Centerville, OH

Centerville Post Acute

3-star overall rating with 4-star inspections with 8 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1001 Alex Bell Road, Centerville, OH

(937) 436-9700

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

4 / 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

129

Certified beds

Average residents

88

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1997-01-14

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

No

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

0.46

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.95

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.36

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.41

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.12

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.52

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

2.93

CMS adjusted total nurse staffing hours

Case-mix index

1.57

Higher values indicate more complex resident acuity

RN turnover

64%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

64%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,547

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

Performance score

16.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9816

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.20

Baseline 20.74% · Performance 20.41% · Measure score 2.20 · Achievement 2.20 · Improvement 0.37

Healthcare-associated infections

2.16

Baseline 7.96% · Performance 7.19% · Measure score 2.16 · Achievement 2.16 · Improvement 2.09

Total nurse turnover

1.49

Baseline 73.08% · Performance 63.46% · Measure score 1.49 · Achievement 0 · Improvement 1.49

Adjusted total nurse staffing

0.69

Baseline 3.48 hours · Performance 3.28 hours · Measure score 0.69 · Achievement 0.69 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.29%	10.72% 1.4 pts better	No Different than the National Rate · Eligible stays 128 · Observed rate 7.03% · Lower 95% interval 5.95%
Discharge to community	46.87%	50.57% 3.7 pts worse	No Different than the National Rate · Eligible stays 131 · Observed rate 39.69% · Lower 95% interval 40.18%
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 46 · Denominator 46
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 46
Discharge self-care score	56.67%	53.69% 3 pts better	Numerator 17 · Denominator 30
Discharge mobility score	36.67%	50.94% 14.3 pts worse	Numerator 11 · Denominator 30
Pressure ulcers or injuries, new or worsened	2.17%	2.29% 0.1 pts better	Numerator 1 · Denominator 46 · Adjusted rate 2.41%
Healthcare-associated infections requiring hospitalization	7.19%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 7.46% · Lower 95% interval 4.64%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 115
Staff flu vaccination coverage	4.55%	42% 37.5 pts worse	Numerator 6 · Denominator 132
Discharge function score	50%	56.45% 6.5 pts worse	Numerator 15 · Denominator 30
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 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	20%	25.2% 5.2 pts worse	Numerator 4 · Denominator 20

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	77.0%	92.4% 15.4 pts worse	93.4% 16.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 89.1% · Q2 71.1% · Q3 62.8% · Q4 83.3% · 4Q avg 77.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	62.6%	94.5% 31.9 pts worse	95.5% 32.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 62.6%
Percentage of long-stay residents experiencing one or more falls with major injury	1.5%	3.3% 1.8 pts better	3.3% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.2% · Q3 1.3% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	41.5%	26.1% 15.4 pts worse	11.4% 30.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 18.8% · Q3 62.3% · Q4 86.8% · 4Q avg 41.5%
Percentage of long-stay residents who lose too much weight	14.7%	6.2% 8.5 pts worse	5.4% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 14.3% · Q3 18.6% · Q4 16.4% · 4Q avg 14.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	24.5%	25.4% 0.9 pts better	19.6% 4.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 22.9% · Q3 25.4% · Q4 26.6% · 4Q avg 24.5%
Percentage of long-stay residents who received an antipsychotic medication	12.8%	11.5% 1.3 pts worse	16.7% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 9.3% · Q3 12.0% · Q4 11.5% · 4Q avg 12.8% · 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 ability to walk independently worsened	6.5%	7.7% 1.2 pts better	16.3% 9.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 6.6% · Q3 0.0% · Q4 2.9% · 4Q avg 6.5% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.4%	6.2% 0.8 pts better	14.9% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 4.5% · Q3 0.0% · Q4 3.3% · 4Q avg 5.4% · 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 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.2% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	25.1%	21.7% 3.4 pts worse	19.8% 5.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 24.5% · Q3 20.3% · Q4 18.5% · 4Q avg 25.1%
Percentage of long-stay residents with pressure ulcers	4.6%	3.7% 0.9 pts worse	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 3.8% · Q3 2.4% · Q4 5.6% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	51.0%	78.1% 27.1 pts worse	81.7% 30.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 76.7% · Q2 49.6% · Q3 35.3% · Q4 37.1% · 4Q avg 51.0%
Percentage of short-stay residents who had an outpatient emergency department visit	12.4%	12.5% 0.1 pts better	12.0% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 12.4% · Observed 12.2% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.2% 0.3 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 1.7% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	41.1%	75.6% 34.5 pts worse	79.7% 38.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 41.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.5%	25.1% 1.6 pts better	23.9% 0.4 pts better	Short Stay · 20240701-20250630 · Adjusted 23.5% · Observed 22.0% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

8 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2022-06-16 · Fire 2022-06-16

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-06-20 · Fire 2019-06-20

8 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-27

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-24

F · Potential for more than minimal harm 2025-03-27

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-24

F · Potential for more than minimal harm 2025-03-27

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 2025-04-24

F · Potential for more than minimal harm 2022-06-16

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-06-16

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 2022-08-11

F · Potential for more than minimal harm 2022-06-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-06-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-11

F · Potential for more than minimal harm 2022-06-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-06-16

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-08-11

E · Potential for more than minimal harm 2022-06-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-08-11

F · Potential for more than minimal harm 2019-06-20

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-07-08

F · Potential for more than minimal harm 2019-06-20

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2019-07-08

F · Potential for more than minimal harm 2019-06-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-07-08

F · Potential for more than minimal harm 2019-06-20

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-07-08

F · Potential for more than minimal harm 2019-06-20

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-07-08

E · Potential for more than minimal harm 2019-06-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-07-08

Inspection history

Recent health citations

C · Minimal harm 2025-09-19

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.

Not marked corrected

E · Potential for more than minimal harm 2025-03-27

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 2025-04-24