Dayton, OH

Beavercreek Post Acute

2-star overall rating with 2-star inspections with $43,173 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

1974 North Fairfield Road, Dayton, OH

(937) 429-1106

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

110

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1978-07-03

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 facilities

Chain averages 3 overall / 3 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

0.59

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.94

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.79

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.32

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.35

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.47

CMS adjusted RN staffing hours

Adjusted total hours

2.63

CMS adjusted total nurse staffing hours

Case-mix index

1.73

Higher values indicate more complex resident acuity

RN turnover

50%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,176

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

Performance score

30.51

Composite VBP score used to determine payment impact.

Payment multiplier

0.9860

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.24

Baseline 19.74% · Performance 19.47% · Measure score 4.24 · Achievement 4.24 · Improvement 0.51

Healthcare-associated infections

4.62

Baseline 8.32% · Performance 6.62% · Measure score 4.62 · Achievement 4.06 · Improvement 4.62

Total nurse turnover

3.35

Baseline 63.64% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 3.02

Adjusted total nurse staffing

Baseline 3.68 hours · Performance 3.09 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.94%	10.72% 1.8 pts better	No Different than the National Rate · Eligible stays 81 · Observed rate 3.7% · Lower 95% interval 6%
Discharge to community	61.49%	50.57% 10.9 pts better	Better than the National Rate · Eligible stays 81 · Observed rate 55.56% · Lower 95% interval 50.94%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	96.77%	95.27% 1.5 pts better	Numerator 60 · Denominator 62
Falls with major injury	3.23%	0.77% 2.5 pts worse	Numerator 2 · Denominator 62
Discharge self-care score	75.68%	53.69% 22 pts better	Numerator 28 · Denominator 37
Discharge mobility score	59.46%	50.94% 8.5 pts better	Numerator 22 · Denominator 37
Pressure ulcers or injuries, new or worsened	4.84%	2.29% 2.5 pts worse	Numerator 3 · Denominator 62 · Adjusted rate 5.63%
Healthcare-associated infections requiring hospitalization	6.62%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 46 · Observed rate 4.35% · Lower 95% interval 3.52%
Staff COVID-19 vaccination coverage	5.68%	8.2% 2.5 pts worse	Numerator 5 · Denominator 88
Staff flu vaccination coverage	55.56%	42% 13.6 pts better	Numerator 55 · Denominator 99
Discharge function score	83.78%	56.45% 27.3 pts better	Numerator 31 · Denominator 37
Transfer of health information to provider	91.67%	95.95% 4.3 pts worse	Numerator 33 · Denominator 36
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	2.5%	25.2% 22.7 pts worse	Numerator 1 · Denominator 40

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	76.5%	92.4% 15.9 pts worse	93.4% 16.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 83.1% · Q2 78.7% · Q3 72.7% · Q4 72.3% · 4Q avg 76.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	91.0%	94.5% 3.5 pts worse	95.5% 4.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.2%	3.3% 0.1 pts better	3.3% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.9% · Q3 3.0% · Q4 1.5% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	97.4%	26.1% 71.3 pts worse	11.4% 86 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 98.2% · Q3 96.7% · Q4 98.4% · 4Q avg 97.4%
Percentage of long-stay residents who lose too much weight	3.2%	6.2% 3 pts better	5.4% 2.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 5.7% · Q3 1.8% · Q4 0.0% · 4Q avg 3.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.6%	25.4% 8.2 pts worse	19.6% 14 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.5% · Q2 35.8% · Q3 31.6% · Q4 30.9% · 4Q avg 33.6%
Percentage of long-stay residents who received an antipsychotic medication	12.9%	11.5% 1.4 pts worse	16.7% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 13.2% · Q3 15.9% · Q4 10.4% · 4Q avg 12.9% · 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	7.8%	7.7% 0.1 pts worse	16.3% 8.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.3%	6.2% 0.9 pts better	14.9% 9.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.9% · Q3 3.8% · Q4 7.5% · 4Q avg 5.3% · 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	1.6%	0.5% 1.1 pts worse	1.7% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 1.6% · Q3 1.5% · Q4 0.0% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.4%	21.7% 2.7 pts worse	19.8% 4.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.1% · Q2 26.8% · Q3 22.0% · Q4 24.7% · 4Q avg 24.4%
Percentage of long-stay residents with pressure ulcers	3.2%	3.7% 0.5 pts better	5.1% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 5.3% · Q3 2.7% · Q4 1.2% · 4Q avg 3.2% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	52.5%	78.1% 25.6 pts worse	81.7% 29.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 64.1% · Q2 47.3% · Q3 45.5% · Q4 56.7% · 4Q avg 52.5%
Percentage of short-stay residents who had an outpatient emergency department visit	17.0%	12.5% 4.5 pts worse	12.0% 5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.0% · Observed 15.7% · Expected 10.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.6%	1.2% 3.4 pts worse	1.6% 3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 6.0% · Q3 5.1% · Q4 1.9% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	52.4%	75.6% 23.2 pts worse	79.7% 27.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 52.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.6%	25.1% 9.5 pts better	23.9% 8.3 pts better	Short Stay · 20240701-20250630 · Adjusted 15.6% · Observed 13.7% · Expected 21.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

10 health deficiencies

Top issue: Nutrition and Dietary (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-08-11 · Fire 2022-08-11

7 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2019-07-25 · Fire 2019-07-25

12 health deficiencies

Top issue: Resident Rights (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-04-15

F · Potential for more than minimal harm 2025-03-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-15

F · Potential for more than minimal harm 2025-03-20

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2025-04-15

F · Potential for more than minimal harm 2025-03-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-20

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 2025-04-15

F · Potential for more than minimal harm 2022-08-11

K222 · Egress Deficiencies

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.

Corrected 2022-09-17

F · Potential for more than minimal harm 2022-08-11

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-17

F · Potential for more than minimal harm 2022-08-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-09-17

F · Potential for more than minimal harm 2022-08-11

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2022-09-17

F · Potential for more than minimal harm 2022-08-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-09-17

E · Potential for more than minimal harm 2022-08-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-09-17

F · Potential for more than minimal harm 2019-07-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-08

F · Potential for more than minimal harm 2019-07-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-10-08

F · Potential for more than minimal harm 2019-07-25

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-10-08

E · Potential for more than minimal harm 2019-07-25

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2019-10-08

E · Potential for more than minimal harm 2019-07-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-10-08

Inspection history

Recent health citations

G · Actual harm 2025-03-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-15

F · Potential for more than minimal harm 2025-03-20

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 2025-04-15

F · Potential for more than minimal harm 2025-03-20

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 2025-04-15

E · Potential for more than minimal harm 2025-03-20

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-04-15

E · Potential for more than minimal harm 2025-03-20

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 2025-04-15

D · Potential for more than minimal harm 2025-03-20

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-20

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 2025-04-15

D · Potential for more than minimal harm 2025-03-20

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 2025-04-15

D · Potential for more than minimal harm 2025-03-20

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-03-20

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-04-15

D · Potential for more than minimal harm 2025-01-23

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 2025-02-07

D · Potential for more than minimal harm 2024-12-31

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-01-20

F · Potential for more than minimal harm 2024-08-14

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-05-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-02-05

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-02-12

G · Actual harm 2023-05-30

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 2023-06-15

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

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-06-15

D · Potential for more than minimal harm 2022-08-11

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 2022-09-17

D · Potential for more than minimal harm 2022-08-11

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-09-17

D · Potential for more than minimal harm 2022-08-11

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2022-09-17

E · Potential for more than minimal harm 2019-07-25

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 2019-10-08

E · Potential for more than minimal harm 2019-07-25

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 2019-10-08