Xenia Health and Rehab
126 Wilson Drive, Xenia, OH 45385 · Greene County · 51 certified beds · avg 31 residents/day · certified since Nov 21, 1967
Part of chain: SIMCHA HYMAN & NAFTALI ZANZIPER (79 facilities, chain avg rating 2.6★)
2/5
Health inspection rating (on-site)
1
Serious findings on record
$0
Fines, last 3 years
3.01
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5
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 · Mar 7, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
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: Mar 1, 2024 (Past Non-Compliance)
All citations in the current public record (33)
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 28, 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. · from a complaint |
| Jul 31, 2025 | F · Potential for harm, facility-wide | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jul 31, 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. |
| Jul 31, 2025 | F · Potential for harm, facility-wide | 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. |
| Jul 31, 2025 | F · Potential for harm, facility-wide | 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 31, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Jul 31, 2025 | 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. |
| Jul 31, 2025 | D · Potential for harm, one-off | 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. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jul 31, 2025 | 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. |
| Jul 31, 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. |
| Jul 31, 2025 | 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. |
| Jul 31, 2025 | 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. |
| Jul 31, 2025 | D · Potential for harm, one-off | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. |
| May 23, 2025 | E · Potential for harm, repeated | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Feb 27, 2025 | F · Potential for harm, facility-wide | 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 |
| Jul 22, 2024 | 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 |
| Mar 7, 2024 | ▲ G · Actual 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 |
| Nov 27, 2023 | 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. · from a complaint |
| Nov 27, 2023 | 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. · from a complaint |
| Nov 27, 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 |
| Nov 27, 2023 | D · Potential for harm, one-off | The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint |
| Aug 3, 2023 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint |
| Aug 3, 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. · from a complaint |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. |
| Apr 21, 2022 | D · Potential for harm, one-off | The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition. |
| Apr 21, 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 21, 2022 | 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 21, 2022 | 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. |
| Apr 18, 2019 | F · Potential for harm, facility-wide | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 18, 2019 | 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 18, 2019 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 14).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2022 | 5 | 0 | D |
| 2023 | 6 | 0 | F |
| 2024 | 2 | 1 | G ▲ |
| 2025 | 16 | 0 | F |
| 2026 | 1 | 0 | D |
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) | 3.01 | 3.45 | 3.95 | bottom 26% in Ohio; bottom 14% in the U.S. |
| Registered Nurse hours | 0.65 | 0.60 | 0.69 | top 32% in Ohio; top 42% in the U.S. |
| Weekend total nurse staffing | 2.76 | 3.07 | 3.50 | bottom 34% in Ohio; bottom 19% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.50 | 0.42 | 0.48 | top 27% in Ohio; top 33% in the U.S. |
| Total nursing staff turnover (%) | 58.1 | 48.7 | 45.8 | bottom 25% in Ohio; bottom 19% in the U.S. |
| RN turnover (%) | 66.7 | 43.9 | 42.9 | bottom 18% in Ohio; bottom 15% 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 3.20, RN 0.69, weekend 2.93. 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: 2/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Acm Ashem Holdings, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/29/2022 |
| Birnbaum, Ezra | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/29/2022 |
| Flyer 7 Operations Holdings LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/29/2022 |
| FTK Flyer Oh, LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/29/2022 |
| Fyler 7 Holdings LLC | Organization | 5% or Greater Indirect Ownership Interest | — | 09/29/2022 |
| Hirsch, Shaye | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/29/2022 |
| Moerman, Rafael | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/29/2022 |
| Singer, Simon | Individual | Indirect Ownership Interest | NOT APPLICABLE | 09/29/2022 |
| Zanziper Family Trust | Organization | 5% or Greater Indirect Ownership Interest | — | 09/29/2022 |
| Acm Ashem Holdings, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| Citrin Cooperman Advisors LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| Crager, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 01/02/2025 |
| Fasten Halberstam LLP | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| FTK Flyer Oh, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| Fyler 7 Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| Gale Healthcare Solutions LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/29/2022 |
| Harrison, Quiana | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/15/2024 |
| Harrison, Quiana | Individual | ADP of the SNF | NOT APPLICABLE | 08/15/2024 |
| Krieser, Akiva | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/29/2022 |
| Med-Net Compliance LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "How often do you evaluate your nurse aides and what ongoing training do they receive?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How are residents' personal funds handled here, and what records can families review?"
- "If you manage my family member's personal funds, how often will we get statements and how quickly are funds returned?"
- "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 |
|---|---|---|---|---|---|
| Alpine Nursing and Rehabilitation Center | 0.2 mi | Xenia, OH | ★★☆☆☆ | 2/5 | |
| Atrium Nursing and Rehabilitation | 0.2 mi | Xenia, OH | ★★☆☆☆ | 1/5 | |
| Overbrook Landing Health and Rehabiliation | 1.3 mi | Xenia, OH | —/5 | ||
| Trinity Community | 6.7 mi | Beavercreek, OH | ★★★☆☆ | 3/5 | |
| Friends Extended Care Center | 7.1 mi | Yellow Springs, OH | ★★★★☆ | 4/5 | |
| Beavercreek Post Acute | 7.4 mi | Dayton, OH | ★★☆☆☆ | 2/5 | |
| Village at the Greene | 9.0 mi | Dayton, OH | ★☆☆☆☆ | 1/5 | |
| Wright Rehabilitation and Healthcare Center | 9.5 mi | Fairborn, OH | ★★★☆☆ | 3/5 | |
| Trinity Community at Fairborn | 9.7 mi | Fairborn, OH | ★★★★☆ | 3/5 | |
| Bellbrook Health and Rehab | 10.0 mi | Bellbrook, OH | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 365187.