Grace Brethren Village
1010 Taywood Road, Englewood, OH 45322 · Montgomery County · (937) 836-4011
45 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 2003
Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366263 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 30, 2025, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 28 health citations since February 2020, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.09 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
52.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).
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.
902/20
903/22
112/23
501/25
103/25
204/25
108/25
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 28 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
23D
1E
3F
Potential for minimal harm
0A
0B
0C
August 27, 2025Complaint inspection · 1 citation
- 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 review of observations, staff interviews and review of facility policy, the facility failed to ensure a treatment cart containing medications was locked/secured. This had the potential to affect two (#7 and #35) residents that were identified by the facility as being cognitively impaired, independently mobile and could access the unlocked/unsecured treatment cart. The census was 39.
April 9, 2025Complaint inspection · 2 citations
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observations, staff interviews, and policy review, the facility failed to ensure resident's medications were administered as ordered resulting in three medication errors out of 29 opportunities or a 10.3 percent (%) medication error rate. This affected one (#37) out of the two residents observed for medication administration. The facility census was 37.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record reviews, observations, staff interviews, review of medication information from Medscape, and policy review, the facility failed to ensure residents were free from significant medication errors. This affected one (#37) out of two residents reviewed for medication administration. The facility census was 37.
March 13, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, interviews, and policy review, the facility failed to prevent a resident from falling out of bed. This resulted in Actual Harm when Resident #11 fell out of bed and was transferred to the hospital where she was found to have a thoracic (section of the spine between the neck and end of ribs) compression fracture. This affected one (Resident #11) out of three residents reviewed for falls. The facility census was 38.
January 30, 2025Standard inspection · 5 citations
- E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure residents had adequate supervision and use of appropriate assistive devices to prevent falls. This affected three (Residents #4, #11, and #21) of five residents reviewed for falls. The facility also failed to thoroughly investigate resident falls and implement interventions to prevent further falls. This affected one (Resident #34) of five residents reviewed for falls. The facility census was 39 residents.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review, resident interview, staff interview, and review of the facility policy, the facility failed to ensure resident code status was updated and correct in the medical electronic medical record. This affected one (Resident #26) of 15 sampled residents. The facility census was 39 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility failed to communicate the last covered day of skilled services to residents. This affected one (Resident #190) of three residents reviewed for beneficiary notices. The facility census was 39 residents.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wrote2. Review of the medical record for Resident #11 revealed an admission dated of 05/24/24 with diagnoses including cerebral vascular disease, anxiety, and dementia. Review of the progress note for Resident #11 dated 08/06/24 revealed the resident was transferred to the hospital after a fall. Review of the MDS for Resident #11 dated 01/22/24 revealed the resident was severely cognitively impaired. Review of the medical record for Resident #11 revealed it did not include a bed hold notice for the resident's hospital transfer on 08/06/24. Based on medical record review, staff interview, and review of the facility policy, the facility failed to provide bed hold notices to residents or their representatives when residents were transferred to the hospital. This affected three (Residents #2, #11 and #26) of three residents reviewed for hospitalizations. The facility census was 39 residents.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on medical record review and staff interview the facility failed to complete a resident discharge summary including a recapitalization of the stay, a final summary of status and a post discharge plan. This affected one (Resident #39) of one residents reviewed for discharge. The facility census was 39 residents.
December 7, 2023Complaint inspection, Infection control · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, observations, staff interviews, review of guidelines from Centers for Disease Control and Prevention (CDC) and policy review, the facility failed to implement infection control policies and guidelines to potentially prevent the spread of Coronavirus Disease 2019 (COVID-19). This had the potential to affect all 37 residents residing in the facility. Facility census was 37.
March 31, 2022Standard inspection · 9 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 observations, staff interviews,and policy review, the facility failed to safely store food in the dry storage, refrigerator, freezer and failed to sanitize kitchen equipment. This affected 31 of 31 residents who receive food from the kitchen, excluding Resident #6 who does not eat food from the kitchen. The facility census was 32.
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on record reviews, staff interviews and policy review, the facility failed to ensure resident funds were maintained in an interest-bearing account. This affected two (#6 and #27) of two resident reviewed for resident funds. Facility census was 32.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on resident record review and staff interview, the facility failed to ensure a resident's code status documented in the electronic health record (EHR) matched the hard paper chart. This affected one (#11) of 16 resident reviewed for accuracy of the code status. The census was 32.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observations, record reviews, family member and staff interviews, review of policy, the facility failed to maintain a clean homelike environment. This affected two (#5 and #11) of two residents reviewed for homelike environment. Facility census was 32.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to provide assistance with activities of daily living (ADL) care to dependent residents. This affected two (#5 and #10) of two residents reviewed for assistance with ADL care. Facility census was 32.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on resident record review, Registered Dietician and staff interviews, and policy review, the facility failed to ensure a resident's weight was monitored. This affected one (#24) of two resident reviewed for nutrition. The census was 32.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review, policy review, interviews with staff and the Medical Director, the facility failed to provide evidence pharmacy recommendations were reviewed by the physician and acted upon in a timely manner. The affected one (#4) of five resident reviewed for medications. The facility census was 32.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, medical record review and staff interview, the facility failed to ensure medication was administered as ordered by the physician, with a medication error rate less than five percent (%). There was four medications errors out of 32 opportunities to result in a medication error rate of 12.5 %. This affected one (#2) of three residents observed for medication administration. The census was 34.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, record review, resident and staff interviews, the facility failed to ensure a resident with a food allergy was not served food related to the allergy. This affected one (#331) of 32 residents observed for dining. Facility census was 32.
February 27, 2020Standard inspection · 9 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 and staff interview, the facility failed to store food safely. This had the potential to affect 38 of 38 residents who receive food from the kitchen. Facility census was 38.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on medical record review, staff and family interview and policy review, the facility failed to ensure personal health information remained confidential. This affected one (#135) out of two closed records reviewed. Facility census was 38.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, review of an incident report and staff interview, the facility failed to complete an accurate Minimum Data Set (MDS) Assessment for a resident. This affected one (#12) of thirteen residents reviewed during Phase II of the survey. Facility census was 38.
- 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 and resident, family and staff interview, the facility failed to timely identify and treat a resident's urinary tract infection (UTI). This affected one (#129) of three residents reviewed for urinary tract infections. Facility census was 38.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review and staff interview the facility failed to timely respond to pharmacy recommendations. This affected one (#2) of six residents reviewed. Facility census was 38.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on medical record review, observation, staff interview and review of an insulin pen manufacture recommendations, the facility failed to prime an insulin pen prior to administering insulin resulting in a significant medication error. This affected one (#133) of one observed for insulin administration. The facility identified one (#133) resident who receives insulin through via insulin pen administration on the North hallway. Facility census was 38.
- 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 interview, review of the Emergency Drug Kit content list and review of medication information from the Drug Enforcement Agency (DEA), the facility failed to observe a resident consume their medications. This affected one (#2) out of seven residents observed receiving medications at the facility. Additionally, the facility failed maintain a permanently-affixed Emergency Drug Kit containing Schedule II controlled substances that was being stored within the medication storage room. The facility census was 38.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, wound care observation, staff interview and policy review, the facility failed to perform hand hygiene during a dressing change for Resident #12. This affected one (#12) of three residents sampled for wound care. Facility census was 38.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to offer a resident the Pneumococcal 23 vaccine. This affected one (#10) our of five residents reviewed for immunizations. Facility census was 38.
Fire safety inspections
14 fire safety citations on file: 3 on January 30, 2025, 7 on March 31, 2022, 4 on February 27, 2020.
Every fire safety citation14 citations
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Provide a written emergency evacuation plan.
- F Have simulated fire drills held at unexpected times.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide properly protected cooking facilities.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Provide a written emergency evacuation plan.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- C Develop and maintain an Emergency Preparedness Program (EP).
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) | 4.09 | 3.69 | 3.86 |
| Registered nurses | 0.49 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.49 | 3.28 | 3.42 |
| Nurse aides | 2.27 | ||
| Licensed practical nurses | 1.33 | ||
| Nursing staff turnover (share who left in a year) | 52.7% | 48.7% | 45.8% |
| Registered nurse turnover | 50.0% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.42 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 4.34 on weekdays and 3.49 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 14.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.12 in April to June 2025 to 4.09 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 | 4.09 | 0.49 | 4.34 | 3.49 | 14.4% | 1 of 90 | 36 |
| Oct to Dec 2025 | 4.04 | 0.55 | 4.25 | 3.50 | 11.8% | 1 of 92 | 37 |
| Jul to Sep 2025 | 4.37 | 0.52 | 4.61 | 3.75 | 12.3% | 0 of 92 | 38 |
| Apr to Jun 2025 | 4.12 | 0.50 | 4.29 | 3.71 | 24.8% | 1 of 91 | 39 |
| 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.
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 | 11.2 | 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 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 0.0 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 38.3 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 12.9 | 12.0 |
Owners and operators
Legal business name: GRACE BRETHREN VILLAGE INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Russell, Laura | W-2 managing employee | Individual | 12/01/2017 | |
| Bradley, Lee | Corporate director | Individual | 07/01/2021 | |
| Combs, Marcus | Corporate director | Individual | 03/01/2023 | |
| Florkey, Marcia | Corporate director | Individual | 08/01/2018 | |
| Gipe, Marshall | Corporate director | Individual | 08/01/2018 | |
| Glass, Roy | Corporate director | Individual | 03/01/2023 | |
| Hartley, Richard | Corporate director | Individual | 08/01/2018 | |
| Nance, William | Corporate director | Individual | 08/01/2018 | |
| Russell, Laura | Corporate officer | Individual | 12/01/2017 |
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 are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 8 problems in this area, most recently on August 27, 2025: "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."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on January 30, 2025: "Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive."
- 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 13, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on December 7, 2023: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Cypress Pointe Health Campus Englewood, 0.8 mi · 5 of 5 stars · 10 citations
- Englewood Health and Rehab Englewood, 1.4 mi · 1 of 5 stars · 46 citations
- Arc at Trotwood LLC Dayton, 2.3 mi · 1 of 5 stars · 69 citations
- Aventura at Shiloh Springs Trotwood, 2.9 mi · 2 of 5 stars · 64 citations
- Trotwood Health & Rehab LLC Dayton, 3.2 mi · 2 of 5 stars · 96 citations
- Maria Joseph Living Care Center Dayton, 3.4 mi · 4 of 5 stars · 34 citations
- Siena Woods Care Center Dayton, 4.1 mi · 4 of 5 stars · 34 citations
- Aventura at Carriage Inn Dayton, 4.4 mi · 3 of 5 stars · 48 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 Grace Brethren Village's Medicare star rating?
- CMS rates Grace Brethren Village 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Grace Brethren Village get at its last inspection?
- 5 health deficiencies at the standard inspection on January 30, 2025. The Ohio average is 10.5.
- Has Grace Brethren Village been fined?
- CMS lists no fines in the last three years.
- Does Grace Brethren Village 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 Grace Brethren Village?
- CMS lists 9 owners and managers. Legal business name: GRACE BRETHREN VILLAGE 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.