Below average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Centerville Health And Rehab during CMS and state inspections, most recent first.
A resident with COPD, dementia, anxiety, nicotine dependence, and a prior cerebral infarction remained edentulous and waited over a year for dentures. The care plan identified oral/dental risk, and progress notes showed repeated staff and NP follow-up with the dental clinic, but the resident still had not received dentures and continued to report concern about the delay. Staff interviews confirmed the resident was still without dentures and that the issue had been reported for follow-up.
Infection control was not maintained during medication administration when an RN touched routine meds for two residents while preparing them for the pill cup. The RN pushed tablets through blister packs into her hand and transferred OTC meds from bottle lids to her hand before placing them in the cup, and later stated she believed touching meds was acceptable if hand hygiene was done between residents, despite the facility policy requiring infection control procedures during med pass.
A resident with dementia and anxiety, who required a private room for psychosocial needs, was unable to have private phone conversations due to the lack of a functional phone in their room and the use of a non-private nurses' station phone. Staff confirmed that conversations could be overheard, and facility policy referenced the right to private communications, but no designated private area was available.
A resident with multiple risk factors for skin breakdown did not receive a scheduled weekly skin assessment as required by their care plan. The resident, who needed significant assistance with ADLs and had conditions such as morbid obesity and lymphedema, was noted to have worsening lower extremity edema and redness. The DON confirmed the missed assessment, and facility policy did not specify procedures for weekly skin checks.
A resident with multiple complex medical conditions did not receive ordered urine analysis with culture and sensitivity tests. The facility failed to collect the required laboratory samples and did not document the missed tests or notify the prescribing provider. The DON confirmed the omission and lack of documentation.
Multiple resident rooms had broken bathroom sink faucets with constant running water and loose or broken door handles, while a public hallway had missing floor tiles that remained unrepaired for several days. Maintenance issues were not tracked or documented formally, and staff communicated repair needs verbally or via text, contrary to facility policy requiring a safe and homelike environment.
Surveyors found that the facility did not ensure a clean, safe, and comfortable environment for residents, with multiple rooms and bathrooms observed to be heavily soiled, damaged, and in disrepair. One resident, who was dependent on staff for ADLs and had complex medical needs, reported embarrassment over the condition of her room. The facility's policy required a clean and homelike environment, which was not provided as evidenced by these findings.
A resident with multiple medical conditions reported an ongoing issue with cockroaches in his room, which was confirmed by both nursing staff and the facility administrator, who observed several live cockroaches behind the resident's refrigerator. The facility's pest control policy required regular pest management and prompt reporting of issues, but the presence of pests and delayed cleaning after a food spill indicated the policy was not effectively implemented.
Multiple residents and staff reported seeing cockroaches in various areas, and surveyors observed deceased cockroaches in the kitchen and dining areas. Despite a policy requiring pest eradication, the facility did not maintain an environment free from pests, affecting all residents.
The facility failed to maintain pest-free kitchen and dining areas, affecting all 74 residents. Mouse droppings were found on various surfaces, and trash cans were uncovered. Roaches were observed in the dining room, with dirt and debris accumulating along the walls. The facility was not up to date with pest control payments, and recommendations for cleanliness were not followed.
The facility failed to maintain clean and functional resident rooms, affecting three residents. Observations revealed loose floor tiles, a hole in the flooring, and a broken shelf in one room, while another room had a loose floorboard and broken closet doors. A resident reported a dusty and smelly PTAC unit, which was found to be dirty with leaves and dirt. These issues were confirmed by an LPN and the Maintenance Director.
The facility failed to maintain effective pest control, as evidenced by staff and resident reports of insects and mice sightings. Despite monthly pest control treatments, large insects were observed in various areas, including resident rooms and common areas. This deficiency affected all 69 residents.
A facility failed to ensure a resident's fingernails were trimmed and clean, despite the resident being dependent on staff for all ADLs. The resident, with medical conditions including MS and joint contractures, had long, jagged nails with dirt and debris, as confirmed by both the resident and an STNA. The facility's policy required assistance with hygiene, but documentation did not support that nail care was provided.
The facility failed to apply splints as ordered for two residents, leading to a deficiency in maintaining or improving their range of motion (ROM). One resident with multiple sclerosis and joint contractures did not have their left resting hand splint applied nightly as ordered, and another resident with dementia and other conditions did not have their bilateral hand splints applied as ordered. The lack of documentation and adherence to physician orders contributed to this deficiency.
Two residents in an LTC facility experienced medication administration errors, resulting in a 7.14% error rate. One resident received half the prescribed dose of Ativan, while another received double the prescribed dose of Flovent. These errors were confirmed by the respective nursing staff involved.
Delayed Dental Services for Denture Provision
Penalty
Summary
The facility failed to provide timely dental services for a resident who was edentulous and waiting for dentures. The resident had diagnoses including COPD, unspecified dementia, unspecified anxiety disorder, nicotine dependence, and unspecified cerebral infarction, and the most recent MDS showed moderately impaired cognition, verbal and self-directed behaviors, occasional rejection of care, and no wandering. The care plan identified oral/dental health risk related to edentulous status and noted the resident had refused a scheduled appointment to obtain dentures. Progress notes showed the resident repeatedly reported waiting for dentures, with nursing and the NP documenting ongoing concern and requests for staff to follow up with the dental clinic. The record also showed repeated delays and incomplete coordination around the dentures over an extended period. Nursing contacted the clinic and was told the dentures were not yet available and would be mailed to the facility, while later notes documented that the resident was still waiting and wanted to see a dentist regarding dentures. The resident stated he had been trying for over a year to get dentures and had already had impressions made. Staff interviews confirmed the resident remained edentulous, that the concern had been reported to social services, and that the NP had repeatedly raised the issue during wellness visits. The facility policy stated routine dental services were provided through community dentists and social services assisted residents with dental appointments.
Infection Control Not Maintained During Medication Administration
Penalty
Summary
The facility failed to maintain professional standards of infection control during medication administration for two residents. Resident #3 was admitted with end stage renal disease with dependence on renal dialysis, type II diabetes, unspecified protein calorie malnutrition, chronic diastolic heart failure, and cirrhosis of the liver, and was cognitively intact with no behaviors, no rejection of care, and no wandering. Resident #6 was admitted with COPD, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, type II diabetes, stage III chronic kidney disease, and unspecified vascular dementia, and had moderately impaired cognition with no behaviors, no rejection of care, and no wandering. During observation of morning medication administration, RN #146 prepared routine medications for both residents by pushing tablets through the film tab into her hand and then dropping each medication into the pill cup. She also poured over-the-counter medications into the bottle lid and transferred each pill to her hand before placing the pills in the medication cup. During interview, the RN confirmed she had touched the medications during administration and stated that, in this type of facility, it was acceptable to touch medications as long as hand hygiene was performed before the pass and after every two residents, except for certain medications such as finasteride or apixaban. Review of the facility policy titled Medication Administration stated that staff followed infection control procedures while administering medications.
Failure to Provide Private Space for Resident Phone Conversations
Penalty
Summary
The facility failed to provide a private space for phone conversations, resulting in a deficiency affecting one resident out of three reviewed for reasonable access to privacy. The resident in question had diagnoses including dementia without behaviors, anxiety, and a history of stroke, and was assessed as having normal cognitive function. The resident's care plan indicated a need for a private room due to psychosocial needs. Observations revealed that the resident did not have access to a working phone in his room, and staff interviews confirmed that residents typically used the phone at the nurses' station, which was not a private area and could be overheard by staff, visitors, or other residents. Further investigation showed that the cordless phone at the nurses' station was not operational, and when a corded phone was found in the resident's room, it was not plugged in or functional. Staff confirmed that the resident made calls from the nurses' station and that conversations could be overheard, as evidenced by a staff member overhearing a personal conversation about cigarettes. The facility's policy referenced the right to private and unrestricted communications, but the lack of a designated private area and non-functional phones resulted in the resident's inability to have private phone conversations.
Missed Weekly Skin Assessment for At-Risk Resident
Penalty
Summary
The facility failed to ensure that weekly skin assessments were conducted as scheduled for a resident identified as being at risk for skin breakdown. The resident had multiple diagnoses, including morbid obesity, lymphedema, chronic embolism and thrombosis, and a hereditary deficiency of clotting factor. The care plan for this resident included interventions such as completing the Braden scale, conducting weekly skin inspections, providing pressure-reducing devices, and performing incontinent care with barrier cream. Despite these interventions being outlined, a scheduled weekly skin assessment was not completed as documented in the electronic health record. Medical record review showed that the resident required significant assistance with activities of daily living and was at risk for pressure ulcers, although none were present at the time. The resident experienced worsening lower extremity edema and redness, prompting physician notification and new orders for care. The Director of Nursing confirmed that the scheduled skin assessment was missed. Additionally, the facility's policy on pressure injury prevention did not specify procedures for weekly skin assessments, only stating that risk evaluations should be repeated per facility schedule and resident risk factors.
Failure to Obtain Ordered Laboratory Tests
Penalty
Summary
The facility failed to obtain laboratory tests as ordered for one resident. The medical record review showed that the resident, who had diagnoses including morbid obesity, lymphedema, chronic embolism and thrombosis, and hereditary deficiency of clotting factor, was admitted and later transferred to the hospital, where they expired. The resident's care plan included interventions such as laboratory tests as ordered, particularly urine analysis with culture and sensitivity to rule out urinary tract infections. However, there were two separate orders for urine analysis with culture and sensitivity that were not completed as required. Further review of the electronic medical record revealed no results for the ordered urine analyses, and there was no documentation indicating that the prescribing provider was notified about the missed tests. Additionally, the progress notes and the resident's medical record did not contain any information regarding the facility's failure to obtain the ordered laboratory tests. The DON confirmed during an interview that the laboratory tests were not collected as ordered and that there was no documentation of this failure in the medical record.
Failure to Maintain Safe and Homelike Environment Due to Unrepaired Fixtures and Surfaces
Penalty
Summary
The facility failed to maintain a safe, clean, and homelike environment for its residents, as evidenced by unrepaired broken bathroom sink faucets in multiple resident rooms, loose and broken door handles, and missing floor tiles in a public hallway outside the therapy room. Observations over several days confirmed that the bathroom sinks in two resident rooms had broken faucets with constant running water, and door handles in two other resident rooms were loose or broken. Additionally, a three-foot by three-foot area of missing tiles in a hallway was observed to be cordoned off with red cones but remained unrepaired over multiple days. Interviews with the Maintenance Supervisor revealed that there was no written plan for repairs, and maintenance issues were tracked informally rather than through documentation or a formal work order system. Housekeeping staff reported that they communicated repair needs verbally or via text, but did not document these issues. The Interim Administrator was unaware of the leaking faucets and stated that repairs should be reported and addressed through the facility's work order program. Review of facility policy confirmed the expectation for a safe and homelike environment, with necessary maintenance and housekeeping services to maintain a sanitary and comfortable setting.
Failure to Maintain Clean, Safe, and Homelike Environment
Penalty
Summary
Surveyors identified that the facility failed to provide a clean, safe, and comfortable environment for its residents, as required by policy. Observations conducted with the Director of Housekeeping and Laundry revealed multiple instances of uncleanliness and disrepair in resident rooms and bathrooms, including heavily soiled and sticky floors, dirt and debris, black and yellow stains, damaged walls with exposed drywall, loose or missing cove bases and ceramic tiles, and improperly fitted toilet tank covers. Additionally, assist bars around toilets were not secured, and the ice machine in a hallway was found to be heavily soiled, rusted, and contaminated with a brown ring inside the storage area. These conditions were verified by the Director of Housekeeping and Laundry during the inspection. The deficiency affected 11 residents, including one resident with significant medical conditions such as hypoxemia, ALS, GERD, hypertension, OSA, and diabetes mellitus, who was cognitively intact and dependent on staff for activities of daily living. This resident expressed embarrassment about the state of her room, particularly when visited by friends and family, and took personal steps to improve the environment by ordering a shelf and rug. The facility's own policy confirmed the expectation of a clean, sanitary, and homelike environment, which was not met as evidenced by the survey findings.
Failure to Maintain Pest-Free Environment in Resident Room
Penalty
Summary
The facility failed to ensure it was free from pests, specifically cockroaches, as required by its pest control policy. During interviews, both a Registered Nurse and a Certified Nurse Aide reported seeing live roaches in a resident's bathroom. Subsequent observation with the Administrator confirmed the presence of five to six live cockroaches behind the resident's refrigerator. The affected resident, who had a history of cerebral infarction, bipolar disorder, traumatic brain injury, and other significant medical conditions, was assessed as cognitively intact and confirmed the ongoing issue with cockroaches in his room. He also reported that after dropping his food tray on the floor, it took over an hour for the area to be fully cleaned. Review of the facility's pest control policy indicated that the facility was supposed to maintain an effective pest control program, including regular services from an outside provider and a system for reporting issues between scheduled visits. Despite these policies, the presence of live cockroaches and the resident's report of a recurring problem demonstrated a failure to maintain a pest-free environment. This deficiency was identified during a complaint investigation and was a recite from previous complaint surveys.
Failure to Maintain Effective Pest Control Program
Penalty
Summary
The facility failed to maintain an environment free from pests, as evidenced by multiple resident and staff reports of cockroach sightings and direct observations of deceased cockroaches in resident areas and food service locations. Three residents, all of whom were cognitively intact and had various medical conditions such as congestive heart failure, diabetes, and chronic obstructive pulmonary disease, reported seeing cockroaches in their rooms and bathrooms. Staff members, including an LPN, RN, and CNA, also confirmed seeing cockroaches or unidentified bugs in the facility. During observations, surveyors found deceased cockroaches in critical areas such as under the food preparation table, under the bread cart in the kitchen, in the dining room corner, and near the ice machine. The dietary supervisor verified these findings. Review of the facility's pest control policy indicated an expectation to eradicate and contain pests, but the presence of cockroaches throughout the facility demonstrated a failure to implement an effective pest control program. This deficiency was identified under a complaint investigation and represented continued non-compliance from a previous survey.
Pest Control and Sanitation Deficiencies in Kitchen and Dining Areas
Penalty
Summary
The facility failed to maintain the kitchen and dining room areas free from pests, which had the potential to affect all 74 residents. Observations and interviews revealed the presence of mouse excrement on various surfaces in the kitchen, including baking sheets, food containers, and silverware holders. The Kitchen Manager confirmed the presence of mouse droppings but could not determine if they were new or old. Additionally, trash cans in the kitchen were found uncovered, and some lacked trash bags, which could contribute to pest issues. The facility's pest control notes indicated treatments for roaches and monitoring of mice traps, but the facility was not up to date with payments for pest control services. Further observations and interviews highlighted the presence of both living and dead roaches in the dining room, particularly along the wall closest to the staff hallway. A thick black line of dirt and debris, including food crumbs, was observed along the wall, which could attract pests. The Maintenance Director confirmed that the baseboards had been replaced but did not fit properly, leaving a crevice where debris accumulated. The pest control representative noted that the facility had been given recommendations for maintaining cleanliness and dealing with trash to prevent pest issues, but these were not being adequately followed. The facility's sanitation policy required food service areas to be kept clean and free of garbage and debris, with trash stored in covered containers, but these standards were not met.
Facility Fails to Maintain Clean and Functional Resident Rooms
Penalty
Summary
The facility failed to maintain resident rooms in a clean and working order, affecting three residents. In one instance, the floor around the PTAC unit in a resident's room had several loose tiles, a hole in the flooring, and a broken built-in shelf. An LPN confirmed these observations. Another resident's room had a loose floorboard that had fallen off the closet/wall and broken closet doors off their hinges, which was also confirmed by an LPN. Additionally, a resident and their family member reported that the PTAC unit emitted a dusty and bad smell when running on heat. Upon inspection, the Maintenance Director found the PTAC unit to be dirty with clumps of leaves and dirt, acknowledging it was due for a quarterly cleaning. This deficiency was investigated under Complaint Number OH00162474.
Inadequate Pest Control Measures in Facility
Penalty
Summary
The facility failed to ensure effective pest control measures were in place, as evidenced by multiple staff and resident observations of insects and mice within the facility. Interviews with a State Tested Nursing Assistant (STNA) and several Licensed Practical Nurses (LPNs) revealed sightings of cockroaches and large insects in the dining area, hallways, and secured unit over the past two weeks. A resident reported seeing insects and mice in their room, although the last mouse sighting was over a month ago. Another resident confirmed seeing large insects in their room, and a Registered Nurse (RN) corroborated the presence of large black bugs in resident rooms and the laundry room. Observations conducted on two separate days confirmed the presence of large insects in various areas of the facility, including an empty resident room and the secured unit dining room. Despite monthly pest control treatments to the building's perimeter, common areas, and kitchen, as well as a specific treatment for cockroaches in one resident room in July 2024, the facility's pest control measures were insufficient. This deficiency was investigated under Complaint Numbers OH00160170 and OH00160055, affecting all 69 residents residing in the facility.
Failure to Provide Adequate Nail Care for a Resident
Penalty
Summary
The facility failed to provide adequate care and services to ensure that a resident's fingernails were trimmed and free of dirt and debris. This deficiency was identified during a review of the medical record, observation, staff and resident interviews, and policy review. The affected resident, who was admitted on 12/11/18, had medical diagnoses including multiple sclerosis, joint contractures, and dysphagia. The resident was cognitively intact but dependent on staff for all activities of daily living (ADLs) and had limited range of motion in one upper extremity. Despite receiving baths or showers on specific dates, there was no documentation indicating that nail care was provided. During an observation and interview, the resident's fingernails were found to be long, with jagged edges, and had dirt and debris underneath. The resident confirmed that the facility staff did not cut his fingernails often. A State tested Nursing Assistant (STNA) corroborated the resident's statement, acknowledging that the resident's fingernails were indeed long and unclean. The facility's policy on ADLs, revised in March 2018, stated that residents would be provided with care and services to maintain or improve their ability to carry out ADLs, including appropriate support and assistance with hygiene. This deficiency was investigated under Complaint Number OH00160055.
Failure to Apply Splints as Ordered for Residents
Penalty
Summary
The facility failed to ensure that splints and braces were applied as ordered for two residents, leading to a deficiency in maintaining or improving their range of motion (ROM). Resident #30, who has multiple sclerosis, joint contractures, and dysphagia, was admitted on 12/11/18. The resident was cognitively intact but dependent on staff for all activities of daily living and had limited ROM in one upper extremity. A physician ordered a left resting hand splint to be applied up to eight hours at night, but there was no documentation to support that the splint was applied from 10/24/24 to 11/24/24. The resident confirmed that the splint was not applied nightly as ordered, and the Regional Nurse Consultant confirmed the lack of documentation. Resident #75, who has dementia, psychotic disorder, diabetes, and chronic kidney disease, was admitted and later discharged. The resident had severe cognitive impairment and required substantial assistance for daily activities. An occupational therapy discharge summary indicated that the resident tolerated passive ROM for splint placement, and a physician ordered bilateral hand splints to be worn up to eight hours at night. However, there was no documentation to support that the splints were applied from 11/14/24 to 11/17/24. The Director of Rehabilitation confirmed that occupational therapy services were discontinued, and the nursing staff was responsible for applying the splints as ordered. The facility's policy stated that residents with limited mobility should receive appropriate services to maintain or improve mobility, but this was not adhered to in these cases.
Medication Administration Errors in LTC Facility
Penalty
Summary
The facility failed to ensure medications were administered as ordered, resulting in a medication error rate of 7.14%, which is above the acceptable threshold of 5%. This affected two residents out of three reviewed for medication administration. Resident #50, who was admitted with medical diagnoses including atrial fibrillation, depression, congestive heart failure, moderate protein calorie malnutrition, and bipolar disorder, was prescribed Ativan 1 mg to be taken daily. However, on a specific date, RN #135 administered only 0.5 mg of Ativan, which was confirmed during an interview with the nurse. Similarly, Resident #62, who had medical diagnoses of atrial fibrillation, diabetes mellitus, Parkinson's disease, and chronic obstructive pulmonary disease, was prescribed Flovent inhalation aerosol 110 mcg per actuation, one puff orally twice a day. LPN #223 administered two puffs instead of the prescribed one puff. This was also confirmed during an interview with the LPN. The facility's policy on administering oral medications requires staff to check and confirm the medication name and dose with the Medication Administration Record (MAR), which was not adhered to in these instances.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Dayton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Centerville Post Acute | 0.9 mi | ★★★★★ | 2 | 0 |
| Bethany Village | 1.9 mi | ★★★★★ | 0 | 0 |
| Vienna Springs Health Campus | 2 mi | ★★★★★ | 1 | 0 |
| Wood Glen Alzheimer's Community | 2.3 mi | ★★★★★ | 16 | 0 |
| St Leonard Hcc | 2.6 mi | ★★★★★ | 2 | 0 |
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