St Leonard HCC
8100 Clyo Road, Centerville, OH 45458 · Montgomery County · 150 certified beds · avg 125 residents/day · certified since Oct 14, 1988
Part of chain: COMMONSPIRIT HEALTH (18 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jul 18, 2024 · F-0686
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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 9, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 16, 2023 · F-0686 · triggered by a complaint
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.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Dec 12, 2023 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jan 31, 2019 · F-0697
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
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: Apr 2, 2019 (Deficient, Provider has date of correction)
All citations in the current public record (39)
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 2, 2026 | E · Potential for harm, repeated | 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 |
| Sep 17, 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. · from a complaint |
| May 30, 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. · from a complaint |
| May 30, 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. · from a complaint |
| May 30, 2025 | D · Potential for harm, one-off | The facility did not provide or obtain laboratory tests when a doctor ordered them, or did not promptly report the results back to the doctor who ordered them. · from a complaint |
| Oct 22, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · from a complaint |
| Jul 18, 2024 | ▲ G · Actual 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. |
| Jul 18, 2024 | 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. |
| Jul 18, 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. |
| Jul 18, 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. |
| Jul 18, 2024 | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange dental services for its residents. Nursing homes are responsible for making sure residents can get dental care. |
| Jul 18, 2024 | 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. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Jul 18, 2024 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. |
| Mar 20, 2024 | D · Potential for 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 |
| Mar 20, 2024 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Mar 20, 2024 | 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. · from a complaint |
| Oct 16, 2023 | ▲ G · Actual 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 |
| Oct 16, 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. · from a complaint |
| Jun 10, 2021 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 10, 2021 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | 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. |
| Jun 10, 2021 | C · Minimal risk, facility-wide | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. |
| Jan 31, 2019 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Jan 31, 2019 | F · Potential for harm, facility-wide | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Jan 31, 2019 | 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. |
| Jan 31, 2019 | 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. |
| Jan 31, 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. |
| Jan 31, 2019 | 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. |
| Jan 31, 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. |
| Jan 31, 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. |
| Jan 31, 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. |
| Jan 31, 2019 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (9 → 9).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 10 | 1 | G ▲ |
| 2021 | 9 | 0 | D |
| 2023 | 2 | 1 | G ▲ |
| 2024 | 13 | 1 | G ▲ |
| 2025 | 4 | 0 | D |
| 2026 | 1 | 0 | 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)
2 fines totaling $89,700, plus 2 Medicare payment denial periods.
| Date | Type | Amount / length |
|---|---|---|
| Jul 18, 2024 | Fine | $46,780 |
| Jul 18, 2024 | Payment Denial | 27 days from Aug 15, 2024 |
| Oct 16, 2023 | Fine | $42,920 |
| Oct 16, 2023 | Payment Denial | 33 days from Nov 9, 2023 |
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) | 3.20 | 3.45 | 3.95 | bottom 41% in Ohio; bottom 22% in the U.S. |
| Registered Nurse hours | 0.96 | 0.60 | 0.69 | top 7% in Ohio; top 17% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.07 | 3.50 | top 50% in Ohio; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.82 | 0.42 | 0.48 | top 5% in Ohio; top 11% in the U.S. |
| Total nursing staff turnover (%) | 50.3 | 48.7 | 45.8 | bottom 45% in Ohio; bottom 36% in the U.S. |
| RN turnover (%) | 65.0 | 43.9 | 42.9 | bottom 18% in Ohio; bottom 16% 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 3.73, RN 1.12, weekend 3.42. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 4/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Chi Living Communities | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/01/2014 |
| Commonspirit Health | Organization | 5% or Greater Indirect Ownership Interest | 100% | 11/01/2014 |
| Sylvania Franciscan Health | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2014 |
| Angelo, Frances | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/29/2018 |
| Barney, Kelsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/06/2023 |
| Barta, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 05/21/2018 |
| Cecil, Caitlin | Individual | Corporate Director | NOT APPLICABLE | 06/18/2012 |
| Cecil, Caitlin | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/18/2012 |
| Cecil, Caitlin | Individual | ADP of the SNF | NOT APPLICABLE | 06/18/2012 |
| Chi Living Communities | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2014 |
| Chi Living Communities | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2014 |
| Commonspirit Health | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/01/2014 |
| Commonspirit Health | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2014 |
| Concept Rehab, INC. | Organization | ADP of the SNF | NOT APPLICABLE | 01/05/2015 |
| Crum, Rickey | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/18/2011 |
| Dressman, Timothy | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/15/2025 |
| Finn, Christina | Individual | Corporate Director | NOT APPLICABLE | 07/01/2017 |
| Finn, Christina | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2017 |
| Finn, Christina | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2017 |
| Forvis Mazars LLP | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/16/2019 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "When a doctor orders lab work, how quickly is it done and how are results communicated back?"
- "How do you explain health changes and treatment options to residents and their families?"
- "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 | 2.1 mi | Dayton, OH | ★★★★★ | 5/5 | |
| Bellbrook Health and Rehab | 2.2 mi | Bellbrook, OH | ★★☆☆☆ | 2/5 | |
| Centerville Health and Rehab | 2.6 mi | Dayton, OH | ★☆☆☆☆ | 2/5 | |
| Oak Creek Terrace INC | 2.8 mi | Kettering, OH | ★★★☆☆ | 3/5 | |
| Centerville Post Acute | 3.0 mi | Centerville, OH | ★★★☆☆ | 4/5 | |
| Austin Trace Health and Rehabilitation | 3.0 mi | Centerville, OH | ★★★★☆ | 4/5 | |
| Otterbein Springboro | 4.6 mi | Centerville, OH | ★★★★☆ | 3/5 | |
| Vienna Springs Health Campus | 4.6 mi | Dayton, OH | ★★★★★ | 4/5 | |
| Kettering Heights Post Acute | 4.9 mi | Kettering, OH | ★★☆☆☆ | 2/5 | |
| Wood Glen Alzheimer's Community | 4.9 mi | Dayton, OH | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365714.