Beavercreek, OH

Beavercreek Health And Rehab

1-star overall rating with 2-star inspections with 16 recent health deficiencies

3854 Park Overlooke Drive, Beavercreek, OH

(937) 429-9655

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 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

Simcha Hyman & Naftali Zanziper

Operator or chain grouping

Approved since

2012-11-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

94 facilities

Chain averages 2 overall / 3 health / 2 staffing / 3 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

0.51

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.77

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.15

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.84

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.26

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.48

CMS adjusted RN staffing hours

Adjusted total hours

2.92

CMS adjusted total nurse staffing hours

Case-mix index

1.47

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

73%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,397

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

Performance score

26.90

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

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

5.03

Baseline 8.18% · Performance 6.42% · Measure score 5.03 · Achievement 4.74 · Improvement 5.03

Total nurse turnover

0.50

Baseline 77.46% · Performance 72.22% · Measure score 0.50 · Achievement 0 · Improvement 0.50

Adjusted total nurse staffing

2.54

Baseline 1.84 hours · Performance 3.04 hours · Measure score 2.54 · Achievement 0 · Improvement 2.54

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.14%	10.72% 0.6 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 8.7% · Lower 95% interval 7.62%
Discharge to community	42.31%	50.57% 8.3 pts worse	No Different than the National Rate · Eligible stays 44 · Observed rate 31.82% · Lower 95% interval 29.47%
Medicare spending per beneficiary	1.07	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 36 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	70%	53.69% 16.3 pts better	Numerator 14 · Denominator 20
Discharge mobility score	55%	50.94% 4.1 pts better	Numerator 11 · Denominator 20
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 36 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	6.42%	7.12% 0.7 pts better	No Different than the National Rate · Eligible stays 34 · Observed rate 2.94% · Lower 95% interval 3.4%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 88 · Denominator 88
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 85
Discharge function score	60%	56.45% 3.5 pts better	Numerator 12 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 22

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	93.9%	92.4% 1.5 pts better	93.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 95.0% · Q3 95.2% · Q4 98.4% · 4Q avg 93.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.6%	94.5% 1.1 pts better	95.5% 0.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.6%
Percentage of long-stay residents experiencing one or more falls with major injury	4.5%	3.3% 1.2 pts worse	3.3% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 5.0% · Q3 6.5% · Q4 3.3% · 4Q avg 4.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	40.8%	26.1% 14.7 pts worse	11.4% 29.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 56.9% · Q2 50.9% · Q3 30.2% · Q4 24.5% · 4Q avg 40.8%
Percentage of long-stay residents who lose too much weight	17.5%	6.2% 11.3 pts worse	5.4% 12.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 22.0% · Q3 14.3% · Q4 17.5% · 4Q avg 17.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.0%	25.4% 0.4 pts better	19.6% 5.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.8% · Q3 32.1% · Q4 31.6% · 4Q avg 25.0%
Percentage of long-stay residents who received an antipsychotic medication	10.1%	11.5% 1.4 pts better	16.7% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 8.3% · Q3 9.1% · Q4 6.8% · 4Q avg 10.1% · 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	6.0%	7.7% 1.7 pts better	16.3% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.1%	6.2% 0.1 pts better	14.9% 8.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 6.5% · Q3 5.9% · Q4 9.6% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.2% 0.1 pts worse	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.5% 0.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.9%	21.7% 7.8 pts better	19.8% 5.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 10.6% · Q3 22.9% · Q4 9.2% · 4Q avg 13.9%
Percentage of long-stay residents with pressure ulcers	5.7%	3.7% 2 pts worse	5.1% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 5.8% · Q3 7.3% · Q4 7.3% · 4Q avg 5.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	87.1%	78.1% 9 pts better	81.7% 5.4 pts better	Short Stay · 2024Q4-2025Q3 · Q1 82.4% · Q2 81.0% · Q3 90.5% · Q4 93.8% · 4Q avg 87.1%
Percentage of short-stay residents who had an outpatient emergency department visit	26.0%	12.5% 13.5 pts worse	12.0% 14 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.0% · Observed 27.3% · Expected 11.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.6%	1.2% 0.4 pts worse	1.6% About the same	Short Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 3.1% · Q3 0.0% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	81.0%	75.6% 5.4 pts better	79.7% 1.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 81.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.0%	25.1% 0.1 pts better	23.9% 1.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.0% · Observed 30.3% · Expected 28.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-09-26 · Fire 2024-09-26

16 health deficiencies

Top issue: Resident Rights (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-02-01 · Fire 2023-02-01

17 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2020-01-03 · Fire 2020-01-03

22 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

G · Actual harm 2025-12-30

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-12-30

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-12-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-27

D · Potential for more than minimal harm 2025-09-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-09-04

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-26

D · Potential for more than minimal harm 2025-09-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-09-26

D · Potential for more than minimal harm 2024-11-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-04

D · Potential for more than minimal harm 2024-11-19

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-04

D · Potential for more than minimal harm 2024-11-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-04

F · Potential for more than minimal harm 2024-09-26

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-23

F · Potential for more than minimal harm 2024-09-26

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 2024-10-23

E · Potential for more than minimal harm 2024-09-26

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-26

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-26

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-26

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-26

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 2024-10-23

D · Potential for more than minimal harm 2024-09-26

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 2024-10-23

D · Potential for more than minimal harm 2024-09-26

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-09-26

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2024-10-23

D · Potential for more than minimal harm 2024-07-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-06-21

D · Potential for more than minimal harm 2024-02-06

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-15

D · Potential for more than minimal harm 2024-02-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-15

D · Potential for more than minimal harm 2024-02-06

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-15

F · Potential for more than minimal harm 2023-12-28

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-15

D · Potential for more than minimal harm 2023-11-06

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-11-22

D · Potential for more than minimal harm 2023-08-16

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-09-06

E · Potential for more than minimal harm 2023-06-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-29

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 2023-07-14

D · Potential for more than minimal harm 2023-05-09

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 2023-05-30

D · Potential for more than minimal harm 2023-05-09

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 2023-05-30

D · Potential for more than minimal harm 2023-03-17

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-17

E · Potential for more than minimal harm 2023-02-01

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 2023-03-01

E · Potential for more than minimal harm 2023-02-01

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 2023-03-01

E · Potential for more than minimal harm 2023-02-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

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 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

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 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-01

D · Potential for more than minimal harm 2023-02-01

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 2023-03-01

C · Minimal harm 2023-02-01

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-02-24

E · Potential for more than minimal harm 2020-01-03

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2020-01-24