nursing home in Dayton, OH
Trotwood Health & Rehab LLC
4911 Covenant House Drive, Dayton, OH 45426 · (937) 837-2651
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★5
- Special Focus candidate
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Trotwood Health & Rehab LLC at a glance
Trotwood Health & Rehab LLC is a 67-bed for-profit nursing home in Dayton, Ohio (Montgomery County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Ohio average of 3.2.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.7 hours.
Its most recent standard health inspection (June 16, 2026) found 28 health citations. The Ohio average is 10.3.
Federal regulators fined it 2 times in the past three years, totaling $130,712.
Nursing staff turnover is 88.9% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 67
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Bao Opco Holdings
- Medicare-certified since
- December 20, 1977
- Resident/family council
- Resident
- County
- Montgomery County
- CMS Certification Number
- 365364
Ratings
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.2 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.4 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 4.4 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4.8 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.28 hrs | 3.69 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.64 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.70 hrs | 2.09 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.78 hrs | 3.28 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 88.9% | 48.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 90.9% | 43.9% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 28 | 10 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 6 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 342.3 | 80.7 | 80.6 | Worse |
Penalties
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $130,712 | $26,381 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 67 | 88 | 107 | |
| Average residents per day | 30 | 74 | 86 | |
| Occupancy | 44.5% | 84.3% | 80.9% |
Long-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.9% | 3.2% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.2% | 3.4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.2% | 8.8% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 0.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.2% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 1.3% | 5.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 3.2% | 6.1% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.9% | 6.2% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 83.8% | 30.1% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.1% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 24.7% | 25.5% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 9.7% | 21.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 90.7% | 94.5% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 83.6% | 92.7% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Ohio avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 31% | 78.5% | 82% | Worse |
Inspection citations
State inspectors cited this home for 96 health deficiencies and 57 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected June 30, 2026 |
| June 16, 2026 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected June 26, 2026 |
| June 16, 2026 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected July 1, 2026 |
| June 16, 2026 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected June 30, 2026 |
| June 16, 2026 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected June 30, 2026 |
| June 16, 2026 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | E Potential harm, pattern | Corrected June 30, 2026 |
| June 16, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected June 30, 2026 |
| June 16, 2026 Fire safety | Provide at least two remote exits on each floor or fire section of the building. Egress Deficiencies · Tag K0252 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected July 1, 2026 |
| June 16, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 10, 2026 |
| June 16, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected July 23, 2026 |
| June 16, 2026 Standard | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0606 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected July 16, 2026 |
| June 16, 2026 Standard | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Nutrition and Dietary Deficiencies · Tag F0807 | E Potential harm, pattern | Corrected July 16, 2026 |
| June 16, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected July 16, 2026 |
| June 16, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected July 16, 2026 |
| June 16, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected July 16, 2026 |
| April 30, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected May 1, 2026 |
| December 22, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected January 30, 2026 |
| December 22, 2025 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 22, 2025 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 22, 2025 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected January 30, 2026 |
| December 18, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 23, 2025 |
| December 18, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected December 23, 2025 |
| December 18, 2025 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | F Potential harm, widespread | Corrected December 23, 2025 |
| December 18, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | F Potential harm, widespread | Corrected December 23, 2025 |
| August 22, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | F Potential harm, widespread | Corrected September 27, 2025 |
| August 22, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 27, 2025 |
| June 11, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 27, 2025 |
| June 11, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 27, 2025 |
| June 11, 2025 Complaint | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected June 27, 2025 |
| June 11, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected June 27, 2025 |
| June 4, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 27, 2025 |
| March 26, 2025 Complaint | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 26, 2025 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 10, 2025 |
| March 26, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 10, 2025 |
| February 27, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 10, 2025 |
| February 27, 2025 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected March 10, 2025 |
| January 22, 2025 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 7, 2025 |
| December 3, 2024 Complaint | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Tag F0745 | D Potential harm, isolated | Corrected December 20, 2024 |
| December 3, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected December 20, 2024 |
| July 23, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Have power receptacles that are properly grounded. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0912 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Tag K0754 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Administration Deficiencies · Tag F0776 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Standard | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Tag F0685 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Standard | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Tag F0791 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 3, 2024 |
| July 23, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected September 3, 2024 |
| June 6, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 3, 2024 |
| June 6, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 3, 2024 |
| June 6, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 3, 2024 |
| June 6, 2024 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected June 21, 2024 |
| June 6, 2024 Complaint | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected June 21, 2024 |
| June 6, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected September 3, 2024 |
| June 6, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected June 21, 2024 |
| June 5, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected September 3, 2024 |
| June 5, 2024 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 5, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 5, 2024 Fire safety | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Tag E0025 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 5, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 5, 2024 Fire safety | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Miscellaneous Deficiencies · Tag K0700 | F Potential harm, widespread | Corrected July 9, 2024 |
| June 5, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected September 3, 2024 |
| May 13, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 3, 2024 |
| May 13, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 3, 2024 |
| May 13, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected September 3, 2024 |
| April 11, 2024 Complaint | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected September 3, 2024 |
| April 11, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 3, 2024 |
| January 9, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected January 26, 2024 |
| October 25, 2023 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 13, 2023 |
| October 25, 2023 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected November 13, 2023 |
| September 25, 2023 Complaint | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected November 13, 2023 |
| September 25, 2023 Complaint | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 25, 2023 Complaint | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Tag F0680 | E Potential harm, pattern | Corrected November 13, 2023 |
| September 25, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected November 13, 2023 |
| November 7, 2022 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected January 23, 2023 |
| November 7, 2022 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | C No harm, widespread | Corrected December 2, 2022 |
| November 7, 2022 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | C No harm, widespread | Corrected December 2, 2022 |
| November 7, 2022 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | F Potential harm, widespread | Corrected January 23, 2023 |
| November 7, 2022 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected January 23, 2023 |
| November 7, 2022 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected January 23, 2023 |
| November 7, 2022 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected January 23, 2023 |
| November 7, 2022 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected January 23, 2023 |
Showing the 150 most recent of 153 citations.
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 4 federal penalties in the past three years, including $130,712 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 30, 2026 | Fine | $53,716 |
| April 11, 2024 | Payment Denial | 54 days from July 11, 2024 |
| September 25, 2023 | Payment Denial | 30 days from October 14, 2023 |
| September 25, 2023 | Fine | $76,996 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BAO OPCO HOLDINGS LLC Organization | 5% or greater direct ownership interest | 100% | 06/30/2025 |
| SMITHEY, ASHLEY Individual | 5% or greater indirect ownership interest | 25% | 06/30/2025 |
| WOMACK, BRYON Individual | 5% or greater indirect ownership interest | 75% | 06/30/2025 |
| BERNER, SUSAN Individual | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| DENNY, AMBER Individual | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| OHIO-TWO PROPERTIES LLC Organization | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| RISE SNF MANAGEMENT LLC Organization | adp of the snf | NOT APPLICABLE | 08/15/2025 |
| SMITHEY, ASHLEY Individual | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| WOMACK, BRYON Individual | adp of the snf | NOT APPLICABLE | 06/30/2025 |
| BAO OPCO HOLDINGS LLC Organization | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| BERNER, SUSAN Individual | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| DENNY, AMBER Individual | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| OHIO-TWO PROPERTIES LLC Organization | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| RISE SNF MANAGEMENT LLC Organization | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| SMITHEY, ASHLEY Individual | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
| WOMACK, BRYON Individual | operational/managerial control | NOT APPLICABLE | 06/30/2025 |
Other nursing homes near Trotwood Health & Rehab LLC
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★★★★★4Above averageArc at Trotwood LLC
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★★★★★1Much below averageAventura at Shiloh Springs
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★★★★★2Below averageSiena Woods Care Center
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★★★★★4Above averageAventura at Carriage Inn
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★★★★★3Average- ★★★★★4Above average
Frequently asked questions
What is Trotwood Health & Rehab LLC's rating?
Trotwood Health & Rehab LLC has 2 out of 5 stars on the CMS overall star rating. The average for Ohio nursing homes is 3.2 stars.
How many inspection citations did Trotwood Health & Rehab LLC receive?
Its most recent standard health inspection found 28 citations, compared with a Ohio average of 10.3. Every citation is listed on this page with its severity.
Does Trotwood Health & Rehab LLC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Trotwood Health & Rehab LLC?
It is for profit - limited liability company and part of Bao Opco Holdings. The ownership section on this page lists the owners and managers reported to CMS.
Where is Trotwood Health & Rehab LLC and how do I contact it?
Trotwood Health & Rehab LLC is at 4911 Covenant House Drive, Dayton, OH 45426. Phone: (937) 837-2651.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.