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Complaint Investigation

Garden Court Nursing And Rehabilitation Center

Inspection Date: August 22, 2025
Total Violations 2
Facility ID 365364
Location DAYTON, OH
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Inspection Findings

F-Tag F0584

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0584 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

Administrator stated there was hot water available on the 400 and 500 halls, including the 500-hall shower room. The Administrator stated several companies had been out to look at the hot water issue, but it had not been fixed yet. Interview on 08/18/25 at 1:30 P.M. with MD #255 revealed that around 08/01/25, he was told by a CNA that there was no hot water in the 200-hall shower room. MD #255 stated he went down to

the shower room and confirmed the water was cold. Interview on 08/19/25 at 8:53 A.M. with Resident #22 revealed the hot water in her bathroom sink had been out for three weeks or more. Resident #22 stated she was not able to take bed baths or wash up if she wanted to. Resident #22 stated the shower room was busy, and she needed assistance to take showers. Observation of water temperatures on 08/19/25, beginning at 11:40 A.M. with the Administrator, revealed Resident #22's bathroom sink hot water temperature was 73.5 degrees F, Resident #23's bathroom sink hot water temperature was 66.0 degrees F,

the 200-hall shower room hot water temperature was 72.5 degrees F, Resident #31's bathroom sink hot water temperature was 69.8 degrees F, Resident #9's bathroom sink hot water temperature was 68.0 degrees F, and Resident #2's bathroom sink hot water temperature was 65.0 degrees F. The Administrator verified the water temperatures. Review of an estimate for the replacement of the hot water heater revealed

it was dated 07/23/25. Further review revealed no evidence the facility took action related to the acceptance of the estimate to make needed repairs. This deficiency represents noncompliance investigated under Master Complaint Number 2589044 and Complaint Number 2566950.

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Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

08/22/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Garden Court Nursing and Rehabilitation Center

4911 Covenant House Drive Dayton, OH 45426

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

degrees F. The Administrator verified the water temperatures. Observation on 08/18/25 from 12:31 P.M. through 12:50 P.M. revealed [NAME] #220 prepared the three-compartment sink to wash dishes. The first sink held water poured from a 33 gallon pan that had boiling water from the stove. [NAME] #220 poured pot and pan detergent directly from a one-gallon jug into the water in the first sink, without measuring the amount. The second sink contained plain hot water for rinsing. The third sink had cold water. [NAME] #220 proceeded to pour just under one-half of a full gallon sized jug of sanitizer into the water in the third sink.

Further observation revealed [NAME] #220 tested the sanitation level in the third sink and the test strip read 400 parts per million (ppm), which was a dark blue color on the test strip. [NAME] #220 verified there was too much sanitizer in the water, noting the color on the test strip should be more of a green color, and stated he had no measuring devices to ensure appropriate chemicals were used to ensure safe sanitation of the dishes. Interview on 08/22/25 at 3:50 P.M. with Dietary Manager (DM) #944 revealed the hot water in

the kitchen went out approximately one month ago. DM #944 stated the device to measure the chemical solutions for the three-compartment sink had been broken for a long time and staff did not have a way to measure cleaning or sanitation solutions to ensure safe and effective cleaning of the dishes. DM #944 confirmed dietary staff washed dishes in the three-compartment sink since the kitchen had no hot water to use the dishwasher. This deficiency represents noncompliance investigated under Master Complaint Number 2589044.

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📋 Inspection Summary

GARDEN COURT NURSING AND REHABILITATION CENTER in DAYTON, OH inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DAYTON, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GARDEN COURT NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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