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Trotwood Health & Rehab LLCCMS ratings, inspections and fines

Address
4911 Covenant House Drive, Dayton, OH 45426
CCN
365364
Ownership type
For-profit, individual
Certified beds
67
Residents per day
30
CMS flags
  • CMS abuse icon
  • No standard survey in more than 2 years
CMS star ratings
Overall rating2 of 5
Health inspection rating1 of 5
Staffing rating1 of 5
Quality measure rating5 of 5
Care Compare record (Medicare.gov)

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 Trotwood Health & Rehab LLC an overall rating of 2 of 5 stars. The last standard survey was on 23 Jul 2024. The latest survey cycle has 27 health citations. The median for nursing homes in Ohio is 8. CMS lists 2 fines with a total of $130,712 for this home in its penalties file. CMS also lists 2 payment denials.

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.

CMS star ratings of Trotwood Health & Rehab LLC, with medians
Rating (1 to 5 stars)This homeMontgomery County medianOhio medianUS average (CMS)
Overall rating23.03.03.0
Health inspection rating12.03.02.8
Staffing rating12.02.02.9
Quality measure rating55.05.03.6

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.

Health citations of Trotwood Health & Rehab LLC in the last three survey cycles
Survey cycleStandard surveyCitationsOhio median
Cycle 1 (latest)23 Jul 2024278
Cycle 27 Nov 2022288
Cycle 3No date318

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.

Scope and severity of the 86 citations. Select a cell to show only its rows.
SeverityIsolatedPatternWidespread
Immediate jeopardy to resident health or safetyK0L0
Actual harm that is not immediate jeopardyH0I0
No actual harm, potential for more than minimal harm
No actual harm, potential for minimal harmA0B0C0

Survey cycle 1 (latest): 27 citations

Standard survey of this cycle: .

Health citations of Trotwood Health & Rehab LLC in survey cycle 1, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
16 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation16 Jul 2026
30 Apr 2026F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation1 May 2026
22 Dec 2025F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EComplaint investigation30 Jan 2026
22 Dec 2025F0680Ensure the activities program is directed by a qualified professional.EComplaint investigation30 Jan 2026
22 Dec 2025F0908Keep all essential equipment working safely.EComplaint investigation30 Jan 2026
22 Dec 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation30 Jan 2026
22 Aug 2025F0584Honor 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.FComplaint investigation27 Sep 2025
22 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation27 Sep 2025
23 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation3 Sep 2024
23 Jul 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey3 Sep 2024
23 Jul 2024F0584Honor 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.EComplaint investigation3 Sep 2024
23 Jul 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation3 Sep 2024
23 Jul 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint investigation3 Sep 2024
23 Jul 2024F0610Respond appropriately to all alleged violations.DComplaint investigation3 Sep 2024
23 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation3 Sep 2024
23 Jul 2024F0685Assist a resident in gaining access to vision and hearing services.DStandard survey3 Sep 2024
23 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation3 Sep 2024
23 Jul 2024F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation3 Sep 2024
23 Jul 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey3 Sep 2024
23 Jul 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Sep 2024
23 Jul 2024F0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DComplaint investigation3 Sep 2024
23 Jul 2024F0791Provide or obtain dental services for each resident.DStandard survey3 Sep 2024
23 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation3 Sep 2024
23 Jul 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation3 Sep 2024
23 Jul 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation3 Sep 2024
23 Jul 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.EComplaint investigation3 Sep 2024
23 Jul 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation3 Sep 2024

Survey cycle 2: 28 citations

Standard survey of this cycle: .

Health citations of Trotwood Health & Rehab LLC in survey cycle 2, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
11 Jun 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation27 Jun 2025
11 Jun 2025F0584Honor 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.EComplaint investigation27 Jun 2025
11 Jun 2025F0697Provide safe, appropriate pain management for a resident who requires such services.DComplaint investigation27 Jun 2025
11 Jun 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation27 Jun 2025
4 Jun 2025F0584Honor 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.EComplaint investigation27 Jun 2025
26 Mar 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation10 Apr 2025
26 Mar 2025F0761Ensure 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.DComplaint investigation10 Apr 2025
26 Mar 2025F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FComplaint investigation10 Apr 2025
27 Feb 2025F0584Honor 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.DComplaint investigation10 Mar 2025
27 Feb 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation10 Mar 2025
27 Feb 2025F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation10 Mar 2025
22 Jan 2025F0584Honor 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.EComplaint investigation7 Feb 2025
3 Dec 2024F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.DComplaint investigation20 Dec 2024
3 Dec 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation20 Dec 2024
7 Nov 2022F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey23 Jan 2023
7 Nov 2022F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey23 Jan 2023
7 Nov 2022F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey23 Jan 2023
7 Nov 2022F0625Notify 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.DStandard survey23 Jan 2023
7 Nov 2022F0637Assess the resident when there is a significant change in conditionDStandard survey23 Jan 2023
7 Nov 2022F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey23 Jan 2023
7 Nov 2022F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey23 Jan 2023
7 Nov 2022F0679Provide activities to meet all resident's needs.DStandard survey23 Jan 2023
7 Nov 2022F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey23 Jan 2023
7 Nov 2022F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard survey23 Jan 2023
7 Nov 2022F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard survey23 Jan 2023
7 Nov 2022F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DStandard survey23 Jan 2023
7 Nov 2022F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyEStandard survey23 Jan 2023
7 Nov 2022F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey23 Jan 2023

Survey cycle 3: 31 citations

The CMS provider file has no standard survey date for this cycle.

Health citations of Trotwood Health & Rehab LLC in survey cycle 3, the latest first
Survey dateF-tagRequirement (CMS text)Scope and severitySurvey typeCorrected
6 Jun 2024F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation21 Jun 2024
6 Jun 2024F0584Honor 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.EComplaint investigation3 Sep 2024
6 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Sep 2024
6 Jun 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Sep 2024
6 Jun 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation21 Jun 2024
6 Jun 2024F0770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint investigation21 Jun 2024
6 Jun 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation3 Sep 2024
13 May 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation3 Sep 2024
13 May 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Sep 2024
13 May 2024F0919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint investigation3 Sep 2024
11 Apr 2024F0584Honor 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.EComplaint investigation3 Sep 2024
11 Apr 2024F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation3 Sep 2024
9 Jan 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint investigation26 Jan 2024
25 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation13 Nov 2023
25 Oct 2023F0880Provide and implement an infection prevention and control program.FComplaint investigation13 Nov 2023
25 Sep 2023F0679Provide activities to meet all resident's needs.EComplaint investigation13 Nov 2023
25 Sep 2023F0680Ensure the activities program is directed by a qualified professional.EComplaint investigation13 Nov 2023
25 Sep 2023F0692Provide enough food/fluids to maintain a resident's health.GComplaint investigation13 Nov 2023
25 Sep 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation13 Nov 2023
4 Aug 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation26 Aug 2023
18 Dec 2019F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DStandard survey10 Jan 2020
18 Dec 2019F0584Honor 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.EStandard survey10 Jan 2020
18 Dec 2019F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard survey10 Jan 2020
18 Dec 2019F0610Respond appropriately to all alleged violations.DStandard survey10 Jan 2020
18 Dec 2019F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey10 Jan 2020
18 Dec 2019F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey10 Jan 2020
18 Dec 2019F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey10 Jan 2020
18 Dec 2019F0679Provide activities to meet all resident's needs.DStandard survey10 Jan 2020
18 Dec 2019F0761Ensure 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.EStandard survey10 Jan 2020
18 Dec 2019F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey10 Jan 2020
18 Dec 2019F0914Provide bedrooms that don't allow residents to see each other when privacy is needed.DStandard survey10 Jan 2020

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.

Penalties of Trotwood Health & Rehab LLC in the CMS penalties file
DateTypeFineDays without payment
30 Apr 2026Fine$53,716
11 Apr 2024Payment denial54
25 Sep 2023Fine$76,996
25 Sep 2023Payment denial30

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.

Nurse staffing hours per resident per day at Trotwood Health & Rehab LLC
StaffThis homeOhio medianOhio average (CMS)
All nurse staff3.283.603.69
Registered nurses (RN)0.510.600.64
Licensed practical nurses (LPN)1.060.95
Nurse aides1.702.09
All nurse staff, weekends2.783.203.28
Nurse staff turnover in a year
88.9%
Nurse staff turnover, Ohio median
48.5%
RN turnover in a year
90.9%
Administrators who left in a year
1

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.

Quality measures of Trotwood Health & Rehab LLC, average of four quarters (2025Q2-2026Q1)
Measure (CMS text)ResidentsThis homeOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay1.3%4.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.6%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.9%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay3.2%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay1.2%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay3.2%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, individual
Chain
Bao Opco Holdings (3 homes in the CMS chain file)
Organisations in the CMS ownership record of Trotwood Health & Rehab LLC
OrganisationRole in the CMS recordInterestSince
Bao Opco Holdings LLC5% or greater direct ownership interest100%30 Jun 2025
Bao Opco Holdings LLCOperational/managerial control30 Jun 2025
Ohio-Two Properties LLCOperational/managerial control30 Jun 2025
Rise SNF Management LLCOperational/managerial control30 Jun 2025
Ohio-Two Properties LLCAdp of the snf30 Jun 2025
Rise SNF Management LLCAdp of the snf15 Aug 2025

The site shows organisations only. It does not show the names of persons.

Other homes in Montgomery County

The 12 nearest other nursing homes in Montgomery County, Ohio
Nursing homeCityOverall ratingCitations, latest cycleFinesLast standard survey
Maria Joseph Living Care CenterDayton4 of 510$08 Jun 2023
Arc at Trotwood LLCDayton1 of 525$020 May 2025
Aventura at Shiloh SpringsTrotwood2 of 519$08 Jan 2026
Siena Woods Care CenterDayton4 of 513$018 Feb 2026
Aventura at Carriage InnDayton3 of 517$012 Dec 2024
Grace Brethren VillageEnglewood4 of 56$030 Jan 2025
Carecore at Mary ScottDayton3 of 519$013 Dec 2025
Riverside Nursing and Rehabilitation CenterDayton2 of 512$85,2842 Sep 2025
Cypress Pointe Health CampusEnglewood5 of 52$018 Sep 2025
Stonespring of VandaliaDayton5 of 55$018 Apr 2024
Englewood Health and RehabEnglewood1 of 515$01 May 2024
Grafton Oaks Nursing CenterDayton2 of 59$010 Feb 2026

All 40 nursing homes in Montgomery County

Official channels

Cite this page

Centers for Medicare & Medicaid Services, Care Compare. Record of Trotwood Health & Rehab LLC (CCN 365364). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/trotwood-health-rehab-llc-dayton-oh-365364/

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 Trotwood Health & Rehab LLC last inspected?
The latest inspection with a citation in the CMS record was on 16 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 7 Nov 2022. CMS marks the last health inspection of this home as more than 2 years old.
Who operates Trotwood Health & Rehab LLC?
The CMS record gives the ownership type as for-profit, individual. CMS lists the home in the chain Bao Opco Holdings. The CMS ownership file names 3 organisations for operational or managerial control. This site does not show the names of persons.
Is Trotwood Health & Rehab LLC 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.