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.
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
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
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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.