Respiratory And Nursing Center Of Dayton

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.23 therapist hours per resident per day in 2026Q1 — more than 30% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 82 beds and averages 71.7 residents a day — about 87% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.46 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.74 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.60 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.04 hrs/resident/day on weekends vs 3.64 on weekdays — 17% thinner on weekends. RN hours go from 0.81 to 0.57 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 35% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

22 citations, most serious first. The 10 most serious are shown; the remaining 12 are one tap away and print in full.

• Potential for harm · E2024-09-04 · tag F0638 — pattern
  Assure that each resident’s assessment is updated at least once every 3 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record reviews, staff interview, and review of the Resident Assessment Instrument (RAI) User's Manual 3.0, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed timely. This affected four (Residents #06, #08, #22, and #50) of 23 residents reviewed for timely MDS assessments. The facility census was 75 residents. Findings include: 1. Review of the medical record for Resident #06 revealed an admission date of 04/06/21 with diagnoses including chronic respiratory failure, dependence on ventilator, multiple sclerosis (MS), spastic paraplegia, schizoaffective disorder, dementia, and diabetes mellitus (DM). Review of the quarterly MDS assessment for Resident #06 with an assessment reference date (ARD) of 07/03/24 revealed the resident had severely impaired cognition and was dependent upon staff for all activities of daily living (ADLs). Review of the MDS revealed a completion date of 08/05/24. 2. Review of the medical record for Resident #08 revealed an admission date of 10/24/23 with diagnoses including chronic respiratory failure, DM,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-04 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and staff interview, the facility failed to practice food service safety and maintain a sanitary environment to prevent food and beverage contamination. This had the potential to effect 63 residents who received food from the facility kitchen. The facility census was 75 residents. Findings include: 1.Observation on 08/27/24 at 10:05 A.M. with [NAME] #44 revealed Dietary Supervisor (DS) #52 placed a small bin of cooked carrots on prep table and did not cover the carrots. A ledge directly above the uncovered bin of carrots was covered with crumbs and debris. Above the ledge to the right was a window that housed a working air conditioner which blew cold air into the kitchen. On the right side of air conditioner there was a plastic accordion-style casing which sealed the unit to the window. The casing was covered with dust and black specks. The left side of the running air conditioner was smaller than the window and allowed for an approximately four-inch opening from the window directly to the outside. Interview on 08/27/24 at 10:05 A.M. with DS #52 confirmed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-09-04 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, staff interviews, and review of the facility policy, the facility failed to ensure the staff utilized proper hand hygiene and infection control practices during tracheostomy care. This affected one (Resident #56) of 18 residents with tracheostomies. The facility also failed to ensure staff donned appropriate personal protective equipment (PPE) to prevent the spread of Coronavirus (COVID-19). This affected one (Resident #10) of two facility-identified COVID-19 positive residents. The facility census was 75 residents. Findings include: 1. Review of the medical record for Resident #56 revealed an admission date of 06/11/24 with diagnoses including chronic respiratory failure with hypoxia, sepsis, end stage renal disease, anoxic brain injury, and tracheostomy. Review of the admission Minimum Data Set (MDS) assessment for Resident #56 dated 06/20/24 revealed the resident had severe cognitive impairment and was dependent upon staff for all activities of daily living (ADLs). Review of the physician's orders for Resident #56 revealed an order…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-04 · tag F0558 — failed to accommodate residents' needs and preferences — isolated
  Reasonably accommodate the needs and preferences of each resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, resident representative interview, and staff interviews, the facility failed to ensure resident representative preferences were honored. This affected one (Residents #54) of six residents reviewed for activities of daily living (ADL) assistance. The facility also failed to honor resident needs and preferences regarding bathroom accomodations. This affected one (Resident #49) of six residents reviewed for ADL assistance. The facility census was 75 residents. Findings include: Review of the medical record for Resident #54 revealed an admission date of 10/21/22 diagnoses including chronic respiratory failure, end stage renal disease, dependence on renal dialysis, atrial fibrillation, diabetes mellitus, and atherosclerotic heart disease. Review of the Minimum Data Set (MDS) assessment for Resident #54 dated 06/27/24 revealed the resident had severe cognitive impairment, was dependent upon staff for toileting hygiene, bathing, and bed mobility, and did not transfer out of bed during the review window. Review of the social service note for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-04 · tag F0636 — isolated
  Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to ensure comprehensive admission Minimum Data Set (MDS) assessments were completed timely. This affected one (Resident #56) of eight residents reviewed for timely assessments. The facility census was 75 residents. Findings include: Review of the medical record for Resident #56 revealed an admission date of 06/11/24 with diagnoses including chronic respiratory failure with hypoxia, sepsis, end stage renal disease, anoxic brain injury, and tracheostomy. Review of the admission MDS assessment for Resident #56 with an assessment reference date (ARD) of 06/20/24 revealed the resident had severe cognitive impairment and was dependent upon staff for all activities of daily living. Review of the MDS revealed a completion date of 07/15/24. Interview with Regional MDS Nurse #110 confirmed Resident #56's comprehensive admission assessment was not completed as per RAI manual guidelines. Regional MDS Nurse #110 confirmed the facility utilized the RAI manual for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-04 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to update resident care plans regarding changes in condition. This affected one (Resident #68) of two residents for hospitalizations. The facility census was 75 residents. Findings include: Review of the medical record for the Resident #68 revealed an admission date of 10/16/23 with diagnoses including chronic respiratory failure with hypoxia, dependence on respirator, non-traumatic intracerebral hemorrhage, embolism and thrombosis of thoracic aorta. Review of the care plan for Resident #68 last updated 04/19/24 revealed it was not updated to include the resident's behavior of pulling out her tracheostomy tube. Review of the nurse progress note for Resident #68 dated 07/11/24 revealed the respiratory therapist (RT) entered the resident's room in response to a pulse oximetry alarm and found the resident's tracheostomy tube had been pulled out and the resident was unresponsive. The RT replaced the tracheostomy tube, and the nurse and RT started cardiopulmonary resuscitation and called 911. The resident was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-04 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record reviews, observations, and staff interviews, the facility failed to ensure activity of daily living (ADL) care and services were provided for dependent residents. This affected two (Residents #50 and #46) of six residents reviewed for ADL assistance. The facility census was 75. Findings include: 1. Review of the medical record for Resident #50 revealed an admission date of 03/31/21 with diagnoses including chronic respiratory failure, dependence upon a ventilator, tracheostomy, anoxic brain injury and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #50 dated 07/03/24 revealed the resident had severely impaired cognition and was dependent upon staff for all ADLs and had limited range of motion (ROM) to bilateral upper and lower extremities. Review of the body assessment forms for Resident #50 dated 07/27/24, 07/31/24, 08/03/24, 08/07/24, 08/10/24, 08/14/24, 08/17/24, 08/21/24, and 08/24/24 were completed by State Tested Nursing Assistants (STNAs) and signed by the nurse. Further review of the forms revealed Resident #50…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-04 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, and staff interview, the facility failed to ensure staff properly positioned dependent residents in bed. This affected one (Resident #50) resident of four residents reviewed for positioning. The facility census was 75 residents. Findings include: Review of the medical record for Resident #50 revealed an admission date of 03/31/21 with diagnoses including chronic respiratory failure, dependence upon a ventilator, tracheostomy, anoxic brain injury and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #50 dated 07/03/24 revealed the resident had severely impaired cognition and was dependent upon staff for all activities of daily living (ADLs) and had limited range of motion (ROM) to the bilateral upper and lower extremities. Review of the physician's orders for Resident #50 revealed an order dated 10/17/22 to place a pillow between resident's hands and face to offload pressure. Observation on 08/26/24 at 8:10 A.M. of Resident #50 revealed the resident was lying in bed on her side without a pillow placed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-04 · tag F0688 — failed to keep residents mobile / prevent decline — isolated
  Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, observation, staff interview, and policy review, the facility failed to provide care and services to prevent worsening of contractures and to prevent limited range of motion (ROM). This affected one (Resident #50) of four residents reviewed for ROM. The facility census was 75 residents. Findings include: Review of the medical record for Resident #50 revealed an admission date of 03/31/21 with diagnoses including chronic respiratory failure, dependence upon a ventilator, tracheostomy, anoxic brain injury and hypertension. Review of the quarterly Minimum Data Set (MDS) assessment for Resident #50 dated 07/03/24 revealed the resident had severely impaired cognition, was dependent upon staff assistance with all activities of daily living (ADLs) and had limited ROM to the bilateral upper and lower extremities. Review of the care plan for Resident #50 revealed the resident was at risk for alteration in skin integrity care plan related to incontinence, impaired mobility, and joint contractures. Review of the occupational therapy (OT) discharge summary for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-09-04 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to properly inform the staff of interventions and approaches for care of residents with Post Traumatic Stress Disorder (PTSD.) This had the potential to effect one (Resident #27) of one resident reviewed for trauma-informed care. The census was 75 residents. Findings include: Review of the medical record for Resident #27 revealed an admission date of 06/09/23 with diagnoses including stroke, anemia, hypertension and post-traumatic stress disorder (PTSD). Review of the trauma assessment for Resident #27 dated 8/25/24 completed per Social Services Designee (SSD) #104 revealed the resident had served in the military during a war, had a history of a heart attack, and prior to the age of 18 had been physically punished and or beaten by someone he knew and had received bruises, cuts welts, lumps and other injuries as a result of the assault. Additionally Resident #27 he had been pressured into having unwanted sexual contact. No additional information was documented on the assessment other than loud noises and music…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to FOUNDATIONS HEALTH SOLUTIONS — 64 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 12 rows in the source record cover these 5 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH