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Gem City Healthcare and Rehabilitation Center
323 Forest Avenue, Dayton, OH 45405 (opens Google Maps) · Montgomery County · (937) 224-0793· 87 certified beds · avg 29 residents/day · certified since Dec 9, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: RECOVER-CARE HEALTHCARE (27 facilities, chain avg rating 2.4★)
2/5
Health inspection rating (on-site)
inspected Jul 1, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.56
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 3/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.
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 F-0880
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 F-0812
The facility did not dispose of garbage and refuse properly. · from a complaint F-0814
View all 24 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 21, 2026 | F · Potential for more than minimal harm, widespread | 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 · F-0880 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | 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 · F-0812 |
| May 21, 2026 | E · Potential for more than minimal harm, pattern | The facility did not dispose of garbage and refuse properly. · from a complaint · F-0814 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0656 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0677 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0686 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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. · from a complaint · F-0693 |
| May 21, 2026 | D · Potential for more than minimal harm, isolated | 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 · F-0760 |
| Jul 1, 2025 | F · Potential for more than minimal harm, widespread | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Jul 1, 2025 | E · Potential for more than minimal harm, pattern | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Jul 1, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0812 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0759 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jul 1, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Dec 5, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Dec 5, 2019 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Dec 5, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0757 |
| Dec 5, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0805 |
| Dec 5, 2019 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
| Oct 3, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0656 |
| Oct 3, 2018 | D · Potential for more than minimal harm, isolated | 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. · F-0657 |
| Oct 3, 2018 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Oct 3, 2018 | D · Potential for more than minimal harm, isolated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
All citationsSerious citations (G–L)
2018
All citations: 4
Serious citations (G–L): 0
2019
All citations: 5
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 9
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2018 | 4 | 0 | D |
| 2019 | 5 | 0 | D |
| 2025 | 6 | 0 | F |
| 2026 | 9 | 0 | F |
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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityOhio averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.56
Ohio average: 3.45
U.S. average: 3.95
Registered Nurse hours
This facility: 0.80
Ohio average: 0.60
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.23
Ohio average: 3.07
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Ohio avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.56 | 3.45 | 3.95 | top 32% in Ohio; bottom 40% in the U.S. |
| Registered Nurse hours | 0.80 | 0.60 | 0.69 | top 15% in Ohio; top 28% in the U.S. |
| Weekend total nurse staffing | 3.23 | 3.07 | 3.50 | top 28% in Ohio; bottom 44% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 1.03 | 0.42 | 0.48 | top 2% in Ohio; top 5% in the U.S. |
| Total nursing staff turnover (%) | — | 48.7 | 45.8 | — |
| RN turnover (%) | — | 43.9 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.99, RN 1.11, weekend 4.52.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.99 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Gem City Healthcare and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Buckeye Recover Care LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2023 |
| Berner, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2019 |
| Berner, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2025 |
| Chapman, Kenneth | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/08/2020 |
| Kansas SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
| Labazzo, Deborah | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/25/2025 |
| Labazzo, Deborah | Individual | ADP of the SNF | NOT APPLICABLE | 10/28/2025 |
| Mad Family Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2020 |
| Natr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
| Ohio SNF Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2020 |
| Ohio SNF Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/27/2025 |
| Rarmna Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
| Ratr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
| RNR Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
| Wetr Trust | Organization | ADP of the SNF | NOT APPLICABLE | 10/19/2025 |
All 15 owning or managing parties CMS has on file are shown — none excluded.
Other facilities in the same chain
CMS lists this facility under the chain Recover-Care Healthcare — 27 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Hope Springs Care Center — Montrose, CO · overall 2/5
- Baldwin Healthcare & Rehab Center, LLC — Baldwin City, KS · overall 5/5
- Belleville Healthcare and Rehabilitation Center — Belleville, KS · overall 2/5
- Brighton Place West — Topeka, KS · overall 2/5
- Cambridge Place — Marysville, KS · overall 2/5
- Flint Hills Care and Rehabilitation Center — Emporia, KS · overall 4/5
- Heritage Gardens Health and Rehabilitation Center — Oskaloosa, KS · overall 3/5
- Hilltop Lodge Health and Rehabilitation Center — Beloit, KS · overall 2/5
Listed by state, then facility name — not a ranking. Showing 8 of the 26 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (12 closest of 61 within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Grafton Oaks Nursing Center | 0.3 mi | Dayton, OH | ★★☆☆☆ | 2/5 | abuse |
| Dunbar Health & Rehab Center | 1.6 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Carecore at Mary Scott | 2.0 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Widows Home of Dayton | 2.4 mi | Dayton, OH | ★★☆☆☆ | 1/5 | |
| Riverside Nursing and Rehabilitation Center | 2.7 mi | Dayton, OH | ★★☆☆☆ | 1/5 | |
| Sanctuary at Wilmington Place | 3.2 mi | Dayton, OH | ★★☆☆☆ | 2/5 | |
| Aventura at Carriage Inn | 3.6 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Siena Woods Care Center | 4.0 mi | Dayton, OH | ★★★★☆ | 3/5 | |
| Stonespring of Vandalia | 4.0 mi | Dayton, OH | ★★★★★ | 4/5 | |
| Beavercreek Health and Rehab | 4.3 mi | Beavercreek, OH | ★☆☆☆☆ | 1/5 | |
| Oaks of West Kettering the | 4.3 mi | Kettering, OH | ★★☆☆☆ | 1/5 | |
| Maria Joseph Living Care Center | 4.8 mi | Dayton, OH | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Montgomery, OH — 40 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Grace Brethren Village — Englewood, OH · overall 4/5
- Kettering Heights Post Acute — Kettering, OH · overall 2/5
- Kingston of Miamisburg — Miamisburg, OH · overall 4/5
- Laurels of Huber Heights the — Huber Heights, OH · overall 3/5
- Laurels of West Carrollton the — West Carrollton, OH · overall 1/5
- Momentous Health at Vandalia — Vandalia, OH · overall 2/5
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 365981.