Gem City Healthcare and Rehabilitation Center
323 Forest Avenue, Dayton, OH 45405 · Montgomery County · 87 certified beds · avg 29 residents/day · certified since Dec 9, 1994
Part of chain: RECOVER-CARE HEALTHCARE (27 facilities, chain avg rating 2.4★)
2/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.56
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 (24)
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 21, 2026 | 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. · from a complaint |
| May 21, 2026 | 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. · from a complaint |
| May 21, 2026 | E · Potential for harm, repeated | The facility did not dispose of garbage and refuse properly. · from a complaint |
| May 21, 2026 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| May 21, 2026 | 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 |
| May 21, 2026 | 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 |
| May 21, 2026 | 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 |
| May 21, 2026 | 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. · from a complaint |
| May 21, 2026 | 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 |
| Jul 1, 2025 | F · Potential for harm, facility-wide | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Jul 1, 2025 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jul 1, 2025 | 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. |
| Jul 1, 2025 | 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. |
| Jul 1, 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. |
| Jul 1, 2025 | 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. |
| Dec 5, 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. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | 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. |
| Dec 5, 2019 | D · Potential for harm, one-off | 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. |
| Dec 5, 2019 | 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. |
| Oct 3, 2018 | 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. |
| Oct 3, 2018 | 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. |
| Oct 3, 2018 | 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. |
| Oct 3, 2018 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 6).
| 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)
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) | 3.56 | 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 (%) | 0.0 | 48.7 | 45.8 | — |
| RN turnover (%) | 0.0 | 43.9 | 42.9 | — |
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 4.99, RN 1.11, weekend 4.52. 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 - 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 |
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?"
- "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 |
|---|---|---|---|---|---|
| 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 →
Facility data as of CMS processing date 2026-08-01. CCN 365981.