Grafton Oaks Nursing Center

405 Grafton Avenue · Dayton, OH · 45406 · 9372764040

99 certified beds For profit - Corporation

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

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.

69% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 64
Staffing 20% 53
Federal penalties 15% 100
Trend 10% 23
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.263.48 min · 4.1 strong
RN hours / resident-day0.460.55–0.75
Weekend hours / resident-day2.84≈ weekday level
Nursing turnover / year69%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D February 10, 2026

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 10, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D February 10, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 6, 2026 · Quality of Life and Care

  • Potential for harm · D February 10, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · D February 10, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 10, 2026

    Keep all essential equipment working safely.

    Corrected March 6, 2026 · Environmental

  • Potential for harm · D February 10, 2026 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 6, 2026 · Resident Assessment and Care Planning

  • Actual harm · G September 16, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected September 30, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 18, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · D February 16, 2023

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected March 8, 2023 · Resident Rights

  • Potential for harm · D February 16, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 8, 2023 · Quality of Life and Care

  • Potential for harm · D February 16, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 8, 2023 · Quality of Life and Care

  • Potential for harm · D February 16, 2023

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected March 8, 2023 · Infection Control

  • Potential for harm · D September 5, 2019

    Ensure each resident receives an accurate assessment.

    Corrected October 11, 2019 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2019

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected October 11, 2019 · Quality of Life and Care

  • Potential for harm · D September 5, 2019

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected October 11, 2019 · Pharmacy Service

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 365716 · certified since November 21, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.