Maria Joseph Living Care Center

Name: Maria Joseph Living Care Center
Address: 4830 SALEM AVENUE, Dayton, OH, 45416, US
Telephone: 9372782692

4830 Salem Avenue, Dayton, OH 45416 · Montgomery County · 266 certified beds · avg 233 residents/day · certified since Mar 31, 1974

Part of chain: FOUNDATIONS HEALTH SOLUTIONS (64 facilities, chain avg rating 4.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.19

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

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 (28)

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
Sep 11, 2025	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. · from a complaint
Sep 11, 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. · from a complaint
Mar 20, 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. · from a complaint
Jun 8, 2023	E · Potential for harm, repeated	The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died.
Jun 8, 2023	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.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Jun 8, 2023	D · Potential for harm, one-off	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Jun 8, 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.
Jun 8, 2023	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.
Jun 8, 2023	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.
Jun 8, 2023	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.
Jan 30, 2020	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.
Jan 30, 2020	E · Potential for harm, repeated	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.
Jan 30, 2020	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.
Jan 30, 2020	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.
Jan 30, 2020	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.
Jan 30, 2020	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 30, 2020	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.
Jan 30, 2020	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.
Jan 30, 2020	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.
Jan 30, 2020	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.
Jan 30, 2020	D · Potential for harm, one-off	The facility did not provide timely, quality laboratory tests to meet residents' needs.
Nov 8, 2018	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.
Nov 8, 2018	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.
Nov 8, 2018	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 8, 2018	E · Potential for harm, repeated	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.
Nov 8, 2018	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Nov 8, 2018	D · Potential for harm, one-off	The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 8).

Year	Citations	Worst severity that year
2018	6	F
2020	11	F
2023	8	E
2025	3	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)	3.19	3.45	3.95	bottom 40% in Ohio; bottom 21% in the U.S.
Registered Nurse hours	0.64	0.60	0.69	top 34% in Ohio; top 43% in the U.S.
Weekend total nurse staffing	2.99	3.07	3.50	top 45% in Ohio; bottom 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.49	0.42	0.48	top 29% in Ohio; top 34% in the U.S.
Total nursing staff turnover (%)	40.8	48.7	45.8	top 30% in Ohio; top 38% in the U.S.
RN turnover (%)	31.8	43.9	42.9	top 31% in Ohio; top 32% 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 3.56, RN 0.71, weekend 3.33. Staffing rating: 3/5.

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
Colleran, Brian	Individual	Corporate Director	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Colleran, Brian	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2019
Ferguson, Harold	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Foundations Health Solutions, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	01/01/2019
Foundations Health Solutions, LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/16/2025
Krystowski, John	Individual	Corporate Officer	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Price, Austin	Individual	Operational/Managerial Control	NOT APPLICABLE	03/24/2020
Price, Austin	Individual	ADP of the SNF	NOT APPLICABLE	03/24/2020

Questions to ask on your visit

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

"How do you keep residents' medical records accurate, complete, and secure?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
"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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"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
Trotwood Health & Rehab LLC	0.5 mi	Dayton, OH	★★☆☆☆	1/5	abuse
Arc at Trotwood LLC	1.1 mi	Dayton, OH	★☆☆☆☆	1/5
Aventura at Shiloh Springs	1.7 mi	Trotwood, OH	★★☆☆☆	1/5
Siena Woods Care Center	1.9 mi	Dayton, OH	★★★★☆	3/5
Aventura at Carriage Inn	1.9 mi	Dayton, OH	★★★☆☆	2/5
Carecore at Mary Scott	3.0 mi	Dayton, OH	★★★☆☆	2/5
Riverside Nursing and Rehabilitation Center	3.2 mi	Dayton, OH	★★☆☆☆	1/5
Grace Brethren Village	3.4 mi	Englewood, OH	★★★★☆	3/5
Stonespring of Vandalia	3.6 mi	Dayton, OH	★★★★★	4/5
Cypress Pointe Health Campus	4.2 mi	Englewood, OH	★★★★★	4/5
Grafton Oaks Nursing Center	4.5 mi	Dayton, OH	★★☆☆☆	2/5	abuse
Englewood Health and Rehab	4.7 mi	Englewood, OH	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Dayton →

Facility data as of CMS processing date 2026-08-01. CCN 365322.

The Care File

Visit checklist — Maria Joseph Living Care Center

4830 Salem Avenue, Dayton, OH 45416 · 9372782692

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What choices do residents have over their daily schedule, like meal times, bathing, and activities?"
☐ "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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "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 365322 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)