Trotwood Health & Rehab LLC
Nursing Home · Dayton, OH
CMS certification number365364
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
4911 Covenant House DriveDayton, OH 45426
Montgomery County
- Phone
- (937) 837-2651
- ZIP code
- 45426 – all care providers
Facility details
- Certified beds
- 67
- Residents per day
- 29.8 (44% occupied)
- Ownership
- For profit - Individual
- Chain
- Bao Opco Holdings (3 facilities, avg 2.0★)
- Medicare certified since
- December 20, 1977
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.28 (state 3.69 · U.S. 3.86)
- Registered nurses (RN)
- 0.51 (state 0.64 · U.S. 0.69)
- Licensed practical nurses
- 1.06 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.70 (state 2.09 · U.S. 2.32)
- Weekend total
- 2.78 (state 3.28 · U.S. 3.42)
- Nursing staff turnover
- 88.9 (state 48.7 · U.S. 45.8)%
- RN turnover
- 90.9 (state 43.9 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 23, 2024
- Health deficiencies (last cycle)
- 27.0 (state 10.7 · U.S. 9.3)
- From complaints
- 23
- Citations on record (3 years)
- 51 health · 29 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-16 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-16 |
| 2026-04-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2026-05-01 |
| 2025-12-22 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-30 |
| 2025-12-22 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-30 |
| 2025-12-22 | Ensure the activities program is directed by a qualified professional. F0680 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-30 |
| 2025-12-22 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-30 |
| 2025-08-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-08-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-09-27 |
| 2025-06-11 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-06-11 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-06-11 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-06-11 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-06-04 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-27 |
| 2025-03-26 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-10 |
| 2025-03-26 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-10 |
| 2025-03-26 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-10 |
| 2025-02-27 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-02-27 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-02-27 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-10 |
| 2025-01-22 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2024-12-03 | Provide medically-related social services to help each resident achieve the highest possible quality of life. F0745 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-12-03 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-20 |
| 2024-07-23 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. F0776 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-07-23 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-06-06 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-06-06 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-21 |
| 2024-06-06 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-06-06 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-06-06 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-21 |
| 2024-06-06 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-21 |
| 2024-06-06 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-05-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
| 2024-05-13 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-03 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
4 penalties in the last three years, including $130,712 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-04-30 | Fine | $53,716 |
| 2024-04-11 | Payment Denial | 54 days payment denial |
| 2023-09-25 | Payment Denial | 30 days payment denial |
| 2023-09-25 | Fine | $76,996 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Bao Opco Holdings LLC (organization) | 5%+ Direct Ownership Interest · 100% | |
| Smithey, Ashley (individual) | 5%+ Indirect Ownership Interest · 25% | |
| Womack, Bryon (individual) | 5%+ Indirect Ownership Interest · 75% | |
| Berner, Susan (individual) | Administrator · NOT APPLICABLE | |
| Denny, Amber (individual) | Administrator · NOT APPLICABLE | |
| Ohio-Two Properties LLC (organization) | Administrator · NOT APPLICABLE | |
| Rise SNF Management LLC (organization) | Administrator · NOT APPLICABLE | |
| Smithey, Ashley (individual) | Administrator · NOT APPLICABLE | |
| Womack, Bryon (individual) | Administrator · NOT APPLICABLE | |
| Bao Opco Holdings LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Berner, Susan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Denny, Amber (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ohio-Two Properties LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Rise SNF Management LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Smithey, Ashley (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Womack, Bryon (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Trotwood Health & Rehab LLC?
Trotwood Health & Rehab LLC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in Ohio.
How many beds does Trotwood Health & Rehab LLC have?
It has 67 certified beds and cares for about 30 residents per day.
Has Trotwood Health & Rehab LLC been fined?
Yes. CMS lists 4 penalties totaling $130,712 in the last three years.
Who owns Trotwood Health & Rehab LLC?
It is part of Bao Opco Holdings and is classified as for profit - individual. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Trotwood Health & Rehab LLC?
(937) 837-2651. The facility is located at 4911 Covenant House Drive, Dayton, OH 45426.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.