Trotwood Health & Rehab LLC

4911 COVENANT HOUSE DRIVE, DAYTON, OH 45426 · CCN 365364 · 67 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-04-30 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2023-10-25 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-09-25 ACTUAL HARM (tag F0692, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide enough food/fluids to maintain a resident's health.
2022-11-07 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.89

state median 3.20

Weekend staffing gap

−6%

fewer nursing hours on weekends · state median −4%

RN hours / resident / day

0.32

registered nurses only

Contract (agency) staff

10%

share of all nursing hours

Days with zero RN hours reported

27

with residents present

Nursing staff turnover

89%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $76,996 in fines.

DateTypeAmount
2024-04-11Payment Denialpayment denial
2023-09-25Fine$76,996
2023-09-25Payment Denialpayment denial

Ownership

Ownership type: For profit - Individual. Part of the HILLSTONE HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 3 · Potential for more than minimal harm: 81 · Immediate jeopardy: 1

Survey dateTagCategorySeverityCorrected
2026-04-30F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-12-22F0561Resident Rights DeficienciesEnot recorded
2025-12-22F0680Quality of Life and Care DeficienciesEnot recorded
2025-12-22F0908Environmental DeficienciesEnot recorded
2025-12-22F0921Environmental DeficienciesFnot recorded
2025-08-22F0584Resident Rights DeficienciesFnot recorded
2025-08-22F0812Nutrition and Dietary DeficienciesFnot recorded
2025-06-11F0550Resident Rights DeficienciesDnot recorded
2025-06-11F0584Resident Rights DeficienciesEnot recorded
2025-06-11F0697Quality of Life and Care DeficienciesDnot recorded
2025-06-11F0755Pharmacy Service DeficienciesDnot recorded
2025-06-04F0584Resident Rights DeficienciesEnot recorded
2025-03-26F0759Pharmacy Service DeficienciesDnot recorded
2025-03-26F0761Pharmacy Service DeficienciesDnot recorded
2025-03-26F0921Environmental DeficienciesFnot recorded
2025-02-27F0584Resident Rights DeficienciesDnot recorded
2025-02-27F0755Pharmacy Service DeficienciesDnot recorded
2025-02-27F0759Pharmacy Service DeficienciesDnot recorded
2025-01-22F0584Resident Rights DeficienciesEnot recorded
2024-12-03F0745Quality of Life and Care DeficienciesDnot recorded
2024-12-03F0755Pharmacy Service DeficienciesDnot recorded
2024-07-23F0550Resident Rights DeficienciesDnot recorded
2024-07-23F0580Resident Rights DeficienciesDnot recorded
2024-07-23F0584Resident Rights DeficienciesEnot recorded
2024-07-23F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-23F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-23F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-07-23F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-23F0685Quality of Life and Care DeficienciesDnot recorded
2024-07-23F0689Quality of Life and Care DeficienciesEnot recorded
2024-07-23F0692Quality of Life and Care DeficienciesDnot recorded
2024-07-23F0727Nursing and Physician Services DeficienciesFnot recorded
2024-07-23F0755Pharmacy Service DeficienciesDnot recorded
2024-07-23F0776Administration DeficienciesDnot recorded
2024-07-23F0791Quality of Life and Care DeficienciesDnot recorded
2024-07-23F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-23F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-07-23F0880Infection Control DeficienciesEnot recorded
2024-07-23F0883Infection Control DeficienciesEnot recorded
2024-07-23F0919Environmental DeficienciesDnot recorded
2024-06-06F0558Resident Rights DeficienciesDnot recorded
2024-06-06F0584Resident Rights DeficienciesEnot recorded
2024-06-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-06-06F0755Pharmacy Service DeficienciesDnot recorded
2024-06-06F0759Pharmacy Service DeficienciesDnot recorded
2024-06-06F0770Administration DeficienciesDnot recorded
2024-06-06F0919Environmental DeficienciesDnot recorded
2024-05-13F0689Quality of Life and Care DeficienciesDnot recorded
2024-05-13F0755Pharmacy Service DeficienciesDnot recorded
2024-05-13F0919Environmental DeficienciesDnot recorded
2024-04-11F0584Resident Rights DeficienciesEnot recorded
2024-04-11F0755Pharmacy Service DeficienciesDnot recorded
2024-01-09F0689Quality of Life and Care DeficienciesEnot recorded
2023-10-25F0689Quality of Life and Care DeficienciesGnot recorded
2023-10-25F0880Infection Control DeficienciesFnot recorded
2023-09-25F0679Quality of Life and Care DeficienciesEnot recorded
2023-09-25F0680Quality of Life and Care DeficienciesEnot recorded
2023-09-25F0692Quality of Life and Care DeficienciesGnot recorded
2023-09-25F0755Pharmacy Service DeficienciesDnot recorded
2023-08-04F0755Pharmacy Service DeficienciesDnot recorded
2022-11-07F0558Resident Rights DeficienciesDnot recorded
2022-11-07F0580Resident Rights DeficienciesDnot recorded
2022-11-07F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2022-11-07F0625Resident Rights DeficienciesDnot recorded
2022-11-07F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2022-11-07F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2022-11-07F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2022-11-07F0679Quality of Life and Care DeficienciesDnot recorded
2022-11-07F0686Quality of Life and Care DeficienciesGnot recorded
2022-11-07F0727Nursing and Physician Services DeficienciesFnot recorded
2022-11-07F0756Pharmacy Service DeficienciesDnot recorded
2022-11-07F0770Administration DeficienciesDnot recorded
2022-11-07F0868Administration DeficienciesEnot recorded
2022-11-07F0921Environmental DeficienciesDnot recorded
2019-12-18F0578Resident Rights DeficienciesDnot recorded
2019-12-18F0584Resident Rights DeficienciesEnot recorded
2019-12-18F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2019-12-18F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2019-12-18F0655Resident Assessment and Care Planning DeficienciesDnot recorded
2019-12-18F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2019-12-18F0677Quality of Life and Care DeficienciesDnot recorded
2019-12-18F0679Quality of Life and Care DeficienciesDnot recorded
2019-12-18F0761Pharmacy Service DeficienciesEnot recorded
2019-12-18F0812Nutrition and Dietary DeficienciesFnot recorded
2019-12-18F0914Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Trotwood Health & Rehab LLC, DAYTON” at medicare.gov/care-compare.