Dayton, OH

Grafton Oaks Nursing Center

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

Compare this facility

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

Facility snapshot

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

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

0.48

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.03

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.15

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.66

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.32

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

0.51

CMS adjusted RN staffing hours

Adjusted total hours

3.24

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

70%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,164

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

Performance score

27.63

Composite VBP score used to determine payment impact.

Payment multiplier

0.9846

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

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

2.88

Baseline 52.63% · Performance 51.90% · Measure score 2.88 · Achievement 2.88 · Improvement 0

Adjusted total nurse staffing

2.64

Baseline 3.17 hours · Performance 3.83 hours · Measure score 2.64 · Achievement 2.64 · Improvement 2.03

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 12 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	44.87%	8.2% 36.7 pts better	Numerator 35 · Denominator 78
Staff flu vaccination coverage	50.35%	42% 8.4 pts better	Numerator 72 · Denominator 143
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

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 · Q1 96.9% · Q2 100.0% · Q3 100.0% · Q4 98.4% · 4Q avg 98.8%
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 · 4Q avg 100.0%
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 1.6% · Q2 1.4% · Q3 1.6% · Q4 1.6% · 4Q avg 1.5% · Used in QM five-star
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 · Q1 26.7% · Q2 16.1% · Q3 14.8% · Q4 5.3% · 4Q avg 15.8%
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 · Q1 1.7% · Q2 3.1% · Q3 1.6% · Q4 1.8% · 4Q avg 2.1%
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 · Q1 16.9% · Q2 13.8% · Q3 9.7% · Q4 12.5% · 4Q avg 13.2%
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 · Q1 26.2% · Q2 20.0% · Q3 10.0% · Q4 11.1% · 4Q avg 17.0% · 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	8.1%	7.7% 0.4 pts worse	16.3% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 10.3% · Q3 0.0% · Q4 13.0% · 4Q avg 8.1% · Used in QM five-star
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 · Q1 19.3% · Q2 20.6% · Q3 3.4% · Q4 29.6% · 4Q avg 18.0% · 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	0.0%	0.5% 0.5 pts better	1.7% 1.7 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 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 · Q1 13.6% · Q2 15.2% · Q3 11.9% · Q4 17.3% · 4Q avg 14.5%
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 · Q1 2.5% · Q2 2.3% · Q3 0.0% · Q4 1.9% · 4Q avg 1.7% · Used in QM five-star
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 · Q1 98.0% · Q2 92.2% · Q3 90.0% · Q4 64.9% · 4Q avg 83.7%
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 · Q1 20.0% · Q2 20.0% · Q4 0.0% · 4Q avg 8.6% · Used in QM five-star
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 · 4Q avg 88.2%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-02-16 · Fire 2023-02-16

6 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2019-09-05 · Fire 2019-09-05

3 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

7 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2018-08-09 · Fire 2018-08-09

12 health 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 citations

F · Potential for more than minimal harm 2023-02-16

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-16

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-16

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 2023-03-08

F · Potential for more than minimal harm 2023-02-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-08

F · Potential for more than minimal harm 2023-02-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-08

C · Minimal harm 2023-02-16

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-03-08

C · Minimal harm 2023-02-16

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-03-08

F · Potential for more than minimal harm 2019-09-05

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-09-05

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-09-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-09-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-09-05

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-10-11

F · Potential for more than minimal harm 2019-09-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-10-11

E · Potential for more than minimal harm 2019-09-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2019-10-11

F · Potential for more than minimal harm 2018-08-09

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2018-08-31

F · Potential for more than minimal harm 2018-08-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2018-08-31

F · Potential for more than minimal harm 2018-08-09

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2018-08-31

F · Potential for more than minimal harm 2018-08-09

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 2018-08-31

F · Potential for more than minimal harm 2018-08-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2018-08-31

F · Potential for more than minimal harm 2018-08-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-08-31

E · Potential for more than minimal harm 2018-08-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2018-08-31

E · Potential for more than minimal harm 2018-08-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2018-08-31

Inspection history

Recent health citations

G · Actual harm 2025-09-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

D · Potential for more than minimal harm 2025-08-18

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-09-05

D · Potential for more than minimal harm 2023-02-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-03-08

D · Potential for more than minimal harm 2023-02-16

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 2023-03-08

D · Potential for more than minimal harm 2023-02-16

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 2023-03-08

D · Potential for more than minimal harm 2023-02-16

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-03-08

D · Potential for more than minimal harm 2019-09-05

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-05

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2019-10-11

D · Potential for more than minimal harm 2019-09-05

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-10-11

F · Potential for more than minimal harm 2018-08-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-08-31

F · Potential for more than minimal harm 2018-08-09

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2018-08-31

E · Potential for more than minimal harm 2018-08-09

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 2018-08-31