Aventura at Carriage Inn

Name: Aventura at Carriage Inn
Address: 5040 PHILADELPHIA DRIVE, Dayton, OH, 45415, US
Telephone: 9372780404

5040 Philadelphia Drive, Dayton, OH 45415 · Montgomery County · 85 certified beds · avg 71 residents/day · certified since Sep 1, 1992

Part of chain: AVENTURA HEALTH GROUP (11 facilities, chain avg rating 1.5★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.00

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (46)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 14, 2026	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Apr 23, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 10, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Oct 30, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Oct 30, 2025	D · Potential for harm, one-off	The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint
Oct 21, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Oct 21, 2025	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
Oct 21, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Oct 21, 2025	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · from a complaint
Oct 21, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Dec 12, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Dec 12, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 11, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Sep 11, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jun 5, 2024	D · Potential for harm, one-off	The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint
Jun 5, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 5, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jun 5, 2024	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Mar 6, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Feb 7, 2024	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jan 8, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 10, 2022	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 10, 2022	E · Potential for harm, repeated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Aug 10, 2022	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Aug 10, 2022	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Aug 10, 2022	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Aug 1, 2019	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Aug 1, 2019	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
Aug 1, 2019	E · Potential for harm, repeated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Aug 1, 2019	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Aug 1, 2019	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (9 → 4).

Year	Citations	Worst severity that year
2019	10	F
2022	9	F
2024	14	D
2025	11	F
2026	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.00	3.45	3.95	bottom 25% in Ohio; bottom 14% in the U.S.
Registered Nurse hours	0.32	0.60	0.69	bottom 7% in Ohio; bottom 12% in the U.S.
Weekend total nurse staffing	2.71	3.07	3.50	bottom 27% in Ohio; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.21	0.42	0.48	bottom 10% in Ohio; bottom 15% in the U.S.
Total nursing staff turnover (%)	55.4	48.7	45.8	bottom 30% in Ohio; bottom 24% in the U.S.
RN turnover (%)	20.0	43.9	42.9	top 13% in Ohio; top 13% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.10, RN 0.33, weekend 2.79. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kaszirer, Moishe	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2021
Scharf, Mordechai	Individual	5% or Greater Direct Ownership Interest	50%	12/01/2021
Kaszirer, Moishe	Individual	Corporate Officer	NOT APPLICABLE	12/01/2021
Kaszirer, Moishe	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Scharf, Mordechai	Individual	Corporate Officer	NOT APPLICABLE	12/01/2021

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your current medication error rate, and what have you changed to bring errors down?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How is routine foot care handled here, and does a podiatrist visit regularly?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"When a doctor orders lab work, how quickly is it done and how are results communicated back?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Siena Woods Care Center	0.4 mi	Dayton, OH	★★★★☆	3/5
Riverside Nursing and Rehabilitation Center	1.4 mi	Dayton, OH	★★☆☆☆	1/5
Maria Joseph Living Care Center	1.9 mi	Dayton, OH	★★★★☆	3/5
Stonespring of Vandalia	1.9 mi	Dayton, OH	★★★★★	4/5
Arc at Trotwood LLC	2.3 mi	Dayton, OH	★☆☆☆☆	1/5
Trotwood Health & Rehab LLC	2.3 mi	Dayton, OH	★★☆☆☆	1/5	abuse
Carecore at Mary Scott	2.6 mi	Dayton, OH	★★★☆☆	2/5
Grafton Oaks Nursing Center	3.5 mi	Dayton, OH	★★☆☆☆	2/5	abuse
Aventura at Shiloh Springs	3.6 mi	Trotwood, OH	★★☆☆☆	1/5
Gem City Healthcare and Rehabilitation Center	3.6 mi	Dayton, OH	★★★☆☆	2/5
Grace Brethren Village	4.4 mi	Englewood, OH	★★★★☆	3/5
Cypress Pointe Health Campus	5.1 mi	Englewood, OH	★★★★★	4/5

Compare this facility with the 3 closest →

All facilities in Dayton →

Facility data as of CMS processing date 2026-08-01. CCN 365876.

The Care File

Visit checklist — Aventura at Carriage Inn

5040 Philadelphia Drive, Dayton, OH 45415 · 9372780404

Health inspection rating 2/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How is routine foot care handled here, and does a podiatrist visit regularly?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365876 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)