Elder Care Record

Ohio › Montgomery County › Kettering

Walnut Creek Nursing Center

5070 Lamme Road, Kettering, OH 45439

CCN 365821 · For-profit, corporation · 139 certified beds · chain Lionstone Care

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 139 beds, Walnut Creek Nursing Center serves Kettering in Montgomery County, Ohio and has taken Medicare and Medicaid residents since 1991.

CMS gives it 1 of 5 stars overall, below the Ohio median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.

Inspectors recorded 54 health deficiencies across the three most recent survey cycles (19, 15, 20 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 38.8 per 100 beds, about the same as the state median of 33.3.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.1 hours per resident per day (0.5 RN), close to the Ohio median of 3.6; nursing staff turnover is 61.3%.

54health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
3.1nurse hours per resident per daystate median 3.6
75%occupancy (residents ÷ beds)104 residents a day

Compared with county, state and nation

MeasureThis facilityMontgomery Co. medianOhio medianUS average
Overall star rating1333.0
Health citations, 3 cycles54342728.7
Citations per 100 beds38.834.833.326.8
Total nurse hours per resident day3.13.53.63.9
RN hours per resident day0.50.60.60.7
Nursing staff turnover61.3%55.0%48.5%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (40 in the county, 922 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)19
Cycle 215
Cycle 320

Dark bar: this facility. Grey bar: Ohio average per facility for the same cycle, as published by CMS. Standard health survey dates: 20 Mar 2025, 16 Nov 2023.

Severity mix: G ×1 D ×46 E ×4 F ×3

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
25 Feb 2026F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation11 Mar 2026
25 Feb 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation11 Mar 2026
14 Jan 2026F0880Provide and implement an infection prevention and control program.FComplaint investigation6 Feb 2026
14 Jan 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation6 Feb 2026
14 Jan 2026F0610Respond appropriately to all alleged violations.DComplaint investigation6 Feb 2026
14 Jan 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation6 Feb 2026
14 Jan 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation6 Feb 2026
14 Jan 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation6 Feb 2026
14 Jan 2026F0692Provide enough food/fluids to maintain a resident's health.DComplaint investigation6 Feb 2026
14 Jan 2026F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation6 Feb 2026
14 Jan 2026F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DComplaint investigation6 Feb 2026
27 Oct 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation18 Nov 2025
27 Oct 2025F0610Respond appropriately to all alleged violations.DComplaint investigation18 Nov 2025
28 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation20 Jun 2025
20 Mar 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation11 Apr 2025
20 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey11 Apr 2025
20 Mar 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey11 Apr 2025
20 Mar 2025F0758Implement 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.DStandard survey11 Apr 2025
20 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.DStandard survey11 Apr 2025
20 Mar 2025F0880Provide and implement an infection prevention and control program.DStandard survey11 Apr 2025
15 Jan 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation7 Feb 2025
3 Sep 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation20 Sep 2024
18 Jan 2024F0759Ensure medication error rates are not 5 percent or greater.DComplaint investigation2 Feb 2024
18 Jan 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation2 Feb 2024
16 Nov 2023F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard survey12 Dec 2023
16 Nov 2023F0638Assure that each resident’s assessment is updated at least once every 3 months.EStandard survey12 Dec 2023
16 Nov 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey12 Dec 2023
16 Nov 2023F0641Ensure each resident receives an accurate assessment.DStandard survey12 Dec 2023
16 Nov 2023F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey12 Dec 2023
16 Nov 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey12 Dec 2023
16 Nov 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey12 Dec 2023
16 Nov 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey12 Dec 2023
16 Nov 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey12 Dec 2023
16 Nov 2023F0693Ensure 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.DStandard survey12 Dec 2023
16 Nov 2023F0758Implement 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.DStandard survey12 Dec 2023
16 Nov 2023F0807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DStandard survey12 Dec 2023
19 Oct 2023F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation16 Nov 2023
3 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation12 Dec 2023
25 May 2021F0558Reasonably accommodate the needs and preferences of each resident.EStandard survey11 Aug 2021
25 May 2021F0880Provide and implement an infection prevention and control program.EStandard survey31 Aug 2021
25 May 2021F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard survey11 Aug 2021
25 May 2021F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard survey11 Aug 2021
25 May 2021F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey11 Aug 2021
25 May 2021F0610Respond appropriately to all alleged violations.DStandard survey11 Aug 2021
25 May 2021F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard survey11 Aug 2021
25 May 2021F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey31 Aug 2021
25 May 2021F0641Ensure each resident receives an accurate assessment.DStandard survey31 Aug 2021
25 May 2021F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey11 Aug 2021
25 May 2021F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey11 Aug 2021
25 May 2021F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey31 Aug 2021
25 May 2021F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey11 Aug 2021
25 May 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey11 Aug 2021
25 May 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey31 Aug 2021
25 May 2021F0761Ensure 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.DStandard survey11 Aug 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.08 h
Nurse aides1.75 h
LPN0.83 h
RN0.5 h
Weekend total2.77 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Ohio average. Turnover: nursing staff 61.3%, RNs 84.6%; 3 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityOhio medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay2.2%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 Stay0.0%0.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.2%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay2.3%4.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.2%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.9%7.5%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Walnut Creek Snf Opco Llc. Chain: Lionstone Care (24 facilities).

OrganisationRole in the CMS recordInterestSince
Lionstone Carnation Opco Holdings, LLC5% or greater direct ownership interest100%06/28/2024
Cross River Bank5% or greater mortgage interestNOT APPLICABLE06/28/2024
Lionstone Carnation Opco Holdings, LLCOperational/managerial controlNOT APPLICABLE06/28/2024
Lionstone Carnation Opco Holdings, LLCAdp of the snfNOT APPLICABLE06/28/2024
Lionstone Carnation Propco Holdings LLCAdp of the snfNOT APPLICABLE06/28/2024
Walnut Creek SNF Propco LLCAdp of the snfNOT APPLICABLE06/28/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Montgomery County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Astoria Health & Rehab CenterGermantown5055112.0—16 Apr 2026
Bethany VillageDayton22755420.9—2 Mar 2025
Brookhaven Nursing & Rehabilitation CenterBrookville995441414.1—9 Mar 2026
Cypress Pointe Health CampusEnglewood705441014.3—11 Dec 2025
Stonespring of VandaliaDayton144542149.7—9 Aug 2024
Sycamorespring of MiamisburgMiamisburg995421010.1—9 Apr 2026
Vienna Springs Health CampusDayton54543611.1—10 Dec 2025
Austin Trace Health and RehabilitationCenterville1194421512.6—11 Jun 2026

All 40 facilities in Montgomery County

Questions and answers

How many deficiencies has Walnut Creek Nursing Center been cited for?

54 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Ohio median is 27 per facility.

Has Walnut Creek Nursing Center been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Walnut Creek Nursing Center compare?

Reported total nurse staffing is 3.1 hours per resident per day against a Ohio median of 3.6 and a national average of 3.9.

Who operates Walnut Creek Nursing Center?

It is part of the Lionstone Care chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Lionstone Carnation Opco Holdings, LLC and Lionstone Carnation Opco Holdings, LLC. Individual owners and managers are not listed on this site.

When was Walnut Creek Nursing Center last inspected?

The most recent survey or investigation in the CMS record is dated 25 Feb 2026; the most recent standard health survey was 20 Mar 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.