Oak Creek Terrace INC
2316 Springmill Road, Kettering, OH 45440 · Montgomery County · 69 certified beds · avg 62 residents/day · certified since Dec 9, 1992
Part of chain: CARING PLACE HEALTHCARE GROUP (5 facilities, chain avg rating 4.0★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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 (21)
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 |
|---|---|---|
| Apr 24, 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. · from a complaint |
| Apr 24, 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 |
| Sep 29, 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 |
| May 15, 2025 | 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. |
| May 15, 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. |
| May 15, 2025 | 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. |
| May 15, 2025 | 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. |
| May 15, 2025 | 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. |
| May 15, 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. |
| Apr 29, 2022 | E · Potential for harm, repeated | 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. |
| Apr 29, 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. |
| Apr 29, 2022 | 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. |
| Apr 29, 2022 | 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. |
| Apr 29, 2022 | 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. |
| Apr 29, 2022 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Apr 29, 2022 | 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. |
| Apr 11, 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. |
| Apr 11, 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. |
| Apr 11, 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. |
| Apr 11, 2019 | 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. |
| Apr 11, 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 5 | 0 | D |
| 2022 | 7 | 0 | E |
| 2025 | 7 | 0 | F |
| 2026 | 2 | 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) | 0.00 | 3.45 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.60 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.07 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.42 | 0.48 | — |
| Total nursing staff turnover (%) | 57.1 | 48.7 | 45.8 | bottom 27% in Ohio; bottom 21% in the U.S. |
| RN turnover (%) | 33.3 | 43.9 | 42.9 | top 31% in Ohio; top 33% 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 0.00, RN 0.00, weekend 0.00. 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: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chase M Kohn QSST Tr | Organization | 5% or Greater Direct Ownership Interest | 33% | 01/22/2016 |
| Irrevocable Trust Agreement of Barry A. Kohn | Organization | 5% or Greater Direct Ownership Interest | 66% | 12/01/2023 |
| Kohn, Chase | Individual | 5% or Greater Indirect Ownership Interest | 33% | 12/18/2024 |
| Kohn, Patsy | Individual | 5% or Greater Indirect Ownership Interest | 66% | 10/11/2023 |
| Anderson, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 09/02/2025 |
| Birnbaum, Eden | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Birnbaum, Eden | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Caring Place Healthcare Group, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/08/2014 |
| Caring Place Healthcare Group, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2025 |
| Chase M. Kohn Irrevocable Trust | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Concept Rehab, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/01/2025 |
| Concept Rehab, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 09/05/2025 |
| Engage Consulting, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Gates, Tammy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/19/2025 |
| Gates, Tammy | Individual | ADP of the SNF | NOT APPLICABLE | 01/19/2025 |
| Irrevocable Trust Agreement of Barry A. Kohn | Organization | ADP of the SNF | NOT APPLICABLE | 12/01/2023 |
| Kettering Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Kohn Family Holdings Limited Liability Company | Organization | ADP of the SNF | NOT APPLICABLE | 12/18/2024 |
| Kohn, Chase | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/18/2024 |
| Kohn, Chase | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
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 does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "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?"
- "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?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Bethany Village | 1.9 mi | Dayton, OH | ★★★★★ | 5/5 | |
| Bellbrook Health and Rehab | 2.2 mi | Bellbrook, OH | ★★☆☆☆ | 2/5 | |
| Kettering Heights Post Acute | 2.4 mi | Kettering, OH | ★★☆☆☆ | 2/5 | |
| Village at the Greene | 2.6 mi | Dayton, OH | ★☆☆☆☆ | 1/5 | |
| St Leonard HCC | 2.8 mi | Centerville, OH | ★★★☆☆ | 3/5 | |
| The Laurels of Kettering | 2.8 mi | Kettering, OH | ★★☆☆☆ | 1/5 | |
| Centerville Post Acute | 3.4 mi | Centerville, OH | ★★★☆☆ | 4/5 | |
| Centerville Health and Rehab | 3.8 mi | Dayton, OH | ★☆☆☆☆ | 2/5 | |
| Trinity Community | 4.2 mi | Beavercreek, OH | ★★★☆☆ | 3/5 | |
| Oaks of West Kettering the | 4.7 mi | Kettering, OH | ★★☆☆☆ | 1/5 | |
| Walnut Creek Nursing Center | 4.7 mi | Kettering, OH | ★☆☆☆☆ | 2/5 | |
| Sanctuary at Wilmington Place | 5.1 mi | Dayton, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365899.