Trotwood Health & Rehab LLC
4911 Covenant House Drive, Dayton, OH 45426 · (937) 837-2651
For profit - Limited Liability company · 67 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Trotwood Health & Rehab LLC has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 23 citations (the Ohio average is 10.5). It was fined 2 times in the last three years, $130,712 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 5 out of 5 stars · Much above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 16, 2026 found 23 citations. What an inspection citation means
- Not hire anyone with a finding of abuse, neglect, exploitation, or theft.June 16, 2026 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.June 16, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure the activities program is directed by a qualified professional.June 16, 2026 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.June 16, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.June 16, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 16, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.June 16, 2026 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyJune 16, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide and implement an infection prevention and control program.June 16, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.June 16, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.June 16, 2026 · F0807 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 16, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.June 16, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to manage his or her financial affairs.June 16, 2026 · F0567 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.June 16, 2026 · F0569 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJune 16, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 16, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 16, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 16, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 16, 2026 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.June 16, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.June 16, 2026 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep all essential equipment working safely.June 16, 2026 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 52 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 16, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 30, 2026 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.December 22, 2025 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure the activities program is directed by a qualified professional.December 22, 2025 · F0680 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep all essential equipment working safely.December 22, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.December 22, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.August 22, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.August 22, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 11, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 11, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe, appropriate pain management for a resident who requires such services.June 11, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 11, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 4, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.March 26, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 26, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.March 26, 2025 · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- 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.February 27, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.February 27, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.February 27, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.January 22, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide medically-related social services to help each resident achieve the highest possible quality of life.December 3, 2024 · F0745 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 3, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 23, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.July 23, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.July 23, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.July 23, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.July 23, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 23, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 23, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough food/fluids to maintain a resident's health.July 23, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 23, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.July 23, 2024 · F0776 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 23, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 23, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.July 23, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures for flu and pneumonia vaccinations.July 23, 2024 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Make sure that a working call system is available in each resident's bathroom and bathing area.July 23, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.June 6, 2024 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.June 6, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 6, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 6, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure medication error rates are not 5 percent or greater.June 6, 2024 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely, quality laboratory services/tests to meet the needs of residents.June 6, 2024 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.June 6, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 13, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.May 13, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that a working call system is available in each resident's bathroom and bathing area.May 13, 2024 · F0919 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.April 11, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 11, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 9, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 25, 2023 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.October 25, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $53,716April 30, 2026
- Fine of $76,996September 25, 2023
- Medicare payment denial for 54 daysStarting July 11, 2024
- Medicare payment denial for 30 daysStarting October 14, 2023
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Ohio average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.28 | 3.69 | 3.86 |
| Registered nurses (RN) | 0.51 | 0.64 | 0.69 |
| Licensed practical nurses (LPN) | 1.06 | 0.95 | 0.86 |
| Nurse aides | 1.70 | 2.09 | 2.32 |
| Total nursing staff turnover | 88.9% | 48.7% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 67 |
| Average residents per day | 29.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Bethany Village Dayton · ★★★★★ 5 out of 5 stars
- Respiratory and Nursing Center of Dayton Dayton · ★★★★★ 5 out of 5 stars
- Stonespring of Vandalia Dayton · ★★★★★ 5 out of 5 stars
- Vienna Springs Health Campus Dayton · ★★★★★ 5 out of 5 stars
- Austin Trace Health and Rehabilitation Dayton · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Trotwood Health & Rehab LLC on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.