Walnut Creek Nursing Center

5070 Lamme Road, Kettering, OH 45439 (opens Google Maps) · Montgomery County · (937) 293-7703· 139 certified beds · avg 104 residents/day · certified since Jan 15, 1991 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: LIONSTONE CARE (24 facilities, chain avg rating 2.5★)

2/5

Health inspection rating (on-site)

inspected Mar 20, 2025

Serious findings on record

most recent Mar 20, 2025

Fines, last 3 years

2.93

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Mar 20, 2025 · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 11, 2025 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 54 inspection findings. Open the full record below to read every finding.

Feb 25, 2026D · Potential for more than minimal harm, isolated
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 F-0686
Feb 25, 2026D · Potential for more than minimal harm, isolated
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 F-0755
Jan 14, 2026F · Potential for more than minimal harm, widespread
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 F-0880

View all 54 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Feb 25, 2026	D · Potential for more than minimal harm, isolated	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 · F-0686
Feb 25, 2026	D · Potential for more than minimal harm, isolated	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 · F-0755
Jan 14, 2026	F · Potential for more than minimal harm, widespread	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 · F-0880
Jan 14, 2026	E · Potential for more than minimal harm, pattern	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. · from a complaint · F-0812
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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 · F-0610
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0656
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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 · F-0684
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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 · F-0689
Jan 14, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint · F-0692
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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 · F-0759
Jan 14, 2026	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0805
Oct 27, 2025	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0550
Oct 27, 2025	D · Potential for more than minimal harm, isolated	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 · F-0610
May 28, 2025	F · Potential for more than minimal harm, widespread	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. · from a complaint · F-0812
Mar 20, 2025	▲ G · Actual harm, isolated	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 · F-0686
Mar 20, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Mar 20, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Mar 20, 2025	D · Potential for more than minimal harm, isolated	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. · F-0758
Mar 20, 2025	D · Potential for more than minimal harm, isolated	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. · F-0761
Mar 20, 2025	D · Potential for more than minimal harm, isolated	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. · F-0880
Jan 15, 2025	D · Potential for more than minimal harm, isolated	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 · F-0880
Sep 3, 2024	D · Potential for more than minimal harm, isolated	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 · F-0760
Jan 18, 2024	D · Potential for more than minimal harm, isolated	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 · F-0759
Jan 18, 2024	D · Potential for more than minimal harm, isolated	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 · F-0760
Nov 16, 2023	F · Potential for more than minimal harm, widespread	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868
Nov 16, 2023	E · Potential for more than minimal harm, pattern	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. · F-0638
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0636
Nov 16, 2023	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0644
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0656
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0677
Nov 16, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0686
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0693
Nov 16, 2023	D · Potential for more than minimal harm, isolated	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. · F-0758
Nov 16, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide residents with enough to drink, or with drinks matching their needs and preferences, to keep them properly hydrated. · F-0807
Oct 19, 2023	D · Potential for more than minimal harm, isolated	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 · F-0600
Oct 3, 2023	D · Potential for more than minimal harm, isolated	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 · F-0684
May 25, 2021	E · Potential for more than minimal harm, pattern	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. · F-0558
May 25, 2021	E · Potential for more than minimal harm, pattern	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. · F-0880
May 25, 2021	D · Potential for more than minimal harm, isolated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
May 25, 2021	D · Potential for more than minimal harm, isolated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0609
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0610
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0623
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0636
May 25, 2021	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0655
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0656
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0657
May 25, 2021	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0677
May 25, 2021	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
May 25, 2021	D · Potential for more than minimal harm, isolated	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. · F-0761

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2021

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2021	16	0	E
2023	14	0	F
2024	3	0	D
2025	10	1	G ▲
2026	11	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)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityOhio averageU.S. average

Total nurse staffing (hours per resident per day)

2.93

3.45

3.95

Registered Nurse hours

0.47

0.60

0.69

Weekend total nurse staffing

2.63

3.07

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.93	3.45	3.95	bottom 19% in Ohio; bottom 11% in the U.S.
Registered Nurse hours	0.47	0.60	0.69	bottom 35% in Ohio; bottom 34% in the U.S.
Weekend total nurse staffing	2.63	3.07	3.50	bottom 21% in Ohio; bottom 13% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.32	0.42	0.48	bottom 36% in Ohio; bottom 37% in the U.S.
Total nursing staff turnover (%)	61.3	48.7	45.8	bottom 19% in Ohio; bottom 15% in the U.S.
RN turnover (%)	84.6	43.9	42.9	bottom 4% in Ohio; bottom 3% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.08, RN 0.50, weekend 2.77.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.08 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Walnut Creek Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Kazarnovsky, Solomon	Individual	5% or Greater Indirect Ownership Interest	50%	06/28/2024
Lionstone Carnation Opco Holdings, LLC	Organization	5% or Greater Direct Ownership Interest	100%	06/28/2024
Stein, Abba	Individual	5% or Greater Indirect Ownership Interest	50%	06/28/2024
Cross River Bank	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	06/28/2024
Hunter, Rachel	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Hunter, Rachel	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Corporate Director	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Corporate Officer	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Kazarnovsky, Solomon	Individual	ADP of the SNF	NOT APPLICABLE	06/28/2024
Klugman, Jacob	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	01/16/2026
Lionstone Carnation Opco Holdings, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/28/2024
Lionstone Carnation Opco Holdings, LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Lionstone Carnation Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Peace Capital Holdings II LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
SMS 2021 Trust	Organization	ADP of the SNF	NOT APPLICABLE	06/28/2024
Stein, Abba	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/28/2024
Stein, Abba	Individual	Corporate Director	NOT APPLICABLE	06/28/2024
Stein, Abba	Individual	Corporate Officer	NOT APPLICABLE	06/28/2024
Stein, Abba	Individual	Operational/Managerial Control	NOT APPLICABLE	06/28/2024

Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Lionstone Care — 24 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Als Mount Vernon INC — Mount Vernon, OH · overall 3/5
Als Woodstock INC — Woodstock, OH · overall 1/5
Arlington Pointe Care Center — Middletown, OH · overall 4/5
Autumn Court — Ottawa, OH · overall 4/5
Brookview Healthcare Center — Defiance, OH · overall 2/5
Columbus Alzheimer's Care Ctr — Columbus, OH · overall 2/5
Cottingham Retirement Community — Cincinnati, OH · overall 3/5
Cridersville Nursing and Rehab — Cridersville, OH · overall 1/5

Listed by state, then facility name — not a ranking. Showing 8 of the 23 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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 does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"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?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Ohio midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 61% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 66 within 20 miles)

Facility	Distance	City	Overall	Inspection
Vienna Springs Health Campus	1.9 mi	Dayton, OH	★★★★★	4/5
Oaks of West Kettering the	2.2 mi	Kettering, OH	★★☆☆☆	1/5
Respiratory and Nursing Center of Dayton	2.3 mi	Moraine, OH	★★★★☆	3/5
Centerville Post Acute	2.3 mi	Centerville, OH	★★★☆☆	4/5
Laurels of West Carrollton the	2.5 mi	West Carrollton, OH	★☆☆☆☆	2/5
Wood Glen Alzheimer's Community	2.5 mi	Dayton, OH	★★★☆☆	3/5
Centerville Health and Rehab	3.0 mi	Dayton, OH	★☆☆☆☆	2/5
Sycamorespring of Miamisburg	3.2 mi	Miamisburg, OH	★★★★★	4/5
The Laurels of Kettering	3.2 mi	Kettering, OH	★★☆☆☆	1/5
Bethany Village	3.4 mi	Dayton, OH	★★★★★	5/5
Sycamore Trails Post Acute	3.6 mi	Miamisburg, OH	★★★★☆	3/5
Kettering Heights Post Acute	4.0 mi	Kettering, OH	★★☆☆☆	2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Montgomery, OH — 40 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Widows Home of Dayton — Dayton, OH · overall 2/5
Arc at Trotwood LLC — Dayton, OH · overall 1/5
Astoria Health & Rehab Center — Germantown, OH · overall 5/5
Austin Trace Health and Rehabilitation — Centerville, OH · overall 4/5
Aventura at Carriage Inn — Dayton, OH · overall 3/5
Aventura at Shiloh Springs — Trotwood, OH · overall 2/5
Beavercreek Post Acute — Dayton, OH · overall 2/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Kettering →

Facility data as of CMS processing date 2026-08-01. CCN 365821.