Garden Court Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0561
F 0561 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
resident care, so heating those areas was not a priority. These areas included the dining room, Secured Behavioral Unit (100 Hall), chapel, common gathering room, dietary/kitchen and the front administration offices. The Administrator stated the dining room had been closed for at least two years due to the boiler that controls these areas not being functional. The Administrator stated the costs for a replacement rooftop boiler/ Heating and Ventilation Air Conditioning (HVAC) system would be more than $900,000, so the facility owners opted to focus on the resident rooms. This deficiency represents noncompliance investigated under Master Complaint Number 2694504.
Event ID:
Facility ID:
If continuation sheet
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
12/22/2025
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)
F-Tag F0680
F 0680
Ensure the activities program is directed by a qualified professional.
Level of Harm - Minimal harm or potential for actual harm
Based on record review, staff interviews, and review of personnel files, the facility failed to ensure the Activities Program was directed by a qualified Activity Director (AD). This had the potential to affect 32 residents interested in and/or actively participating in activities. The facility census was 33.Findings include:Review of Resident Council meeting attendance sheets revealed AD #10 did not sign the attendance forms for 09/18/25, 10/23/25 and 11/20/25. The meetings were facilitated and signed by Activities Aid (AA) #08.Interview on 12/17/25 at 12:45 P.M., Director of Nursing (DON) stated she had not been informed of any concerns expressed by the residents at the Resident Council meetings from September, October or November 2025, and it was the responsibility of the activities staff to keep the facility management informed of any resident concerns. The DON stated she had no knowledge if AD #10 met the qualifications to be the Activities Director. Interview on 12/17/25 at 1:15 P.M., AA #08 stated she attended the Resident Council meetings and had been recording the meeting minutes in a binder in the activities office. AA #08 stated she was just informed today that she was responsible for making copies of
the meeting minutes and sharing them with the facility management. Review of the personnel record for the AD #10 on 12/18/25 at 3:00 P.M., revealed she was hired in February 2025 as social services staff. There was no documented evidence to verify AD #10 had a certification or the appropriate training and/or education to hold the position of AD. Interview on 12/18/25 at 3:30 P.M., AD#10 stated she was hired in February 2025 as a social services staff and was asked to take over as the Activities Director in May 2025.
AD #10 stated she was going to enroll in the program for Activities Director; however, the facility changed ownership and she couldn't get enrolled. AD #10 verified she didn't meet the requirements to be the Activities Director. This deficiency represents non-compliance investigated under Complaint Number
- 2685159. Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
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
12/22/2025
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)
F-Tag F0908
F 0908 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
12/18/25 at 10:10 A.M. revealed MD #06 recorded a chapel temperature of 53.7 degrees F, a dining room temperature of 51.8 degrees F and a common gathering room temperature of 54.4 degrees F. Interview with Maintenance Director #06 at the same time verified the temperatures. Subsequent interview with the Administrator on 12/18/25 at 11:55 A.M. stated the hallways, and common areas were not affecting resident care, so heating those areas was not a priority. These areas included the dining room, Secured Behavioral Unit (100 Hall), chapel, common gathering room, dietary/kitchen and the front administration offices. The Administrator stated the dining room had been closed for at least two years due to the boiler that controls
these areas not being functional. The Administrator stated the costs for a replacement rooftop boiler/ Heating and Ventilation Air Conditioning (HVAC) system would be more than $900,000, so the facility owners opted to focus on the resident rooms. Review of the facility's policy titled Room Temperature dated revised July 2020 revealed it is the policy of this procedure to maintain safe and comfortable room temperatures inside the range of 71 - 81 degrees F in all resident rooms and resident areas. Heat and/or Air Conditioning repairs and /or modifications will be completed as soon as possible.The deficiency represents non-compliance investigated under Master Complaint Number 2694504 and Complaint Number Event ID:
Facility ID:
If continuation sheet
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
12/22/2025
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)
F-Tag F0921
F 0921 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
blanket when he got cold. Subsequent observation of the facility on 12/18/25 at 10:10 A.M. revealed MD #06 recorded a chapel temperature of 53.7 degrees F, a dining room temperature of 51.8 degrees F and a common gathering room temperature of 54.4 degrees F. Interview with Maintenance Director #06 at the same time verified the temperatures. Subsequent interview on 12/18/25 at 11:55 A.M. the Administrator stated the hallways, and common areas were not affecting resident care, so heating those areas was not a priority. These areas included the dining room, Secured Behavioral Unit (100 Hall), chapel, common gathering room, dietary/kitchen and the front administration offices. The Administrator stated the dining room had been closed for at least two years due to the boiler that controls these areas wasn't functional.
The Administrator stated the costs for a replacement rooftop boiler/ Heating and Ventilation Air Conditioning (HVAC) system would be more than $900,000 so the facility owners opted to focus on the resident rooms.
Review of the facility's policy titled Room Temperature dated revised July 2020 revealed it is the policy of
this procedure to maintain safe and comfortable room temperatures in all resident rooms and resident areas. Every reasonable attempt will be made to maintain room temperatures in all resident rooms between 71-81 degrees F.The deficiency represents non-compliance investigated under Master Complaint Number 2694504 and Complaint Number 2636823
Event ID:
Facility ID:
If continuation sheet
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.
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.