Stillwater Skilled Nursing and Rehabilitation

Name: Stillwater Skilled Nursing and Rehabilitation
Address: 75 MOTE DRIVE, Covington, OH, 45318, US
Telephone: 9374732075

75 Mote Drive, Covington, OH 45318 · Miami County · 75 certified beds · avg 52 residents/day · certified since Apr 5, 1980

Part of chain: MICHAEL SLYK (7 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.72

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: 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.

All citations in the current public record (25)

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 16, 2026	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.
Apr 16, 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.
Apr 16, 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.
Apr 16, 2026	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.
Apr 16, 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.
Apr 16, 2026	D · Potential for harm, one-off	The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective.
Feb 23, 2026	E · Potential for harm, repeated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Nov 26, 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
Jun 6, 2025	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · from a complaint
Aug 22, 2023	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
Aug 22, 2023	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
Mar 24, 2023	F · Potential for harm, facility-wide	The facility did not have enough support staff to safely and effectively run its food and nutrition service.
Mar 24, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Mar 24, 2023	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.
Mar 24, 2023	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.
Mar 24, 2023	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.
Mar 24, 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.
Mar 24, 2023	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.
Mar 24, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Mar 24, 2023	D · Potential for harm, one-off	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.
Mar 24, 2023	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.
Mar 24, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Mar 24, 2023	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.
Oct 3, 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.
Oct 3, 2019	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (12 → 6).

Year	Citations	Worst severity that year
2019	2	D
2023	14	F
2025	2	E
2026	7	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)	2.72	3.45	3.95	bottom 10% in Ohio; bottom 7% in the U.S.
Registered Nurse hours	0.38	0.60	0.69	bottom 17% in Ohio; bottom 19% in the U.S.
Weekend total nurse staffing	2.69	3.07	3.50	bottom 26% in Ohio; bottom 16% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.61	0.42	0.48	top 14% in Ohio; top 22% in the U.S.
Total nursing staff turnover (%)	66.1	48.7	45.8	bottom 11% in Ohio; bottom 9% in the U.S.
RN turnover (%)	77.8	43.9	42.9	bottom 8% in Ohio; bottom 7% 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 0.49, weekend 3.51. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
D'amico, Daniel	Individual	5% or Greater Direct Ownership Interest	33%	12/01/2018
Slyk, Michael	Individual	5% or Greater Direct Ownership Interest	67%	09/01/2022
D'amico, Daniel	Individual	Corporate Officer	NOT APPLICABLE	12/01/2018
D'amico, Daniel	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2025
Dixon, Koby	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
MSTC Development INC	Organization	ADP of the SNF	NOT APPLICABLE	12/01/2018
Ryder, Gwynn	Individual	Operational/Managerial Control	NOT APPLICABLE	03/28/2025
Ryder, Gwynn	Individual	ADP of the SNF	NOT APPLICABLE	03/28/2025
Slaughter, Brianna	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2024
Slyk, Michael	Individual	Corporate Officer	NOT APPLICABLE	09/01/2022

Questions to ask on your visit

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

"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"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
Piqua Manor	4.8 mi	Piqua, OH	★★★☆☆	3/5
Vancrest-Upper Valley	6.9 mi	Troy, OH	★★★★☆	3/5
Ayden Healthcare of Piqua	8.1 mi	Piqua, OH	★☆☆☆☆	2/5
Troy Rehabilitation and Healthcare Center	8.5 mi	Troy, OH	★★☆☆☆	3/5
Versailles Rehabilitation and Health Care Center	10.3 mi	Versailles, OH	★★★★☆	4/5
Springmeade Healthcenter	12.2 mi	Tipp City, OH	★★☆☆☆	2/5
Fair Haven Shelby County	13.8 mi	Sidney, OH	★☆☆☆☆	1/5	SFF
Village Green Rehabilitation and Healthcare Center	13.8 mi	Greenville, OH	★★★★★	5/5
Rest Haven Nursing Home INC	14.0 mi	Greenville, OH	★★★★☆	3/5
Ayden Healthcare of Greenville	14.5 mi	Greenville, OH	★☆☆☆☆	2/5
Brethren Retirement Community	15.2 mi	Greenville, OH	★★☆☆☆	2/5
Momentous Health at Sidney	15.8 mi	Sidney, OH	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Covington →

Facility data as of CMS processing date 2026-08-01. CCN 365483.

The Care File

Visit checklist — Stillwater Skilled Nursing and Rehabilitation

75 Mote Drive, Covington, OH 45318 · 9374732075

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "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 365483 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)