Trinity Community
3218 Indian Ripple Road, Beavercreek, OH 45440 · Greene County · 95 certified beds · avg 84 residents/day · certified since Jan 23, 1990
Part of chain: UNITED CHURCH HOMES (9 facilities, chain avg rating 3.9★)
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Apr 18, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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 19, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (30)
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 3, 2025 | 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. |
| Apr 3, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. |
| Apr 3, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Apr 3, 2025 | 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. |
| Apr 3, 2025 | 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 3, 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 18, 2024 | ▲ G · Actual 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 |
| Aug 21, 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 |
| Aug 21, 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. · from a complaint |
| Apr 25, 2022 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 25, 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 25, 2022 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 25, 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 25, 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. |
| Apr 25, 2022 | 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. |
| Apr 25, 2022 | 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 25, 2022 | 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. |
| Apr 25, 2022 | D · Potential for harm, one-off | The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. |
| Apr 25, 2022 | 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. |
| Feb 28, 2019 | 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. |
| Feb 28, 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. |
| Feb 28, 2019 | 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. |
| Feb 28, 2019 | D · Potential for harm, one-off | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Feb 28, 2019 | D · Potential for harm, one-off | The facility did not make sure resident assessments were done by a qualified health professional. Assessments guide all of a resident's care, so the person doing them must be properly trained. |
| Feb 28, 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. |
| Feb 28, 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. |
| Feb 28, 2019 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Feb 28, 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. |
| Feb 28, 2019 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Feb 28, 2019 | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 11 | 0 | E |
| 2022 | 10 | 0 | E |
| 2023 | 2 | 0 | D |
| 2024 | 1 | 1 | G ▲ |
| 2025 | 6 | 0 | F |
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)
1 fine totaling $9,932.
| Date | Type | Amount / length |
|---|---|---|
| Apr 18, 2024 | Fine | $9,932 |
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) | 3.73 | 3.45 | 3.95 | top 24% in Ohio; bottom 48% in the U.S. |
| Registered Nurse hours | 0.46 | 0.60 | 0.69 | bottom 32% in Ohio; bottom 32% in the U.S. |
| Weekend total nurse staffing | 3.41 | 3.07 | 3.50 | top 21% in Ohio; top 47% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.42 | 0.48 | bottom 30% in Ohio; bottom 33% in the U.S. |
| Total nursing staff turnover (%) | 44.2 | 48.7 | 45.8 | top 38% in Ohio; top 48% 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 3.92, RN 0.49, weekend 3.58. 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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| United Church Homes, INC. | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2000 |
| Bailey, Peter | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Bates, Trevor | Individual | Corporate Director | NOT APPLICABLE | 02/01/2017 |
| Benjamin, Pamela | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Bills, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/26/2022 |
| Black, Geoffrey | Individual | Corporate Director | NOT APPLICABLE | 06/01/2016 |
| Bollinger, Nathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2023 |
| Brown, Dale | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/12/2012 |
| Brubaker, Tamra | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/19/2022 |
| D'agostino, Joanna | Individual | Corporate Director | NOT APPLICABLE | 06/01/2024 |
| Durbin, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2022 |
| Eusanio, Vincent | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/31/2025 |
| Farrell, Laura | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/08/1994 |
| Farrell, Laura | Individual | ADP of the SNF | NOT APPLICABLE | 01/07/2026 |
| Faulkner, Michelle | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Graham, George | Individual | Corporate Director | NOT APPLICABLE | 06/01/2025 |
| Guess, James | Individual | Corporate Director | NOT APPLICABLE | 06/01/2021 |
| Hawes-Saunders, Ro Nita | Individual | Corporate Director | NOT APPLICABLE | 02/01/2024 |
| Henry, James | Individual | Corporate Director | NOT APPLICABLE | 12/31/2014 |
| Hurwitz, Gloria | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/07/2013 |
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 make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can I see where garbage is stored and how often it's removed?"
- "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Village at the Greene | 2.4 mi | Dayton, OH | ★☆☆☆☆ | 1/5 | |
| Beavercreek Post Acute | 3.6 mi | Dayton, OH | ★★☆☆☆ | 2/5 | |
| Oak Creek Terrace INC | 4.2 mi | Kettering, OH | ★★★☆☆ | 3/5 | |
| Bellbrook Health and Rehab | 4.4 mi | Bellbrook, OH | ★★☆☆☆ | 2/5 | |
| Kettering Heights Post Acute | 4.6 mi | Kettering, OH | ★★☆☆☆ | 2/5 | |
| Overbrook Landing Health and Rehabiliation | 5.4 mi | Xenia, OH | —/5 | ||
| The Laurels of Kettering | 5.5 mi | Kettering, OH | ★★☆☆☆ | 1/5 | |
| Bethany Village | 6.0 mi | Dayton, OH | ★★★★★ | 5/5 | |
| Beavercreek Health and Rehab | 6.2 mi | Beavercreek, OH | ★☆☆☆☆ | 1/5 | |
| Sanctuary at Wilmington Place | 6.4 mi | Dayton, OH | ★★☆☆☆ | 2/5 | |
| St Leonard HCC | 6.4 mi | Centerville, OH | ★★★☆☆ | 3/5 | |
| Xenia Health and Rehab | 6.7 mi | Xenia, OH | ★☆☆☆☆ | 2/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 365777.