11 health deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Bellbrook, OH
3-star overall rating with 3-star inspections with $75,323 in total fines with 11 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
1957 North Lakeman Drive, Bellbrook, OH
(937) 848-7800
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
65
Certified beds
Average residents
40
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Simcha Hyman & Naftali Zanziper
Operator or chain grouping
Approved since
1984-07-17
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
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.65
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.23
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
3.95
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.88
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.65
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.30
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.41
CMS adjusted RN staffing hours
Adjusted total hours
2.53
CMS adjusted total nurse staffing hours
Case-mix index
2.14
Higher values indicate more complex resident acuity
RN turnover
75%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
73%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Program rank
12,264
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.12
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
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
2.10
Baseline 58.97% · Performance 55.10% · Measure score 2.10 · Achievement 2.10 · Improvement 0.63
Adjusted total nurse staffing
0.53
Baseline 2.30 hours · Performance 2.65 hours · Measure score 0.53 · Achievement 0 · Improvement 0.53
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | Not Available |
10.72%
|
Not Available · Eligible stays 23 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Discharge to community | 38.14% |
50.57%
12.4 pts worse
|
No Different than the National Rate · Eligible stays 30 · Observed rate 16.67% · Lower 95% interval 18.08% |
| 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 26 · Denominator 26 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 26 |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 26 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 18 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 78 |
| Staff flu vaccination coverage | 4.03% |
42%
38 pts worse
|
Numerator 5 · Denominator 124 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | 95.65% |
95.95%
0.3 pts worse
|
Numerator 22 · Denominator 23 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 55.0% |
92.4%
37.4 pts worse
|
93.4%
38.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 61.3% · Q2 51.6% · Q3 54.8% · Q4 52.8% · 4Q avg 55.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 73.7% |
94.5%
20.8 pts worse
|
95.5%
21.8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 73.7% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.4% |
3.3%
2.1 pts worse
|
3.3%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.7% · Q2 9.7% · Q3 3.2% · Q4 0.0% · 4Q avg 5.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.8% |
26.1%
17.3 pts better
|
11.4%
2.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 16.7% · Q4 11.5% · 4Q avg 8.8% |
| Percentage of long-stay residents who lose too much weight | 19.4% |
6.2%
13.2 pts worse
|
5.4%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 29.6% · Q3 11.5% · Q4 12.9% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 37.0% |
25.4%
11.6 pts worse
|
19.6%
17.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 41.7% · Q2 33.3% · Q3 30.8% · Q4 41.9% · 4Q avg 37.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.8% |
11.5%
4.7 pts better
|
16.7%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 4.8% · 4Q avg 6.8% · 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 need for help with daily activities has increased | 3.0% |
6.2%
3.2 pts better
|
14.9%
11.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 5.0% · 4Q avg 3.0% · 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 3.2% · Q2 0.0% · Q3 0.0% · Q4 2.8% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% |
21.7%
4.1 pts better
|
19.8%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 15.5% · 4Q avg 17.6% |
| Percentage of long-stay residents with pressure ulcers | 9.2% |
3.7%
5.5 pts worse
|
5.1%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 13.6% · Q3 8.9% · Q4 7.4% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 19.4% |
78.1%
58.7 pts worse
|
81.7%
62.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 15.6% · Q3 25.6% · Q4 31.6% · 4Q avg 19.4% |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.7% |
1.2%
3.5 pts worse
|
1.6%
3.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 7.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 26.1% |
75.6%
49.5 pts worse
|
79.7%
53.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 26.1% |
Survey summary
Top issue: Quality of Life and Care (4 deficiencies)
10 fire-safety deficiencies
Top issue: Smoke (4 deficiencies)
Top issue: Quality of Life and Care (4 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (6 deficiencies)
Top issue: Nursing and Physician Services (2 deficiencies)
8 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire Safety
Develop a communication plan.
Corrected 2022-10-20
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 2022-10-20
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2022-10-20
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-10-20
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-20
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2022-10-20
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-10-20
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-20
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.
Corrected 2022-10-20
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 2022-10-20
Fire Safety
Develop a communication plan.
Corrected 2019-12-26
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-12-26
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-12-26
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2019-12-26
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2019-12-26
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-12-26
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-12-26
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 2019-12-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-26
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-12-26
Fire Safety
Conduct testing and exercise requirements.
Corrected 2019-12-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-12-26
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2019-04-05
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-04-05
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-04-05
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2019-04-05
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2019-05-15
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2019-04-05
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-04-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2019-04-05
Inspection history
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-02-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-02-13
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2026-02-13
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-02-13
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-02-13
Health
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2025-12-05
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-18
Health
Provide and implement an infection prevention and control program.
Corrected 2024-09-18
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-05-09
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-01-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-01-08
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-10-20
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 2022-10-20
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-10-20
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-20
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-10-20
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 2019-12-26
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2019-12-26
Health
Provide and implement an infection prevention and control program.
Corrected 2019-12-26
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2019-12-26
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-26
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 2019-12-26
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 2019-12-26
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2019-12-26
Health
Dispose of garbage and refuse properly.
Corrected 2019-12-26
Health
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected 2019-04-05
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-04-05
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-04-05
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2019-04-05
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2019-04-05
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 2019-04-05
Health
Provide and implement an infection prevention and control program.
Corrected 2019-04-05
Penalties and ownership
Fine · fine $75,323
Fine
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Kettering, OH
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Centerville, OH
3-star overall rating with 2-star inspections with $89,700 in total fines with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Dayton, OH
5-star overall rating with 5-star inspections with 2 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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