Miamisburg, OH

Sycamore Trails Post Acute

3-star overall rating with 3-star inspections with $11,037 in total fines with 5 fire-safety deficiencies in the latest cycle

450 Oak Ridge Boulevard, Miamisburg, OH

(937) 866-8885

Compare this facility

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

Facility snapshot

Beds

102

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1984-09-20

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

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

0.72

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.87

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.79

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.38

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.13

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.13

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

2.69

CMS adjusted total nurse staffing hours

Case-mix index

1.72

Higher values indicate more complex resident acuity

RN turnover

63%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

74%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.60% · Performance 21.90% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.33% · Performance 7.76% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 69.47% · Performance 81.01% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.71 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.97%	10.72% 1.2 pts worse	No Different than the National Rate · Eligible stays 33 · Observed rate 21.21% · Lower 95% interval 7.7%
Discharge to community	53.45%	50.57% 2.9 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 44.44% · Lower 95% interval 34.45%
Medicare spending per beneficiary	1.18	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 21 · Denominator 21
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 21
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · 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 21 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.76%	7.12% 0.6 pts worse	No Different than the National Rate · Eligible stays 31 · Observed rate 12.9% · Lower 95% interval 4.71%
Staff COVID-19 vaccination coverage	12.12%	8.2% 3.9 pts better	Numerator 12 · Denominator 99
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 132
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · 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	89.0%	92.4% 3.4 pts worse	93.4% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 84.1% · Q2 89.2% · Q3 89.9% · Q4 92.8% · 4Q avg 89.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.0%	94.5% 14.5 pts worse	95.5% 15.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.9%	3.3% 0.4 pts better	3.3% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 3.1% · Q3 4.3% · Q4 1.4% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	86.5%	26.1% 60.4 pts worse	11.4% 75.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 81.8% · Q2 68.3% · Q3 95.5% · Q4 100.0% · 4Q avg 86.5%
Percentage of long-stay residents who lose too much weight	5.7%	6.2% 0.5 pts better	5.4% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 7.4% · Q3 8.8% · Q4 1.7% · 4Q avg 5.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.8%	25.4% 5.4 pts worse	19.6% 11.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 39.3% · Q2 37.0% · Q3 26.3% · Q4 21.7% · 4Q avg 30.8%
Percentage of long-stay residents who received an antipsychotic medication	18.5%	11.5% 7 pts worse	16.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 20.0% · Q3 18.6% · Q4 12.2% · 4Q avg 18.5% · 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	8.8%	7.7% 1.1 pts worse	16.3% 7.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.1% · Q2 0.0% · Q3 8.6% · Q4 0.0% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	6.2% 0.3 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 3.8% · Q3 5.3% · Q4 1.7% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.2% 0.2 pts worse	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	0.5% 0.2 pts worse	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	29.2%	21.7% 7.5 pts worse	19.8% 9.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.0% · Q2 21.1% · Q3 36.9% · Q4 22.4% · 4Q avg 29.2%
Percentage of long-stay residents with pressure ulcers	1.4%	3.7% 2.3 pts better	5.1% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 1.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	44.0%	78.1% 34.1 pts worse	81.7% 37.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 48.6% · Q2 50.0% · Q3 40.3% · Q4 24.1% · 4Q avg 44.0%
Percentage of short-stay residents who newly received an antipsychotic medication	1.1%	1.2% 0.1 pts better	1.6% 0.5 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 0.0% · Q3 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	38.5%	75.6% 37.1 pts worse	79.7% 41.2 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 38.5%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-24 · Fire 2025-06-24

0 health deficiencies

No concentrated health issue counts in this cycle.

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2022-08-25 · Fire 2022-08-25

32 health deficiencies

Top issue: Pharmacy Service (10 deficiencies)

4 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2019-07-12 · Fire 2019-07-12

19 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-24

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-08-01

F · Potential for more than minimal harm 2025-06-24

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-08-01

F · Potential for more than minimal harm 2025-06-24

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-08-01

F · Potential for more than minimal harm 2025-06-24

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-08-01

E · Potential for more than minimal harm 2025-06-24

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 2025-08-01

F · Potential for more than minimal harm 2022-08-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-30

F · Potential for more than minimal harm 2022-08-25

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-08-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-08-25

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2022-09-30

F · Potential for more than minimal harm 2019-07-12

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

K913 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure operating rooms are properly protected and written records are maintained and available for inspection.

Corrected 2019-08-30

F · Potential for more than minimal harm 2019-07-12

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 2019-08-30

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-12-30

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-01-14

D · Potential for more than minimal harm 2024-12-30

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-01-14

D · Potential for more than minimal harm 2024-11-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-11-21

D · Potential for more than minimal harm 2024-11-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-21

D · Potential for more than minimal harm 2024-09-26

F758 · Pharmacy Service Deficiencies

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 2024-10-07

D · Potential for more than minimal harm 2024-09-26

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 2024-10-07

D · Potential for more than minimal harm 2024-09-04

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-09-17

G · Actual harm 2024-06-27

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 2024-06-28

D · Potential for more than minimal harm 2024-06-27

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-06-28

C · Minimal harm 2024-06-27

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-05-16

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-05-16

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 2024-05-22

D · Potential for more than minimal harm 2024-05-16

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 2024-05-22

D · Potential for more than minimal harm 2024-05-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-05-16

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-04-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-22

E · Potential for more than minimal harm 2024-03-28

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 2024-05-22

E · Potential for more than minimal harm 2024-03-28

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-22

D · Potential for more than minimal harm 2024-03-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-22

D · Potential for more than minimal harm 2023-12-18

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-12-22

E · Potential for more than minimal harm 2023-08-31

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-09-22

D · Potential for more than minimal harm 2023-08-31

F693 · Quality of Life and Care Deficiencies

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 2023-09-22

D · Potential for more than minimal harm 2023-08-31

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 2023-09-22

D · Potential for more than minimal harm 2023-04-04

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-04-17

G · Actual harm 2022-08-25

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-09-30

E · Potential for more than minimal harm 2022-08-25

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 2022-09-30

E · Potential for more than minimal harm 2022-08-25

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 2022-09-30

E · Potential for more than minimal harm 2022-08-25

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 2022-09-30

E · Potential for more than minimal harm 2022-08-25

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 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F761 · Pharmacy Service Deficiencies

Health

Corrected 2022-09-30

D · Potential for more than minimal harm 2022-08-25

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2022-09-30

B · Minimal harm 2022-08-25

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-09-30

B · Minimal harm 2022-08-25

F625 · Resident Rights Deficiencies

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 2022-09-30

E · Potential for more than minimal harm 2019-07-12

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2019-08-30

E · Potential for more than minimal harm 2019-07-12

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-08-30

E · Potential for more than minimal harm 2019-07-12

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 2019-08-30