Dayton, OH

Gem City Healthcare And Rehabilitation Center

3-star overall rating with 3-star inspections with 6 recent health deficiencies

323 Forest Avenue, Dayton, OH

(937) 224-0793

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

0 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

87

Certified beds

Average residents

14

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Recover-Care Healthcare

Operator or chain grouping

Approved since

1994-12-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.89

Registered nurse staffing

LPN hours / resident day

1.36

Licensed practical nurse staffing

Aide hours / resident day

2.90

Nurse aide staffing

Weekend hours

5.22

Weekend nurse staffing

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
78.1%
21.9 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-07-01 · Fire 2025-07-01

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2019-12-05 · Fire 2019-12-05

5 health deficiencies

Top issue: Infection Control (1 deficiency)

12 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2018-10-03 · Fire 2018-10-03

6 health deficiencies

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

4 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2019-12-05

K223 · Egress Deficiencies

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 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2020-01-15

F · Potential for more than minimal harm 2019-12-05

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 2020-01-15

F · Potential for more than minimal harm 2019-12-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2020-01-15

E · Potential for more than minimal harm 2019-12-05

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 2020-01-15

C · Minimal harm 2019-12-05

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2020-01-15

F · Potential for more than minimal harm 2018-10-03

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Not marked corrected

F · Potential for more than minimal harm 2018-10-03

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-11-29

F · Potential for more than minimal harm 2018-10-03

K521 · Services Deficiencies

Fire Safety

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

Corrected 2018-11-29

D · Potential for more than minimal harm 2018-10-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2018-11-29

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-07-01

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 2025-07-21

E · Potential for more than minimal harm 2025-07-01

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 2025-07-21

E · Potential for more than minimal harm 2025-07-01

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 2025-07-21

D · Potential for more than minimal harm 2025-07-01

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-07-01

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-21

D · Potential for more than minimal harm 2025-07-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-21

G · Actual harm 2023-03-13

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-04

G · Actual harm 2023-03-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-04

D · Potential for more than minimal harm 2019-12-05

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 2020-01-15

D · Potential for more than minimal harm 2019-12-05

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 2020-01-15

D · Potential for more than minimal harm 2019-12-05

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2020-01-15

D · Potential for more than minimal harm 2019-12-05

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 2020-01-15

D · Potential for more than minimal harm 2019-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-15

D · Potential for more than minimal harm 2018-10-03

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 2018-11-29

D · Potential for more than minimal harm 2018-10-03

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 2018-11-29

D · Potential for more than minimal harm 2018-10-03

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 2018-11-29

D · Potential for more than minimal harm 2018-10-03

F883 · Infection Control Deficiencies

Health

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

Corrected 2018-11-29

Penalties and ownership

What sits behind the stars

Ownership

Buckeye Recover Care LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2023-05-01
Berner, Susan

Operational/Managerial Control · Individual

0% 6 facilities 2019-07-15
Bhnv LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 1 facilities 2025-10-19
Chapman, Kenneth

Operational/Managerial Control · Individual

0% 1 facilities 2020-05-08
Goldstein, Avrohom

5% Or Greater Indirect Ownership Interest · Individual

0% 15 facilities 2025-10-19
Kamna Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 4 facilities 2023-05-01
Kansas SNF Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 15 facilities 2025-10-19
Labazzo, Deborah

Operational/Managerial Control · Individual

0% 2 facilities 2025-04-25
Mad Family Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-10-19
Margulies, Zisha

5% Or Greater Indirect Ownership Interest · Individual

0% 28 facilities 2025-10-19
Natr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-10-19
Ohio SNF Management LLC

Operational/Managerial Control · Organization

0% 1 facilities 2020-11-01
Rarmna Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-10-19
Ratr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-10-19
Recover-Care Healthcare LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 13 facilities 2025-10-19
Rnr Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-10-19
Wetr Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 19 facilities 2025-10-19

Nearby options

Other facilities in reach

#1

Grafton Oaks Nursing Center

Dayton, OH

3-star overall rating with 2-star inspections with abuse icon flag with 6 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
2 / 5
Fines
$0
#2

Dunbar Health & Rehab Center

Dayton, OH

3-star overall rating with 2-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
3 / 5
Health
2 / 5
Staffing
3 / 5
Fines
$0
#3

Carecore At Mary Scott

Dayton, OH

2-star overall rating with 1-star inspections with $21,733 in total fines with 19 recent health deficiencies with 17 fire-safety deficiencies in the latest cycle

Overall
2 / 5
Health
1 / 5
Staffing
3 / 5
Fines
$21,733

Jump out

Supporting pages