6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
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
405 Grafton Avenue, Dayton, OH
(937) 276-4040
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
99
Certified beds
Average residents
76
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1988-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.48
Registered nurse staffing
LPN hours / resident day
0.67
Licensed practical nurse staffing
Aide hours / resident day
1.88
Nurse aide staffing
Weekend hours
2.66
Weekend nurse staffing
RN turnover
33%
Annual RN turnover
Total nurse turnover
70%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
92.4%
6.4 pts better
|
93.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.5%
5.5 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 |
| 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 |
| Percentage of long-stay residents who have depressive symptoms | 15.8% |
26.1%
10.3 pts better
|
11.4%
4.4 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 2.1% |
6.2%
4.1 pts better
|
5.4%
3.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% |
25.4%
12.2 pts better
|
19.6%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 17.0% |
11.5%
5.5 pts worse
|
16.7%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents whose ability to walk independently worsened | 8.1% |
7.7%
0.4 pts worse
|
16.3%
8.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.0% |
6.2%
11.8 pts worse
|
14.9%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| 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 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.5%
0.5 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 14.5% |
21.7%
7.2 pts better
|
19.8%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 1.7% |
3.7%
2 pts better
|
5.1%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 83.7% |
78.1%
5.6 pts better
|
81.7%
2 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 8.6% |
1.2%
7.4 pts worse
|
1.6%
7 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 88.2% |
75.6%
12.6 pts better
|
79.7%
8.5 pts better
|
Short Stay · 2024Q3-2025Q2 |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
8 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
7 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)
Fire safety
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-03-08
Fire Safety
Use approved construction type or materials.
Corrected 2023-03-08
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 2023-03-08
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-03-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-03-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-03-08
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-03-08
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-03-08
Fire Safety
Use approved construction type or materials.
Corrected 2019-10-11
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-10-11
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2019-10-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-10-11
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2019-10-11
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-10-11
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-10-11
Fire Safety
Use approved construction type or materials.
Corrected 2018-08-31
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2018-08-31
Fire Safety
Properly provide smoke detection systems in areas open to corridors.
Corrected 2018-08-31
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2018-08-31
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2018-08-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2018-08-31
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2018-08-31
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2018-08-31
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-30
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-05
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-03-08
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-03-08
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-08
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-03-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2019-10-11
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2019-10-11
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-10-11
Health
Provide and implement an infection prevention and control program.
Corrected 2018-08-31
Health
Implement a program that monitors antibiotic use.
Corrected 2018-08-31
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 2018-08-31
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2018-08-31
Health
Keep residents' personal and medical records private and confidential.
Corrected 2018-08-31
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2018-08-31
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2018-08-31
Health
Respond appropriately to all alleged violations.
Corrected 2018-08-31
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2018-08-31
Health
Provide activities to meet all resident's needs.
Corrected 2018-08-31
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 2018-08-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2018-08-31
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
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