Trotwood Health and Rehab LLC

DAYTON, OH • CMS Certification: 365364

  • Date Updated: May 01, 2026
  • Overall Rating: 2 Stars
  • Address: 4911 COVENANT HOUSE DRIVE, DAYTON OH 45426
  • Phone: 9378372651

About Trotwood Health and Rehab LLC

Trotwood Health And Rehab Llc, located in DAYTON, OH, is a for-profit organization that accepts Medicare and Medicaid.

Why Families Choose Trotwood Health and Rehab LLC

Key Performance Indicators

  • CMS Overall Rating 2 Stars
  • Nursing Hours 2.79 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the HILLSTONE HEALTHCARE network. This chain operates 12 facilities.

Chain Performance Overview

Inspection
2.9
Staffing
2.1
Quality
4.9

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Trotwood Health and Rehab LLC provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.37 hrs/day
State: 0.64 US: 0.68
Case Mix Adj: 0.93
Quality Adj: 0.27

Licensed Practical Nurses

1.36 hrs/day
State: 1.60 US: 1.54
Case Mix Adj: 1.17
Quality Adj: 0.72

Certified Assistants

1.42 hrs/day
State: 2.12 US: 2.33
Case Mix Adj: 3.18
Quality Adj: 1.03

CMS Quality Ratings

Category Rating Stars
Overall Rating 2
Health Inspection 1
Quality Measures 5
Staffing 1

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 212 Jul 23, 2024
Weighted Average 233 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) N/A
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) N/A
Number of hospitalizations per 1000 long-stay resident days (QM551) N/A
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) N/A

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 1.2%
Percentage of long-stay residents who lose too much weight (QM404) 4.2%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 0.0%
Percentage of long-stay residents with a urinary tract infection (QM407) 0.6%
Percentage of long-stay residents who have depressive symptoms (QM408) 82.8%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.6%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 83.6%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 28.6%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) N/A
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 3.2%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 25.6%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 90.7%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) N/A
Percentage of long-stay residents with pressure ulcers (QM479) 1.1%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 12.6%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 9.0%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 9 complaints
  • 2024: 37 complaints
  • 2025: 14 complaints
  • 2026: 8 complaints
  • Total: 68 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Jan 30, 2026 Have simulated fire drills held at unexpected times.
Jan 30, 2026 Keep all essential equipment working safely.
Jan 30, 2026 Ensure the activities program is directed by a qualified professional.
Jan 30, 2026 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Jan 30, 2026 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 30, 2026 Have approved installation, maintenance and testing program for fire alarm systems.
Jan 30, 2026 Provide properly sized and located linen or trash receptacles.
Jan 30, 2026 Have restrictions on the use of portable space heaters.
Sep 27, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Sep 27, 2025 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 27, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jun 27, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 27, 2025 Provide safe, appropriate pain management for a resident who requires such services.
Jun 27, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Jun 27, 2025 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Apr 10, 2025 Ensure medication error rates are not 5 percent or greater.
Apr 10, 2025 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Apr 10, 2025 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Mar 10, 2025 Ensure medication error rates are not 5 percent or greater.
Mar 10, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Mar 10, 2025 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Feb 07, 2025 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Dec 20, 2024 Provide medically-related social services to help each resident achieve the highest possible quality of life.
Dec 20, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 03, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Sep 03, 2024 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Sep 03, 2024 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Sep 03, 2024 Provide enough food/fluids to maintain a resident's health.
Sep 03, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 03, 2024 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Sep 03, 2024 Provide and implement an infection prevention and control program.
Sep 03, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 03, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 03, 2024 Make sure that a working call system is available in each resident's bathroom and bathing area.
Sep 03, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 03, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 03, 2024 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Sep 03, 2024 Make sure that a working call system is available in each resident's bathroom and bathing area.
Sep 03, 2024 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Sep 03, 2024 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Sep 03, 2024 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 03, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 03, 2024 Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Sep 03, 2024 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Sep 03, 2024 Make sure that a working call system is available in each resident's bathroom and bathing area.
Sep 03, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 03, 2024 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Sep 03, 2024 Respond appropriately to all alleged violations.
Sep 03, 2024 Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Sep 03, 2024 Develop and maintain an Emergency Preparedness Program (EP).
Jul 09, 2024 Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Jul 09, 2024 Establish emergency prep training and testing.
Jul 09, 2024 Create arrangements with other facilities to receive patients.
Jul 09, 2024 Address subsistence needs for staff and patients.
Jul 09, 2024 Conduct risk assessment and an All-Hazards approach.
Jun 21, 2024 Reasonably accommodate the needs and preferences of each resident.
Jun 21, 2024 Ensure medication error rates are not 5 percent or greater.
Jun 21, 2024 Provide timely, quality laboratory services/tests to meet the needs of residents.
Jan 26, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 13, 2023 Ensure the activities program is directed by a qualified professional.
Nov 13, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nov 13, 2023 Provide and implement an infection prevention and control program.
Nov 13, 2023 Provide activities to meet all resident's needs.
Nov 13, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 13, 2023 Provide enough food/fluids to maintain a resident's health.
Aug 26, 2023 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 29, 2023 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jun 29, 2023 Respond appropriately to all alleged violations.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

EMBASSY GARDEN COURT LLC

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in DAYTON, OH

Compare Trotwood Health and Rehab LLC to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Trotwood Health and Rehab LLC has a 2-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 2.79 hours per resident daily, compared to the national average of 3.87 hours.

Trotwood Health and Rehab LLC is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 67 certified beds.

Trotwood Health and Rehab LLC accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Trotwood Health and Rehab LLC directly at 9378372651. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Trotwood Health and Rehab LLC, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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