Trotwood Health & Rehab LLC

Nursing home in Dayton, OH

Medicare & Medicaid certified2★ overall (CMS)CMS abuse icon

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Public-record details

Address: 4911 Covenant House Drive, Dayton, OH 45426
Phone: (937) 837-2651
Listed under: For-profit
Medicare CCN: 365364
Overall star rating: 2 of 5 ★★☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 1 of 5
Quality measures rating: 5 of 5
Certified beds: 67
Average residents per day: 30
Ownership: For-profit, individual
Legal business name: Trotwood Health & Rehab LLC
Chain: Bao Opco Holdings (3 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Dec 20, 1977
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 365364. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 23, 2024. CMS lists 86 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 18, 2019 to Jun 16, 2026): 57 from complaint inspections, 4 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

Inspection	Citation	Severity
Jun 16, 2026	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Apr 30, 2026	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation · complaint inspection	J Immediate jeopardy, isolated
Dec 22, 2025	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern
Dec 22, 2025	Ensure the activities program is directed by a qualified professional. Quality of Life and Care · complaint inspection	E Potential for more than minimal harm, pattern
Dec 22, 2025	Keep all essential equipment working safely. Environmental · complaint inspection	E Potential for more than minimal harm, pattern
Dec 22, 2025	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental · complaint inspection	F Potential for more than minimal harm, widespread
Aug 22, 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. Resident Rights · complaint inspection	F Potential for more than minimal harm, widespread
Aug 22, 2025	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary · complaint inspection	F Potential for more than minimal harm, widespread
Jun 11, 2025	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights · complaint inspection	D Potential for more than minimal harm, isolated
Jun 11, 2025	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Jun 11, 2025	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service · complaint inspection	D Potential for more than minimal harm, isolated
Jun 11, 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. Resident Rights · complaint inspection	E Potential for more than minimal harm, pattern

Showing the 12 most recent of 86. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $130,712 and 2 denials of Medicare payment for new admissions in the last three years.

Apr 30, 2026	Fine: $53,716
Apr 11, 2024	Payment denial for 54 days from Jul 11, 2024
Sep 25, 2023	Fine: $76,996
Sep 25, 2023	Payment denial for 30 days from Oct 14, 2023

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.28 hours
Registered nurse (RN) time per resident per day: 0.51 hours
Nurse aide time per resident per day: 1.70 hours
Total nurse staffing on weekends: 2.78 hours
Nursing staff turnover (yearly): 89%
RN turnover (yearly): 91%
Administrators who left in the past year: 1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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