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Complaint Investigation

Atrium Nursing And Rehabilitation

May 27, 2026 · Xenia, OH · 1301 North Monroe Drive
Citations 3
CMS Rating 2/5
Beds 99
Provider ID 365022
Healthcare Facility
Atrium Nursing And Rehabilitation
Xenia, 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

Atrium Nursing and Rehabilitation in XENIA, OH — inspection on May 27, 2026.

Found 3 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

FF0627
Resident Rights Deficiencies

Review of discharged list of residents revealed the first resident was transferred on 03/20/26. A total of 16 residents were transferred from the facility with the last two transfers occurring on 05/08/26.

Interview on 05/27/26 at 3:41 P.M. with the sister facility DON confirmed the list of 16 residents transferred out of the facility due to closure.

Review of the admission Packet for the facility revealed each resident shall have the right to be notified or to have his or her resident representative notified of the transfer or discharge and the reasons therefore at least 30 days before his or her transfer or discharge.

Review of the policy titled Discharging the Resident Policy, dated 12/2016, revealed the resident should be consulted about the discharge.

Review of the policy titled Temporary Facility Closure Policy, dated 03/15/26, revealed residents and families will be given 30 day written notice and in person meetings.

Each resident or their legal representative will receive individualized written notice and discharge/transfer planning assistance.

This deficiency represents non-compliance investigated under Complaint Number 3021016.

365022 05/27/2026

Atrium Nursing and Rehabilitation 1301 North Monroe Drive Xenia, OH 45385

Review of the discharge log revealed the first resident was transferred on 03/20/26. A total of 16 residents were transferred from the facility with the last two transfers occurring on 05/08/26.

Interview on 05/27/26 at 8:21 A.M. with Resident #17's Power of Attorney (POA) revealed they received the notice of discharge on the day Resident #17 was moved out of the facility. Resident #17 transferred on 05/08/26.

Interview on 05/27/26 at 9:13 A.M., Resident #15's Guardian stated he received an email from the facility on 03/19/26 stating they were going to be doing renovations and needed to transfer the residents. Resident #15's Guardian confirmed this was the first notification he received. Resident #15 was transferred on 03/31/26.

Telephone interview on 05/27/26 at 9:17 A.M. with the Administrator revealed the decision was made the beginning of March 2026 to close the building due to renovations.

The Administrator notified families and guardians of this via phone calls.

The Administrators verified there was no documentation of the phone calls.

Interview on 05/27/26 at 9:17 A.M. the Administrator confirmed 30 day written notices were not provided to residents or resident representatives.

The Administrator stated she was unaware the notices needed to be given.

Interview on 05/27/26 at 9:36 A.M.

Regional Administrator #1 stated the policy is to give a 30 day notice if the facility is asking the residents to leave.

They did not look at these discharges as a discharge, only a transfer so they didn't think they needed to give the 30 day notice.

Review of the Ombudsman notification provided by the facility revealed Ombudsman notification of the closure was made on 04/23/26.

Interview on 05/27/26 at 10:42 A.M. with the Social Service Director (SSD) #2 revealed the facility started transferring residents on 03/20/26 to their sister facility.

Interview on 05/27/26 at 10:57 A.M. with the DON confirmed the Ombudsman was notified of the closure plans on 04/23/26.

Interview on 05/27/26 at 11:06 A.M., the Owner stated residents and/or resident representatives didn't need a 30 day notice because they were given options and it was voluntary.

Interview on 05/27/26 at 11:22 A.M. with the SSD #2 revealed all residents who resided in the facility were transferred due to plans for renovation.

Review of the submitted documents to the State Agency revealed no receipt of the closure plan for temporary closure of the facility.

Review of the admission Packet for the facility revealed each resident shall have the right to be notified or to have his or her resident representative notified of the transfer or discharge and the reasons therefore at least 30 days before his or her transfer or discharge.

Review of the policy titled Temporary Facility Closure Policy, dated 03/15/26, revealed the purpose was to establish procedures and guidelines for the temporary closure of the home.

Residents and families will be given 30 day written notice and in person meetings.

Each resident or their legal representative will receive individualized written notice and discharge/transfer planning assistance.

Notification has been or will be submitted to the Ohio Department of Health and the State Long Term Care Ombudsman.

This deficiency represents non-compliance investigated under Complaint Number

  • 365022 05/27/2026

Atrium Nursing and Rehabilitation 1301 North Monroe Drive Xenia, OH 45385

Review of the submitted documents to the State Agency revealed no receipt of the facility's closure plan procedures.

Review of the discharge log revealed the first resident was transferred on 03/20/26. A total of 16 residents were transferred from the facility with the last two transfers occurring on 05/08/26.

Review of the Ombudsman notification provided by the facility revealed Ombudsman notification of the closure was made on 04/23/26.Interview on 05/27/26 at 10:42 A.M. with the Social Service Director (SSD) #2 revealed the facility started transferring residents on 03/20/26 to their sister facility.

Interview on 05/27/26 at 10:57 A.M. with the DON confirmed the Ombudsman was notified of the closure plans on 04/23/26.

Interview on 05/27/26 at 11:22 A.M. with the SSD #2 revealed all residents who resided in the facility were transferred due to plans for renovation.

Review of the facility policy titled Temporary Facility Closure Policy, dated 03/15/26, revealed the purpose was to establish procedures and guidelines for the temporary closure of the home.

Notification has been or will be submitted to the Ohio Department of Health and the State Long Term Care Ombudsman.

This deficiency represents non-compliance investigated under Complaint Number 3021016.

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 XENIA, 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 Atrium Nursing and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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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.