Brookhaven Nursing & Rehabilitation Center
One Country Lane, Brookville, OH 45309 · Montgomery County · (937) 833-2133
99 certified beds, about 94 residents a day · For profit - Individual · Medicare and Medicaid since 1979
CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365422 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 0 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 15 health citations since September 2021 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.92 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.53 of those hours.
29.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to United Church Homes, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
209/21
105/24
411/24
703/26
004/26
107/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
1E
2F
Potential for minimal harm
0A
0B
0C
July 14, 2026Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, staff interview, and review of facility, the facility failed to ensure a resident's narcotic medication administration was accurately documented. This affected one (#4) of three residents reviewed for medication administration. The facility census was 87.
April 16, 2026Standard inspection · 0 citations · risk-based survey (a shorter visit CMS gives only to higher performing homes)
March 9, 2026Complaint inspection · 7 citations
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review, staff, resident and family interviews and policy review, the facility failed to ensure care conferences were scheduled and conducted quarterly. This affected four (#36, #37, #61 and #85) out of four residents reviewed for care plans. The facility census was 84.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on medical record review, observations, staff interview and policy review, the facility failed to ensure activities were provided and documented in the medical record for evening hours. This affected three (#61, #43, #85) of three residents reviewed for activities. The facility census was 84.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff and Nurse Practitioner (NP) interviews, and facility policy review, the facility failed to monitor and document residents' bowel movements. Additionally, the facility failed to implement their bowel protocol when a resident did not have a bowel movement. This affected one (#93) of three resident reviewed for bowel protocol procedure. The facility census was 84.
- D Provide appropriate foot care.
Inspectors wroteBased on medical record review, observations and staff interviews, the facility failed to ensure foot care was routinely provided for a diabetic resident. This affected one (#85) of three residents reviewed for foot care. The facility census was 84.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure appropriate urinary catheter care was provided. This affected one (#34) of three residents reviewed for catheter care. The facility census was 84.
- D 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.
Inspectors wroteBased on medical record review, observation, staff interviews and policy review, the facility failed to ensure medications were not left at bedside and unsupervised. This affected two (#36 and #37) out of three residents reviewed for medication storage. The facility census was 84.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to ensure staff followed enhanced barrier precautions as required. This affected one (#34) out of three resident reviewed for infection control. The facility census was 84.
November 21, 2024Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review, and interview, the facility failed to maintain a clean and sanitary kitchen area. This had the potential to affect 91 residents who received meals in the facility. The facility identified Resident #13, #39 and #74 as receiving no food and drink from the kitchen. The facility census was 94.
- D Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to timely address concerns with a resident's feeding tube. This affected one (#39) of two residents reviewed for feeding tubes. The census was 94.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to administer medications per physician orders. This affected one (Resident #57) of four residents reviewed for medication administration. The facility census was 94.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interviews, and policy review, the facility failed to implement Enhanced Barrier Precautions (EBP) for two residents. This affected two (Residents #75 and #138) of four reviewed for infection control. The facility census was 94.
May 8, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure a resident's emergency contact was notified of a fall and a change in condition. This affected one (Resident #3) of three reviewed for notification of changes. The facility census was 91.
September 2, 2021Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, record review and interview, the facility failed to store and serve food in accordance with professional standards for food safety. This had the potential to affect 78 residents who received meals in the facility. The facility census was 78.
- D Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to provide adaptive equipment as ordered. This affected one (Resident #12) of two residents reviewed for use of adaptive equipment. The facility census was 78.
Fire safety inspections
18 fire safety citations on file: 2 on November 21, 2024, 16 on September 2, 2021.
Every fire safety citation18 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Establish emergency prep training and testing.
- F Establish staff and initial training requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have properly located and lighted "Exit" signs.
- F Have an alternate power supply for its alarm system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Provide a written emergency evacuation plan.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
- E Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.92 | 3.69 | 3.86 |
| Registered nurses | 0.53 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.48 | 3.28 | 3.42 |
| Nurse aides | 2.24 | ||
| Licensed practical nurses | 1.15 | ||
| Nursing staff turnover (share who left in a year) | 29.9% | 48.7% | 45.8% |
| Registered nurse turnover | 33.3% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.09 on weekdays and 3.48 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 3.92 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.92 | 0.53 | 4.09 | 3.48 | 0.2% | 0 of 90 | 94 |
| Oct to Dec 2025 | 4.13 | 0.53 | 4.26 | 3.79 | 0.0% | 0 of 92 | 93 |
| Jul to Sep 2025 | 4.16 | 0.51 | 4.33 | 3.73 | 0.1% | 0 of 92 | 93 |
| Apr to Jun 2025 | 4.29 | 0.58 | 4.43 | 3.92 | 0.1% | 0 of 91 | 94 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.1 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.2 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.3 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.1 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 31.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.4 | 12.9 | 12.0 |
Owners and operators
Legal business name: BROOKVILLE ENTERPRISE INC.. CMS links this home to United Church Homes, a group of 9 nursing homes averaging 3.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| United Church Homes, Inc. | 5% or greater direct ownership interest | Organization | 12% | 12/27/2006 |
| Howett, Bryan | 5% or greater direct ownership interest | Individual | 5% | 05/29/2017 |
| Jackson, Shirley | 5% or greater direct ownership interest | Individual | 6% | 09/19/2016 |
| Smith, Christy | W-2 managing employee | Individual | 10/10/2022 | |
| Miller, Terry | Corporate director | Individual | 01/01/2014 | |
| Nelson, Denise | Corporate director | Individual | 01/01/2014 | |
| Prunier, Kenneth | Corporate director | Individual | 01/01/2014 | |
| Miller, Terry | Corporate officer | Individual | 01/01/2014 | |
| Nelson, Denise | Corporate officer | Individual | 01/01/2014 | |
| Prunier, Kenneth | Corporate officer | Individual | 01/01/2014 | |
| Hcf Management, Inc. | Operational/managerial control | Organization | 11/01/2014 | |
| Unverferth, Chad | Operational/managerial control | Individual | 11/01/2014 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on March 9, 2026: "Provide activities to meet all resident's needs."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 14, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on November 21, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on March 9, 2026: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Englewood Health and Rehab Englewood, 6.2 mi · 1 of 5 stars · 46 citations
- Aventura at Shiloh Springs Trotwood, 6.4 mi · 2 of 5 stars · 64 citations
- New Lebanon Rehabilitation and Healthcare Center New Lebanon, 6.6 mi · 2 of 5 stars · 63 citations
- Grace Brethren Village Englewood, 6.9 mi · 4 of 5 stars · 28 citations
- Cypress Pointe Health Campus Englewood, 7 mi · 5 of 5 stars · 10 citations
- Trotwood Health & Rehab LLC Dayton, 7.7 mi · 2 of 5 stars · 96 citations
- Arc at Trotwood LLC Dayton, 7.8 mi · 1 of 5 stars · 69 citations
- Maria Joseph Living Care Center Dayton, 8.1 mi · 4 of 5 stars · 34 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Brookhaven Nursing & Rehabilitation Center's Medicare star rating?
- CMS rates Brookhaven Nursing & Rehabilitation Center 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Brookhaven Nursing & Rehabilitation Center get at its last inspection?
- 0 health deficiencies at the standard inspection on April 16, 2026. The Ohio average is 10.5.
- Has Brookhaven Nursing & Rehabilitation Center been fined?
- CMS lists no fines in the last three years.
- Does Brookhaven Nursing & Rehabilitation Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Brookhaven Nursing & Rehabilitation Center?
- CMS lists 12 owners and managers, and links the home to United Church Homes. Legal business name: BROOKVILLE ENTERPRISE INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.