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Complaint Investigation

Trotwood Health & Rehab Llc

December 22, 2025 · Dayton, OH · 4911 Covenant House Drive
Citations 4
CMS Rating 2/5
Beds 67
Provider ID 365364
Healthcare Facility
Trotwood Health & Rehab Llc
Dayton, OH  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Trotwood Health & Rehab LLC in DAYTON, OH — inspection on December 22, 2025.

Found 4 citations. Severity: Standard violations.

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

Inspection Findings

FF0561
Resident Rights Deficiencies

costs for a replacement rooftop boiler/ Heating and Ventilation Air Conditioning (HVAC) system would

365364 12/22/2025

Trotwood Health & Rehab LLC 4911 Covenant House Drive Dayton, OH 45426

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.

365364 12/22/2025

Trotwood Health & Rehab LLC 4911 Covenant House Drive Dayton, OH 45426

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 2636823

365364 12/22/2025

Trotwood Health & Rehab LLC 4911 Covenant House Drive Dayton, OH 45426

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

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 Trotwood Health & Rehab LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.