Respiratory and Nursing Center of Dayton

Name: Respiratory and Nursing Center of Dayton
Address: 3421 PINNACLE ROAD, Moraine, OH, 45439, US
Telephone: 9372683488

3421 Pinnacle Road, Moraine, OH 45439 · Montgomery County · 82 certified beds · avg 72 residents/day · certified since Jun 6, 1980

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

2.40

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 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 (22)

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 4, 2024	E · Potential for harm, repeated	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Sep 4, 2024	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.
Sep 4, 2024	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.
Sep 4, 2024	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Sep 4, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 4, 2024	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.
Sep 4, 2024	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.
Sep 4, 2024	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.
Sep 4, 2024	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.
Sep 4, 2024	D · Potential for harm, one-off	The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from.
Sep 4, 2024	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.
Sep 4, 2024	C · Minimal risk, facility-wide	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Dec 20, 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. · from a complaint
May 16, 2022	E · Potential for harm, repeated	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.
May 16, 2022	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.
May 16, 2022	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
May 16, 2022	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.
May 16, 2022	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.
May 16, 2022	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
May 16, 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 25, 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 (7 → 12).

Year	Citations	Worst severity that year
2019	1	D
2022	7	E
2023	2	D
2024	12	E

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)	2.40	3.45	3.95	bottom 2% in Ohio; bottom 3% in the U.S.
Registered Nurse hours	0.51	0.60	0.69	bottom 43% in Ohio; bottom 39% in the U.S.
Weekend total nurse staffing	2.10	3.07	3.50	bottom 1% in Ohio; bottom 2% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.57	0.42	0.48	top 17% in Ohio; top 25% in the U.S.
Total nursing staff turnover (%)	35.3	48.7	45.8	top 17% in Ohio; top 25% in the U.S.
RN turnover (%)	36.4	43.9	42.9	top 38% in Ohio; top 40% 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 3.46, RN 0.74, weekend 3.04. 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 - 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	05/16/2025
Krystowski, John	Individual	Corporate Officer	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2018
Krystowski, John	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2018
Smith, Brittany	Individual	Operational/Managerial Control	NOT APPLICABLE	02/08/2021
Smith, Brittany	Individual	ADP of the SNF	NOT APPLICABLE	02/08/2021

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 track that every resident's quarterly assessment happens on time?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"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
Walnut Creek Nursing Center	2.3 mi	Kettering, OH	★☆☆☆☆	2/5
Oaks of West Kettering the	3.0 mi	Kettering, OH	★★☆☆☆	1/5
Laurels of West Carrollton the	3.2 mi	West Carrollton, OH	★☆☆☆☆	2/5
Vienna Springs Health Campus	3.4 mi	Dayton, OH	★★★★★	4/5
Wood Glen Alzheimer's Community	3.7 mi	Dayton, OH	★★★☆☆	3/5
Sycamorespring of Miamisburg	3.8 mi	Miamisburg, OH	★★★★★	4/5
Dunbar Health & Rehab Center	4.2 mi	Dayton, OH	★★★☆☆	2/5
Sycamore Trails Post Acute	4.3 mi	Miamisburg, OH	★★★★☆	3/5
Centerville Post Acute	4.5 mi	Centerville, OH	★★★☆☆	4/5
The Laurels of Kettering	4.8 mi	Kettering, OH	★★☆☆☆	1/5
Centerville Health and Rehab	5.1 mi	Dayton, OH	★☆☆☆☆	2/5
Kingston of Miamisburg	5.2 mi	Miamisburg, OH	★★★★☆	4/5

Compare this facility with the 3 closest →

All facilities in Moraine →

Facility data as of CMS processing date 2026-08-01. CCN 365515.

The Care File

Visit checklist — Respiratory and Nursing Center of Dayton

3421 Pinnacle Road, Moraine, OH 45439 · 9372683488

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

Questions for the administrator:

☐ "How do you track that every resident's quarterly assessment happens on time?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "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 365515 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)