Deficiencies E complaint 2024-09-03 2024-07-23 F0600 Resident protection deficiencies D complaint 2024-09-03 2024-07-23 F0607 Resident protection deficiencies D complaint 2024-09-03 2024-07-23 F0610 Resident protection deficiencies D complaint 2024-09-03 2024-07-23 F0657 Resident Assessment and Care Planning Deficiencies D complaint 2024-09-03 2024-07-23 F0685 Quality of Life and Care Deficiencies D standard 2024-09-03 2024-07-23 F0689 Quality of Life and Care Deficiencies E complaint 2024-09-03 2024-07-23 F0692 Quality of Life and Care Deficiencies D complaint 2024-09-03 2024-07-23 F0727 Nursing and Physician Services Deficiencies F standard 2024-09-03 2024-07-23 F0755 Pharmacy Service Deficiencies D complaint 2024-09-03 2024-07-23 F0776 Administration Deficiencies D complaint 2024-09-03 2024-07-23 F0791 Quality of Life and Care Deficiencies D standard 2024-09-03 2024-07-23 F0812 Nutrition and Dietary Deficiencies E complaint 2024-09-03 Official CMS inspection narrative F0550 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0580 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0584 · 2024-07-23 · severity E Official inspection narrative not available for this citation. F0600 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0607 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0610 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0657 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0685 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0689 · 2024-07-23 · severity E Official inspection narrative not available for this citation. F0692 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0727 · 2024-07-23 · severity F Official inspection narrative not available for this citation. F0755 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0776 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0791 · 2024-07-23 · severity D Official inspection narrative not available for this citation. F0812 · 2024-07-23 · severity E Official inspection narrative not available for this citation. CMS Form 2567 inspection report text The inspection text below is attributed to CMS Form 2567 records when a matching official source is available. Inspection Report: 2024-07-23 This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection. Each 33 is a federal standard the facility failed to meet. Read the full inspection report Survey: 2025-12-22 | Tag F0561 | Resident Rights Deficiencies | Severity: E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. --- Survey: 2025-12-22 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E Ensure the activities program is directed by a qualified professional. --- Survey: 2025-12-22 | Tag F0908 | Environmental Deficiencies | Severity: E Keep all essential equipment working safely. --- Survey: 2025-12-22 | Tag F0921 | Environmental Deficiencies | Severity: F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2025-08-22 | Tag F0584 | Resident Rights Deficiencies | Severity: F Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-08-22 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2025-06-11 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2025-06-11 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-06-11 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D Provide safe, appropriate pain management for a resident who requires such services. --- Survey: 2025-06-11 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2025-06-04 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-03-26 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2025-03-26 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. --- Survey: 2025-03-26 | Tag F0921 | Environmental Deficiencies | Severity: F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2024-07-23 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2024-07-23 | Tag F0685 | Quality of Life and Care Deficiencies | Severity: D Assist a resident in gaining access to vision and hearing services. --- Survey: 2024-07-23 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. --- Survey: 2024-07-23 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D Provide or obtain dental services for each resident. --- Survey: 2024-07-23 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2024-07-23 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-07-23 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. --- Survey: 2024-07-23 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Develop and implement policies and procedures to prevent abuse, neglect, and theft. --- Survey: 2024-07-23 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2024-07-23 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2024-07-23 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-07-23 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D Provide enough food/fluids to maintain a resident's health. --- Survey: 2024-07-23 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-07-23 | Tag F0776 | Administration Deficiencies | Severity: D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. --- Survey: 2024-07-23 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2024-07-23 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. --- Survey: 2024-07-23 | Tag F0880 | Infection Control Deficiencies | Severity: E Provide and implement an infection prevention and control program. --- Survey: 2024-07-23 | Tag F0883 | Infection Control Deficiencies | Severity: E Develop and implement policies and procedures for flu and pneumonia vaccinations. --- Survey: 2024-07-23 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2025-02-27 | Tag F0584 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-02-27 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2025-02-27 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2025-01-22 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-12-03 | Tag F0745 | Quality of Life and Care Deficiencies | Severity: D Provide medically-related social services to help each resident achieve the highest possible quality of life. --- Survey: 2024-12-03 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-06-06 | Tag F0558 | Resident Rights Deficiencies | Severity: D Reasonably accommodate the needs and preferences of each resident. --- Survey: 2024-06-06 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-06-06 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-06-06 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-06-06 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2024-06-06 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2024-06-06 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2024-05-13 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-05-13 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-05-13 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2024-04-11 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-04-11 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2022-11-07 | Tag F0558 | Resident Rights Deficiencies | Severity: D Reasonably accommodate the needs and preferences of each resident. --- Survey: 2022-11-07 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2022-11-07 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. --- Survey: 2022-11-07 | Tag F0625 | Resident Rights Deficiencies | Severity: D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. --- Survey: 2022-11-07 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D Assess the resident when there is a significant change in condition --- Survey: 2022-11-07 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. --- Survey: 2022-11-07 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2022-11-07 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D Provide activities to meet all resident's needs. --- Survey: 2022-11-07 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: G Provide appropriate pressure ulcer care and prevent new ulcers from developing. --- Survey: 2022-11-07 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. --- Survey: 2022-11-07 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2022-11-07 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2022-11-07 | Tag F0868 | Administration Deficiencies | Severity: E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly --- Survey: 2022-11-07 | Tag F0921 | Environmental Deficiencies | Severity: D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2024-01-09 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2023-10-25 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2023-10-25 | Tag F0880 | Infection Control Deficiencies | Severity: F Provide and implement an infection prevention and control program. --- Survey: 2023-09-25 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: E Provide activities to meet all resident's needs. --- Survey: 2023-09-25 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E Ensure the activities program is directed by a qualified professional. --- Survey: 2023-09-25 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G Provide enough food/fluids to maintain a resident's health. --- Survey: 2023-09-25 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2023-08-04 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2023-06-14 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. --- Survey: 2023-06-14 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2023-04-11 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2023-04-11 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. --- Survey: 2023-04-11 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2023-03-15 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2023-03-15 | Tag F0776 | Administration Deficiencies | Severity: D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. --- Survey: 2023-03-15 | Tag F0880 | Infection Control Deficiencies | Severity: D Provide and implement an infection prevention and control program. --- Survey: 2019-12-18 | Tag F0578 | Resident Rights Deficiencies | Severity: D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. --- Survey: 2019-12-18 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2019-12-18 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Develop and implement policies and procedures to prevent abuse, neglect, and theft. --- Survey: 2019-12-18 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2019-12-18 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted --- Survey: 2019-12-18 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2019-12-18 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2019-12-18 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D Provide activities to meet all resident's needs. --- Survey: 2019-12-18 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. --- Survey: 2019-12-18 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2019-12-18 | Tag F0914 | Environmental Deficiencies | Severity: D Provide bedrooms that don't allow residents to see each other when privacy is needed. Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection. Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.
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Ownership data is shown as CMS-reported structure. Low-confidence chain claims are suppressed.
chain rollup, CMS-corroborated
This facility is one of 12 nursing homes in the CMS chain field for HILLSTONE HEALTHCARE.
CHAIN AVG STARS
3.3CHAIN AVG TURNOVER
47.5%CHAIN FINES
$236,704BELOW 3 STARS
3ownership structure
| Owner | Type | Role | % | Since |
|---|---|---|---|---|
| HANDLER, AARON | individual | CORPORATE DIRECTOR | not reported | — |
| BERGSTEN, PAUL | individual | CORPORATE OFFICER | not reported | — |
| DAPORE, MATTHEW | individual | CORPORATE OFFICER | not reported | — |
| BERGSTEN, PAUL | individual | OPERATIONAL/MANAGERIAL CONTROL | not reported | — |
| DAPORE, MATTHEW | individual | OPERATIONAL/MANAGERIAL CONTROL | not reported | — |
| HOFFMAN, JILL | individual | W-2 MANAGING EMPLOYEE | not reported | — |
Ownership change on record: none reported. Correlation claims are not made.
sibling facilities, internal linking
| Other homes, same owner | State | Stars | Turnover | Fines 3 yr |
|---|---|---|---|---|
| BLUE ASH HEALTH & REHAB | OH | 1 | 70.4% | $0 |
Ownership information is self-reported to CMS. Entity-resolution confidence for this page: high. No chain averages are emitted at low confidence.
What questions should you bring on a facility tour?
Use these as practical questions for a facility tour or follow-up call.
selected from this building's own data
| Because the data shows | Ask them |
|---|---|
| No registered nurse on site on 12.2% of days | “If my family member needs a nurse at 2am on a Sunday, who is here and how fast can a nurse get here?” |
| 7 deficiencies were cited at two or more inspections in a row | “What specifically changed after the last inspection, and may I see the plan of correction?” |
| Weekend staffing runs 20.2% below weekday staffing | “Who is on the floor on a Saturday night, and how many residents does each aide cover then?” |
| CMS assessed $76,996 in fines over three years | “What were the most recent fines for, and what did you change in response?” |
| Total nursing turnover is 88.9% against 44.5% statewide | “How long have the director of nursing and the unit charge nurses each been here?” |
| This facility is one of 12 run by the same owner group | “Who makes staffing and budget decisions for this building, the administrator here or the corporate office?” |
Download the printable checklistEmail me a copyAdd my own questions
Which nearby facilities are reasonable alternatives to compare?
This facility stays first, followed by nearby facilities in the current verified provider page set.
sortable, this facility pinned row 1
| Facility | Miles | Stars | RN min | Turnover | Went home | Readmit | Fines 3yr |
|---|---|---|---|---|---|---|---|
| Trotwood Health & Rehab LLC (this one) | 0 | 2 | 23 | 88.9% | Not reported | — | $76,996 |
| MARIA JOSEPH LIVING CARE CENTER | 0.5 | 4 | 38 | 40.8% | Not reported | — | $0 |
| ARC AT TROTWOOD LLC | 1.1 | 1 | 21 | 57.4% | Not reported | — | $0 |
| SIENA WOODS CARE CENTER | 2.3 | 4 | 42 | 62.4% | Not reported | — | $0 |
| AVENTURA AT CARRIAGE INN | 2.3 | 3 | 19 | 55.4% | Not reported | — | $0 |
| CARECORE AT MARY SCOTT | 3.4 | 3 | 32 | 51.4% | Not reported | — | $0 |
| STONESPRING OF VANDALIA | 4.1 | 5 | 36 | 49.4% | Not reported | — | $0 |
Where did this provider data come from, and how can it be corrected?
every dataset, dated
| Dataset | Released | Cadence |
|---|---|---|
| Nursing Home Chain Performance Measures Jun 2026 | 2026-07-15 | periodic |
| Fire Safety Deficiencies | 2026-07-29 | monthly |
| SNF Cost Report 2023 | 2025-12-19 | annual |
| Health Deficiencies | 2026-07-29 | monthly |
| PBJ Daily Nurse Staffing Q1 2026 | 2026-07-29 | quarterly |
| Penalties | 2026-07-29 | monthly |
| Provider Information | 2026-07-29 | monthly |
| Medicare Claims Quality Measures | 2026-07-29 | quarterly |
| MDS Quality Measures | 2026-07-29 | quarterly |
| Ownership | 2026-07-29 | quarterly |
| SNF CHOW Q2 2026 | 2026-07-27 | quarterly |
| Special Focus Facility list + candidate list via Provider Information Special Focus Status field | 2026-07-29 | monthly |
| Survey Summary | 2026-07-29 | monthly |
Data source: CMS, releases as dated above.
methods and corrections
Percentiles are computed from CMS fields in the same source snapshot. Repeat citations are a self-join on CCN and F-tag across consecutive survey cycles. Chain grouping uses CMS chain fields and CMS ownership rows, biased to low confidence when uncertain. Ownership information is self-reported to CMS.
Not connected with or endorsed by the United States government or the federal Medicare program.
Not connected with or endorsed by the United States government or the federal Medicare program.
This form prepares a copy-ready correction request. Final intake, review, and page changes remain part of the approved human correction/removal process.
method questions
Where does this data come from? Data source: CMS public datasets, with release dates listed above.
How can a facility operator request a correction? Use this form to request a correction or removal.
What disclosures apply to this facility page?
required disclosures, verbatim
Not connected with or endorsed by the United States government or the federal Medicare program · Data source: CMS, with release dates · Ownership information is self-reported to CMS · Request a correction · Nothing here is medical, legal or financial advice