What is Grafton Oaks Nursing Center's Medicare star rating?

CMS rates Grafton Oaks Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Grafton Oaks Nursing Center get at its last inspection?

7 health deficiencies at the standard inspection on February 10, 2026. The Ohio average is 10.5.

Has Grafton Oaks Nursing Center been fined?

CMS lists no fines in the last three years.

Does Grafton Oaks Nursing 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 Grafton Oaks Nursing Center?

CMS lists 20 owners and managers, and links the home to Yyam Holdings. Legal business name: GO OPCO LLC.

Grafton Oaks Nursing Center: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 10, 2026, inspectors cited 7 health deficiencies (the Ohio average is 10.5, the national average 9.2).

Of 16 health citations since September 2019, 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 3.39 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.40 of those hours.

68.9% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Yyam Holdings, an affiliated group of 4 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.

309/19

402/23

108/25

109/25

702/26

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 16 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

15D

Potential for minimal harm

February 10, 2026Standard inspection, Complaint inspection · 7 citations

D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to develop a baseline care plan for Resident #91. This affected one (Resident #91) of 14 sampled residents reviewed for baseline care plans.
D

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the comprehensive care plan addressed non-invasive mechanical ventilator use for two (Resident #69 and Resident #93) of three sampled residents reviewed for respiratory care.
D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, staff interview, record review, and facility policy review, the facility failed to specify the breakdown of the amount of fluid per 24 hours to be distributed between the food and nutrition department and the nursing department for Resident #40. This affected one (Resident #40) of two sampled residents reviewed for fluid restriction.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure a bi-level positive airway pressure (BiPAP) mask was stored properly when not in use for one (Resident #69) of two sampled residents reviewed for respiratory care.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, interview, record review, document review, and facility policy review, the facility failed to ensure their medication error rate was not greater than five percent (%). There were four errors out of 25 opportunities, which resulted in a medication error rate of 16%. This affected three (Residents #2, #15, and #44) of five residents observed for medication administration.
D

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on interview, record review, and facility policy review, the facility failed to ensure Resident #69's physician orders were transcribed to the medication administration record/treatment administration record. This affected one (#69) of 24 residents reviewed for medical record accuracy.
D

Keep all essential equipment working safely.

F908 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 6, 2026

Inspectors wroteBased on observation, interview, record review, and facility policy review, the facility failed to ensure the brakes on a resident's wheelchair was maintained in a safe and functional manner for one (Resident #67) of three sampled residents reviewed for patient care equipment.

September 16, 2025Complaint inspection · 1 citation

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 30, 2025

Inspectors wroteBased on medical record review, review of a Self-Reported Incident (SRI), review of facility investigation documents, staff interview, resident interview, police detective interview, and facility policy review, the facility failed to ensure residents were free from sexual abuse. This resulted in Actual Harm on 08/29/25 for Resident #12, a severely cognitively impaired resident, was sexually abused when Resident #10 entered Resident #12's room, lifted the resident's top, and began touching and sucking on her breasts. Staff witnessed the sexual abuse per Resident #10 towards Resident #12 but did not intervene to stop the abuse. This affected one (Resident #12) of six residents reviewed for abuse. The facility census was 75 residents.

August 18, 2025Complaint inspection · 1 citation

D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025

Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to maintain the confidentiality of resident private health information. This affected one (Resident #82) of three residents reviewed for confidentiality. The facility census was 78 residents.

February 16, 2023Standard inspection · 4 citations

D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2023

Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident was provided a Notice of Medicare Non Coverage (NOMNC) or Skilled Nursing Facility Advance Beneficiary Notice of Non Coverage (SNF ABN) to inform the resident of terminated services and potential liability for non-covered services. This affected one (Resident #198) of three residents reviewed for beneficiary notices. The facility census was 57.
D

Provide care and assistance to perform activities of daily living for any resident who is unable.

F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2023

Inspectors wroteBased on observation, resident interview, and staff interview, the facility failed to assist a female resident with facial hair removal. This affected one (Resident #28) of two residents reviewed for Activities of Daily Living(ADLs) assistance. The facility's census was 57.
D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2023

Inspectors wroteBased on record review, observation, staff interview, and review of the facility policy, the facility failed conduct a thorough investigation to determine root cause analysis to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls. This affected one (Resident #308) of three residents reviewed for fall follow up. The facility's census was 57.
D

Develop and implement policies and procedures for flu and pneumonia vaccinations.

F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 8, 2023

Inspectors wroteBased on record review, staff interview, and review of facility policy, the facility failed to provide each resident or resident representatives with education regarding the risks and benefits of influenza immunizations on an annual basis, when influenza vaccines were offered. This affected three (Residents #10, #23 and #27) of five residents reviewed for immunizations. The facility census was 57.

September 5, 2019Standard inspection · 3 citations

D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019

Inspectors wroteBased on medical record review and staff interview, the facility failed to accurately code a quarterly Minimum Data Set (MDS) assessment for Resident #7. This affected one (#7) of twenty resident reviewed for MDS accuracy. The facility census was 78.
D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

F676 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019

Inspectors wroteBased on record review, observation and resident and staff interview, the facility failed to provide residents with adequate assistance with personal hygiene. This affected two (Resident #51 and #63) of two reviewed for activities of daily living. The total facility census was 78.
D

Ensure each resident’s drug regimen must be free from unnecessary drugs.

F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 11, 2019

Inspectors wroteBased on record review and staff interview, the facility failed to ensure residents received adequate monitoring for the use of psychoactive medications to ensure the medications were effective and there were no adverse effects. This affected four (#1, #13, #23 and #46) of five residents reviewed for unnecessary medications. The facility identified 56 residents receiving psychoactive medications. The facility census was 78 residents.

Fire safety inspections

22 fire safety citations on file: 7 on February 10, 2026, 8 on February 16, 2023, 7 on September 5, 2019.

Every fire safety citation22 citations

F
Use approved construction type or materials.

K 161 · February 10, 2026 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 10, 2026 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 10, 2026 · Corrected (the home has a date of correction)
F
Ensure proper usage of power strips and extension cords.

K 920 · February 10, 2026 · Corrected (the home has a date of correction)
E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

K 362 · February 10, 2026 · Corrected (the home has a date of correction)
E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

K 741 · February 10, 2026 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · February 10, 2026 · Corrected (the home has a date of correction)
F
Develop and maintain an Emergency Preparedness Program (EP).

E 4 · February 16, 2023 · Corrected (the home has a date of correction)
F
Use approved construction type or materials.

K 161 · February 16, 2023 · Corrected (the home has a date of correction)
F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

K 222 · February 16, 2023 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 16, 2023 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · February 16, 2023 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 16, 2023 · Corrected (the home has a date of correction)
C
Conduct risk assessment and an All-Hazards approach.

E 6 · February 16, 2023 · deficient, provider has
C
List the names and contact information of those in the facility.

E 30 · February 16, 2023 · deficient, provider has
F
Use approved construction type or materials.

K 161 · September 5, 2019 · fire safety evaluation s
F
Install emergency lighting that can last at least 1 1/2 hours.

K 291 · September 5, 2019 · Corrected (the home has a date of correction)
F
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · September 5, 2019 · Corrected (the home has a date of correction)
F
Inspect, test, and maintain automatic sprinkler systems.

K 353 · September 5, 2019 · Corrected (the home has a date of correction)
F
Provide a written emergency evacuation plan.

K 711 · September 5, 2019 · Corrected (the home has a date of correction)
F
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · September 5, 2019 · Corrected (the home has a date of correction)
E
Have properly installed electrical wiring and gas equipment.

K 511 · September 5, 2019 · Corrected (the home has a date of correction)

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)	3.39	3.69	3.86
Registered nurses	0.40	0.64	0.69
All nursing staff on weekends	3.11	3.28	3.42
Nurse aides	2.11
Licensed practical nurses	0.88
Nursing staff turnover (share who left in a year)	68.9%	48.7%	45.8%
Registered nurse turnover	55.6%	43.9%	42.9%
Administrators who left	0

CMS expects 4.27 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 3.51 on weekdays and 3.11 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.16 in April to June 2025 to 3.39 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	3.39	0.40	3.51	3.11	0.0%	2 of 90	82
Oct to Dec 2025	3.26	0.46	3.43	2.84	1.7%	2 of 92	78
Jul to Sep 2025	3.03	0.48	3.17	2.66	3.4%	0 of 92	76
Apr to Jun 2025	3.16	0.44	3.30	2.81	0.0%	2 of 91	69
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	12.7	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	2.3	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.8	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	7.0	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	1.2	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	6.6	8.8	15.4

Owners and operators

Legal business name: GO OPCO LLC. CMS links this home to Yyam Holdings, a group of 4 nursing homes averaging 1.8 stars overall.

Name	Role	Type	Share	Since
Yyam Holdings LLC	5% or greater direct ownership interest	Organization	100%	12/31/2024
Yyam Irrevocable Trust	5% or greater indirect ownership interest	Organization	95%	12/31/2024
Dmt Spe I LLC	5% or greater mortgage interest	Organization		12/31/2024
Nussbaum, Mattisyahu	Managing control - governing body	Individual		12/31/2024
Luxor Healthcare Group LLC	Operational/managerial control	Organization		12/31/2024
Berner, Susan	Operational/managerial control	Individual		12/31/2024
Franley, Adam	Operational/managerial control	Individual		12/31/2024
Nussbaum, Mattisyahu	Operational/managerial control	Individual		12/31/2024
Compliance Consulting Group LLC	Adp of the SNF	Organization		12/31/2024
Go Propco Holdco LLC	Adp of the SNF	Organization		12/31/2024
Go Propco LLC	Adp of the SNF	Organization		12/31/2024
Howard, Weshbale & Co.	Adp of the SNF	Organization		12/31/2024
Jamma Consulting Inc	Adp of the SNF	Organization		12/31/2024
Luxor Healthcare Group LLC	Adp of the SNF	Organization		12/31/2024
Yyam Holdings LLC	Adp of the SNF	Organization		12/31/2024
Yyam Irrevocable Trust	Adp of the SNF	Organization		12/31/2024
Berner, Susan	Adp of the SNF	Individual		12/31/2024
Franley, Adam	Adp of the SNF	Individual		12/31/2024
Nussbaum, Mattisyahu	Adp of the SNF	Individual		12/31/2024
Weinstock, Mindi	Adp of the SNF	Individual		06/06/2025

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 February 10, 2026: "Provide enough food/fluids to maintain a resident's health."
When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 10, 2026: "Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted"
How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on February 10, 2026: "Ensure medication error rates are not 5 percent or greater."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 18, 2025: "Keep residents' personal and medical records private and confidential."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.11 hours per resident per day, below the Ohio average of 3.28.

Other nursing homes nearby

Gem City Healthcare and Rehabilitation Center
Dayton, 0.3 mi · 3 of 5 stars · 27 citations
Dunbar Health & Rehab Center
Dayton, 1.6 mi · 3 of 5 stars · 23 citations
Carecore at Mary Scott
Dayton, 1.7 mi · 3 of 5 stars · 53 citations
Riverside Nursing and Rehabilitation Center
Dayton, 2.7 mi · 2 of 5 stars · 46 citations
Widows Home of Dayton
Dayton, 2.7 mi · 2 of 5 stars · 38 citations
Sanctuary at Wilmington Place
Dayton, 3.4 mi · 2 of 5 stars · 44 citations
Aventura at Carriage Inn
Dayton, 3.5 mi · 3 of 5 stars · 48 citations
Siena Woods Care Center
Dayton, 3.8 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 Grafton Oaks Nursing Center's Medicare star rating?: CMS rates Grafton Oaks Nursing Center 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Grafton Oaks Nursing Center get at its last inspection?: 7 health deficiencies at the standard inspection on February 10, 2026. The Ohio average is 10.5.
Has Grafton Oaks Nursing Center been fined?: CMS lists no fines in the last three years.
Does Grafton Oaks Nursing 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 Grafton Oaks Nursing Center?: CMS lists 20 owners and managers, and links the home to Yyam Holdings. Legal business name: GO OPCO LLC.

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.