01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-07-23 | 27 | 2024-07-23 | 22 |
| Cycle 2 | 2022-11-07 | 28 | 2022-11-07 | 12 |
| Cycle 3 | 2019-12-18 | 31 | 2019-12-18 | 15 |
CMS CCN 3653642026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Trotwood Health & Rehab Llc
4911 Covenant House Drive · Dayton, OH 45426 · Montgomery County
Certified beds67CMS provider file
Recent citation rows135current CMS citation release
Penalty rows4current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
135 rows in the current release
4 rows carry G–L scope/severity codes; 1 carry J–L. 37 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-16 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has plan of correction · 2026-07-16 · complaint2026-04-30 · HEALTHF0600Severity J · isolated immediate jeopardy
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2026-05-01 · complaint2025-12-22 · HEALTHF0561Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2025-12-22 · HEALTHF0680Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2025-12-22 · HEALTHF0908Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Keep all essential equipment working safely.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2025-12-22 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2026-01-30 · complaint2025-12-18 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-12-18 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-12-18 · FIREK0754Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-12-18 · FIREK0781Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Correction field: Deficient, Provider has date of correction · 2025-12-23 · complaint2025-08-22 · HEALTHF0584Severity F · widespread; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-09-27 · complaint2025-08-22 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-27 · complaint2025-06-11 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-06-27 · complaint2025-06-11 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-27 · complaint2025-06-11 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2025-06-27 · complaint2025-06-11 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-06-27 · complaint2025-06-04 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-27 · complaint2025-03-26 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-04-10 · complaint2025-03-26 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-04-10 · complaint2025-03-26 · HEALTHF0921Severity F · widespread; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2025-04-10 · complaint2025-02-27 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-10 · complaint2025-02-27 · HEALTHF0755Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2025-03-10 · complaint2025-02-27 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-03-10 · complaint2025-01-22 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-02-07 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-04-30 | Fine | $53,716 | 0 |
| 2024-04-11 | Payment Denial | $0 | 54 |
| 2023-09-25 | Fine | $76,996 | 0 |
| 2023-09-25 | Payment Denial | $0 | 30 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BAO OPCO HOLDINGS LLCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 06/30/2025
- SMITHEY, ASHLEYIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST25% · since 06/30/2025
- WOMACK, BRYONIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST75% · since 06/30/2025
- BAO OPCO HOLDINGS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- OHIO-TWO PROPERTIES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- RISE SNF MANAGEMENT LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- BERNER, SUSANIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- DENNY, AMBERIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- SMITHEY, ASHLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- WOMACK, BRYONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/30/2025
- OHIO-TWO PROPERTIES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/30/2025
- RISE SNF MANAGEMENT LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/15/2025
- BERNER, SUSANIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2025
- DENNY, AMBERIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2025
- SMITHEY, ASHLEYIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2025
- WOMACK, BRYONIndividual · ADP OF THE SNFNOT APPLICABLE · since 06/30/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.28per resident day
RN hours0.51per resident day
Weekend nurse hours2.78per resident day
Staff turnover88.9%CMS reported field
06 / LOCAL RECORDS
Open the Dayton ledger →Other published facilities nearby
Arc At Trotwood Llc127 beds · CMS overall 1/5111 citation rowsAventura At Carriage Inn85 beds · CMS overall 3/561 citation rowsBeavercreek Post Acute110 beds · CMS overall 2/543 citation rowsBethany Village227 beds · CMS overall 5/512 citation rowsCarecore At Mary Scott102 beds · CMS overall 3/581 citation rowsCenterville Health And Rehab120 beds · CMS overall 1/583 citation rowsDunbar Health & Rehab Center68 beds · CMS overall 3/540 citation rowsGem City Healthcare And Rehabilitation Center87 beds · CMS overall 3/540 citation rows