Trotwood Health & Rehab LLC
4911 Covenant House Drive · Dayton, OH · 45426 · 9378372651
67 certified beds For profit - Individual Chain: Hillstone Healthcare
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- 3 citations involved actual harm to residents.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
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 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
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: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.37 | 0.55–0.75 |
| Weekend hours / resident-day | 2.23 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $76,996 |
Inspection citations (87 in the current record)
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Immediate jeopardy · J April 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 1, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 22, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 30, 2026 · Resident Rights
-
Potential for harm · E December 22, 2025 · found via complaint
Ensure the activities program is directed by a qualified professional.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · E December 22, 2025 · found via complaint
Keep all essential equipment working safely.
Corrected January 30, 2026 · Environmental
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Potential for harm · F December 22, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 30, 2026 · Environmental
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Potential for harm · F August 22, 2025 · found via complaint
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 September 27, 2025 · Resident Rights
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Potential for harm · F August 22, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 27, 2025 · Nutrition and Dietary
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Potential for harm · D June 11, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 27, 2025 · Resident Rights
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Potential for harm · E June 11, 2025 · found via complaint
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 June 27, 2025 · Resident Rights
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Potential for harm · D June 11, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected June 27, 2025 · Quality of Life and Care
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Potential for harm · D June 11, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 27, 2025 · Pharmacy Service
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Potential for harm · E June 4, 2025 · found via complaint
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 June 27, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · D March 26, 2025 · found via complaint
Ensure 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.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · F March 26, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected April 10, 2025 · Environmental
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Potential for harm · D February 27, 2025 · found via complaint
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 March 10, 2025 · Resident Rights
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Potential for harm · D February 27, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 10, 2025 · Pharmacy Service
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Potential for harm · D February 27, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 10, 2025 · Pharmacy Service
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Potential for harm · E January 22, 2025 · found via complaint
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 7, 2025 · Resident Rights
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Potential for harm · D December 3, 2024 · found via complaint
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D December 3, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · D July 23, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 3, 2024 · Resident Rights
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Potential for harm · D July 23, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected September 3, 2024 · Quality of Life and Care
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Potential for harm · F July 23, 2024
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 3, 2024 · Nursing and Physician Services
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Potential for harm · D July 23, 2024
Provide or obtain dental services for each resident.
Corrected September 3, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 11, 2024 | Payment Denial | 54 days |
| September 25, 2023 | Fine | $76,996 |
| September 25, 2023 | Payment Denial | 30 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365364 · certified since December 20, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.