Atrium Nursing and Rehabilitation
1301 North Monroe Drive · Xenia, OH · 45385 · 9373724495
99 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $6,500 in fines in the last 24 months.
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
66% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.83 | ≈ weekday level |
| Nursing turnover / year | 66% | median 45% |
| Fines (3-yr window) | 4 · $193,839 |
Inspection citations (51 in the current record)
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Potential for harm · D December 11, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025
Respond appropriately to all alleged violations.
Corrected December 31, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 11, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 11, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 31, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · E June 26, 2025
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.
Corrected July 24, 2025 · Resident Rights
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Potential for harm · E June 26, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected July 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Ensure each resident receives an accurate assessment.
Corrected July 24, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide appropriate foot care.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · E June 26, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 24, 2025 · Quality of Life and Care
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Potential for harm · D June 26, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 24, 2025 · Pharmacy Service
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Potential for harm · D June 26, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected July 24, 2025 · Pharmacy Service
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Potential for harm · D June 26, 2025
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected July 24, 2025 · Administration
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Potential for harm · D February 6, 2025
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.
Corrected February 26, 2025 · Resident Rights
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Potential for harm · D February 6, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · F February 6, 2025
Provide and implement an infection prevention and control program.
Corrected February 26, 2025 · Infection Control
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Potential for harm · D February 6, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected February 26, 2025 · Infection Control
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Potential for harm · F February 6, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected February 26, 2025 · Environmental
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Potential for harm · D February 6, 2025 · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected February 26, 2025 · Resident Rights
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Potential for harm · D February 6, 2025 · found via complaint
Honor 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.
Corrected February 26, 2025 · Resident Rights
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Potential for harm · F August 14, 2024 · found via complaint
Have 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.
Corrected September 25, 2024 · Nursing and Physician Services
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Potential for harm · F August 14, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 30, 2024 · Nutrition and Dietary
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Potential for harm · F August 14, 2024 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected September 25, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| August 14, 2024 | Fine | $6,500 |
| August 14, 2024 | Payment Denial | 91 days |
| March 4, 2024 | Fine | $128,726 |
| March 4, 2024 | Payment Denial | 66 days |
| January 3, 2024 | Fine | $15,887 |
| August 22, 2023 | Fine | $42,726 |
| August 22, 2023 | Payment Denial | 50 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365022 · certified since January 1, 1967. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.