Grafton Oaks Nursing Center
405 Grafton Avenue, Dayton, OH 45406 · Montgomery County · 99 certified beds · avg 82 residents/day · certified since Nov 21, 1988
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Sep 16, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 30, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (16)
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 |
|---|---|---|
| Feb 10, 2026 | 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. |
| Feb 10, 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 |
| Feb 10, 2026 | 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. |
| Feb 10, 2026 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Feb 10, 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. |
| Feb 10, 2026 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Feb 10, 2026 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 16, 2025 | ▲ G · Actual harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 18, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. · from a complaint |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Feb 16, 2023 | 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. |
| Feb 16, 2023 | 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. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Sep 5, 2019 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Sep 5, 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. |
| Sep 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | D |
| 2023 | 4 | 0 | D |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 7 | 0 | 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) | 3.05 | 3.45 | 3.95 | bottom 29% in Ohio; bottom 15% in the U.S. |
| Registered Nurse hours | 0.36 | 0.60 | 0.69 | bottom 13% in Ohio; bottom 17% in the U.S. |
| Weekend total nurse staffing | 2.79 | 3.07 | 3.50 | bottom 37% in Ohio; bottom 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.15 | 0.42 | 0.48 | bottom 2% in Ohio; bottom 5% in the U.S. |
| Total nursing staff turnover (%) | 68.9 | 48.7 | 45.8 | bottom 8% in Ohio; bottom 7% in the U.S. |
| RN turnover (%) | 55.6 | 43.9 | 42.9 | bottom 31% in Ohio; bottom 28% 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 3.39, RN 0.40, weekend 3.11. Staffing rating: 1/5.
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 |
|---|---|---|---|---|
| Yyam Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/31/2024 |
| Yyam Irrevocable Trust | Organization | 5% or Greater Indirect Ownership Interest | 95% | 12/31/2024 |
| Berner, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Berner, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Compliance Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| DMT Spe I LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 12/31/2024 |
| Franley, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Franley, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Go Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Go Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Howard, Weshbale & Co. | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Jamma Consulting INC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Luxor Healthcare Group LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Luxor Healthcare Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Nussbaum, Mattisyahu | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/31/2024 |
| Nussbaum, Mattisyahu | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/31/2024 |
| Nussbaum, Mattisyahu | Individual | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Weinstock, Mindi | Individual | ADP of the SNF | NOT APPLICABLE | 06/06/2025 |
| Yyam Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
| Yyam Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/31/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "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 |
|---|---|---|---|---|---|
| Gem City Healthcare and Rehabilitation Center | 0.3 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Dunbar Health & Rehab Center | 1.6 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Carecore at Mary Scott | 1.7 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Riverside Nursing and Rehabilitation Center | 2.6 mi | Dayton, OH | ★★☆☆☆ | 1/5 | |
| Widows Home of Dayton | 2.7 mi | Dayton, OH | ★★☆☆☆ | 1/5 | |
| Sanctuary at Wilmington Place | 3.4 mi | Dayton, OH | ★★☆☆☆ | 2/5 | |
| Aventura at Carriage Inn | 3.5 mi | Dayton, OH | ★★★☆☆ | 2/5 | |
| Siena Woods Care Center | 3.8 mi | Dayton, OH | ★★★★☆ | 3/5 | |
| Stonespring of Vandalia | 4.0 mi | Dayton, OH | ★★★★★ | 4/5 | |
| Oaks of West Kettering the | 4.3 mi | Kettering, OH | ★★☆☆☆ | 1/5 | |
| Maria Joseph Living Care Center | 4.5 mi | Dayton, OH | ★★★★☆ | 3/5 | |
| Beavercreek Health and Rehab | 4.6 mi | Beavercreek, OH | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365716.