Gem City Healthcare and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 323 Forest Avenue, Dayton, OH 45405
- CCN
- 365981
- Ownership type
- For-profit, limited liability company
- Certified beds
- 87
- Residents per day
- 29
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Gem City Healthcare and Rehabilitation Center an overall rating of 3 of 5 stars. The last standard survey was on 1 Jul 2025. The latest survey cycle has 15 health citations. The median for nursing homes in Ohio is 8. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Montgomery County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 3 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 40 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 1 Jul 2025 | 15 | 8 |
| Cycle 2 | 5 Dec 2019 | 5 | 8 |
| Cycle 3 | No date | 4 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 15 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0584 | 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. | D | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0693 | 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. | D | Complaint investigation (in dispute review) | 19 Jun 2026 |
| 21 May 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0814 | Dispose of garbage and refuse properly. | E | Complaint investigation | 19 Jun 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 19 Jun 2026 |
| 1 Jul 2025 | F0584 | 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. | F | Standard survey | 21 Jul 2025 |
| 1 Jul 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 21 Jul 2025 |
| 1 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 21 Jul 2025 |
| 1 Jul 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard survey | 21 Jul 2025 |
| 1 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jul 2025 |
| 1 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Jul 2025 |
Survey cycle 2: 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2019 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Jan 2020 |
| 5 Dec 2019 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Jan 2020 |
| 5 Dec 2019 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 15 Jan 2020 |
| 5 Dec 2019 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 15 Jan 2020 |
| 5 Dec 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Jan 2020 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Oct 2018 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Nov 2018 |
| 3 Oct 2018 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 29 Nov 2018 |
| 3 Oct 2018 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Nov 2018 |
| 3 Oct 2018 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 29 Nov 2018 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 4.99 | 3.60 | 3.69 |
| Registered nurses (RN) | 1.11 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.29 | 0.95 | |
| Nurse aides | 2.58 | 2.09 | |
| All nurse staff, weekends | 4.52 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.8% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 7.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.9% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 7.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Gem City Healthcare and Rehabilitation Center LLC
- Chain
- Recover-Care Healthcare (27 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Buckeye Recover Care LLC | 5% or greater direct ownership interest | 100% | 1 May 2023 |
| Ohio SNF Management LLC | Operational/managerial control | 1 Nov 2020 | |
| Kansas SNF Holdings LLC | Adp of the snf | 19 Oct 2025 | |
| Ohio SNF Management LLC | Adp of the snf | 27 Jan 2025 | |
| Rarmna Holdings LLC | Adp of the snf | 19 Oct 2025 | |
| RNR Holdings LLC | Adp of the snf | 19 Oct 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Montgomery County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Grafton Oaks Nursing Center | Dayton | 2 of 5 | 9 | $0 | 10 Feb 2026 | |
| Dunbar Health & Rehab Center | Dayton | 3 of 5 | 8 | $0 | 1 May 2025 | |
| Carecore at Mary Scott | Dayton | 3 of 5 | 19 | $0 | 13 Dec 2025 | |
| Widows Home of Dayton | Dayton | 2 of 5 | 17 | $48,833 | 21 May 2025 | |
| Riverside Nursing and Rehabilitation Center | Dayton | 2 of 5 | 12 | $85,284 | 2 Sep 2025 | |
| Sanctuary at Wilmington Place | Dayton | 2 of 5 | 10 | $0 | 2 Jun 2025 | |
| Aventura at Carriage Inn | Dayton | 3 of 5 | 17 | $0 | 12 Dec 2024 | |
| Siena Woods Care Center | Dayton | 4 of 5 | 13 | $0 | 18 Feb 2026 | |
| Stonespring of Vandalia | Dayton | 5 of 5 | 5 | $0 | 18 Apr 2024 | |
| Oaks of West Kettering The | Kettering | 2 of 5 | 19 | $75,572 | 30 Jul 2024 | |
| Maria Joseph Living Care Center | Dayton | 4 of 5 | 10 | $0 | 8 Jun 2023 | |
| Trotwood Health & Rehab LLC | Dayton | 2 of 5 | 27 | $130,712 | 23 Jul 2024 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Gem City Healthcare and Rehabilitation Center (CCN 365981). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/gem-city-healthcare-and-rehabilitation-center-dayton-oh-365981/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Gem City Healthcare and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 21 May 2026. It was a complaint investigation. It gave 9 citations. The standard survey before the last one was on 5 Dec 2019.
- Who operates Gem City Healthcare and Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Recover-Care Healthcare. The CMS ownership file names Ohio SNF Management LLC for operational or managerial control. This site does not show the names of persons.
- Is Gem City Healthcare and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.