Dayton, OH

Aventura At Carriage Inn

3-star overall rating with 2-star inspections with 15 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

5040 Philadelphia Drive, Dayton, OH

(937) 278-0404

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Aventura Health Group

Operator or chain grouping

Approved since

1992-09-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.30

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.97

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.17

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.75

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.35

CMS adjusted RN staffing hours

Adjusted total hours

3.65

CMS adjusted total nurse staffing hours

Case-mix index

1.19

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

66%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,181

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.56

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

Performance 65.33% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

2.71

Baseline 2.78 hours · Performance 3.74 hours · Measure score 2.71 · Achievement 2.34 · Improvement 2.71

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.7%	10.72% About the same	No Different than the National Rate · Eligible stays 25 · Observed rate 12% · Lower 95% interval 7.27%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 14 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	13.19%	8.2% 5 pts better	Numerator 12 · Denominator 91
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 102
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.4% 7.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.3%	94.5% 3.8 pts better	95.5% 2.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.3%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	3.3% 0.7 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 5.4% · Q3 5.6% · Q4 3.5% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	32.8%	26.1% 6.7 pts worse	11.4% 21.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.5% · Q2 38.5% · Q3 36.2% · Q4 25.5% · 4Q avg 32.8%
Percentage of long-stay residents who lose too much weight	6.5%	6.2% 0.3 pts worse	5.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.5% · Q3 8.9% · Q4 6.7% · 4Q avg 6.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.8%	25.4% 0.4 pts worse	19.6% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 27.7% · Q3 26.1% · Q4 24.4% · 4Q avg 25.8%
Percentage of long-stay residents who received an antipsychotic medication	5.4%	11.5% 6.1 pts better	16.7% 11.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 0.0% · Q3 5.3% · Q4 11.1% · 4Q avg 5.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.9%	7.7% 0.8 pts better	16.3% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 20.1% · Q3 3.4% · Q4 3.5% · 4Q avg 6.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.5%	6.2% 0.7 pts better	14.9% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 13.0% · Q3 2.2% · Q4 4.5% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.5%	0.5% About the same	1.7% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.7%	21.7% 3 pts worse	19.8% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.3% · Q2 30.0% · Q3 24.5% · Q4 19.2% · 4Q avg 24.7%
Percentage of long-stay residents with pressure ulcers	7.3%	3.7% 3.6 pts worse	5.1% 2.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 6.9% · Q3 7.4% · Q4 5.9% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.3%	78.1% 15.2 pts better	81.7% 11.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 82.3% · Q2 94.7% · Q3 100.0% · Q4 94.0% · 4Q avg 93.3%
Percentage of short-stay residents who newly received an antipsychotic medication	0.6%	1.2% 0.6 pts better	1.6% 1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.4% · Q4 0.0% · 4Q avg 0.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	79.7%	75.6% 4.1 pts better	79.7% About the same	Short Stay · 2024Q3-2025Q2 · 4Q avg 79.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-12 · Fire 2024-12-12

15 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-08-10 · Fire 2022-08-10

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-08-01 · Fire 2019-08-01

13 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-12-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-01-15

F · Potential for more than minimal harm 2022-08-10

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-22

E · Potential for more than minimal harm 2022-08-10

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-08-22

F · Potential for more than minimal harm 2019-08-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-23

F · Potential for more than minimal harm 2019-08-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-08-23

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-10

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-10

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-12-10

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-12-19

D · Potential for more than minimal harm 2025-10-30

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-30

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2025-11-26

F · Potential for more than minimal harm 2025-10-21

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-10-21

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-11-26

E · Potential for more than minimal harm 2025-10-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-21

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2025-11-26

D · Potential for more than minimal harm 2025-10-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-11-26

D · Potential for more than minimal harm 2024-12-12

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-12

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-30

D · Potential for more than minimal harm 2024-09-11

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-23

D · Potential for more than minimal harm 2024-06-05

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-05

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-05

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-03-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-07

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-02-07

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-01-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-02-28

F · Potential for more than minimal harm 2022-08-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-22

E · Potential for more than minimal harm 2022-08-10

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2022-08-22

E · Potential for more than minimal harm 2022-08-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2022-08-22

D · Potential for more than minimal harm 2022-08-10

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-08-22

D · Potential for more than minimal harm 2022-08-10

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2022-08-22

D · Potential for more than minimal harm 2022-08-10

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-08-22

D · Potential for more than minimal harm 2022-08-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-08-22

D · Potential for more than minimal harm 2022-08-10

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2022-08-22

C · Minimal harm 2022-08-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-08-22

F · Potential for more than minimal harm 2019-08-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-23

E · Potential for more than minimal harm 2019-08-01

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2019-08-23