Kingston of Miamisburg
1120 South Dunaway Street, Miamisburg, OH 45342 · Montgomery County · (937) 247-6004
113 certified beds, about 88 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365984 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 25 health citations since March 2020 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 4.45 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.99 of those hours.
55.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Kingston Healthcare, an affiliated group of 2 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.
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 25 health citations on file.
May 7, 2026Standard inspection · 3 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, staff interview, and policy review, the facility failed to ensure food was stored and prepared in a safe and sanitary manner. This had the potential to affect all residents who receive food from the kitchen. The facility census was 85. Findings Included:1. Observation during the initial tour of the main kitchen on 05/04/26 at 8:20 A.M. with the Dietary Manager (DM) #74 revealed the walk-in refrigerator contained 80 slices of cake on dessert plates with no label or date, three large clear bags of waffles with no label or date, nine individual dessert cups with yogurt, two very large containers of pork loin with no label or date, sixty individual fruit cups with no label or date and 20 orange slices in dessert cakes with no label or date. The walk-in freezer had a large box of frozen hamburger patties that was open and exposed to air, no label or date. [...]
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observation, staff and resident interview, and policy review, the facility failed to ensure physician ordered monitoring was followed for the side effects of anticoagulant medication use. This affected one (Resident #11) out of six residents reviewed. The facility census was 85.
- 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, and staff interview, the facility failed to ensure medication was stored in a safe manner. This affected one (Resident #07) out of three Residents (#07, #14, #100) reviewed for medication storage. The facility census was 85. Findings Included:Medical record review revealed Resident #07 was admitted to the facility on [DATE]. Diagnoses included polyarthritis, scoliosis, hyperglyceridemia, essential primary hypertension, mixed hyperlipidemia, dysphagia, and constipation. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #07 had impaired cognition. Further review of the MDS assessment, revealed Resident #07 was dependent on staff for medication administration, toilet use, bathing, lower body dressing, putting on shoes, and personal hygiene. Observation on 05/04/26 at 10:35 A.M. [...]
September 19, 2025Complaint inspection · 1 citation
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on staff interview, policy review, and record review, the facility failed to ensure a resident received an adequate supply of medications upon discharge to home. This affected one (#97) of three residents reviewed for discharge. The facility census was 95.
June 12, 2025Complaint inspection · 5 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure staff completed skin treatments as ordered by the physician. This affected one (Resident #90) of six residents sampled for skin treatments. The facility census was 83 residents.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on medical record review and staff interview the facility failed to ensure staff provided wound care for pressure ulcers as ordered by the physician. This affected one (Resident #85) of six residents sampled for wound care. The facility census was 83 residents.
- 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 the facility failed to ensure medications were administered as ordered. This affected two (Residents #24 and #81) of six residents sampled for medication administration. The facility census was 83.
- 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, and policy review, the facility failed to ensure narcotic medications were stored properly. This affected one (Resident #60) of nine residents sampled for medication administration. The facility census was 83 residents.
- D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure laboratory services were provided in a timely manner. This affected one (Resident #31) of five residents sampled for laboratory services. The facility census was 83 residents.
October 19, 2023Standard inspection · 11 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, observations, staff interview, and policy review, the facility failed to ensure the ensure water temperatures in rooms were below 120 degrees Fahrenheit (F). This had the potential to affect 16 (#61, #28, #62, #201, #56, #16, #72, #35, #43, #15, #34, #68, #69, #29, #27 and #64) residents who were observed with high hot water temperatures in their rooms. Additionally, the facility also failed to implement fall precautions for a resident. This affected one (#2), out of two reviewed for falls. The facility census was 100.
- E 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 interview, and policy review, the facility failed to ensure meal tray delivery was done in a hygienic manner. This affected five (#12, #56, #201, #202 and #207) out of 11 residents observed on the D-Hall for meal service. The facility census was 100.
- 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 interviews and policy review, the facility failed to notify a resident representative when the resident had a change of condition. This affected one (#351) of two residents reviewed for notification of change. The facility census is 100.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on medical record review, staff and hospice staff interviews and review of the Resident Assessment Instrument (RAI) manual, the facility failed to complete a significant change Minimum Data Set (MDS) assessment when a resident elected a different hospice agency. This affected one resident (#58) of two residents reviewed for hospice benefits. The facility census was 100.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review, staff interviews, and policy review, the facility failed to complete a resident-centered comprehensive care plan to address the use of antidepressant and antipsychotic medications. This affected one (#15) out of 25 residents reviewed for comprehensive care plans. The facility census was 100.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, and staff interviews, the facility failed to follow physician orders regarding number of staff members ordered for the completion of activities of daily living (ADL'S). This affected one (#2) of two residents reviewed for ADL's for dependent residents. The facility census was 100.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to assess and monitor a resident's bruising. This affected one (#56) of four residents reviewed for skin alterations. The census was 100.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review, observation, staff interview and policy review, the facility failed to apply a residents restorative devices as ordered. This affected one (#58) of two residents reviewed for restorative devices. The facility census was 100.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident was free from unnecessary psychotropic medication usage when the facility failed to monitor labs to ensure medication levels were therapeutic. This affected one (#80) out of five residents reviewed for unnecessary medication. The facility census was 100.
- D Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on medical record review, observations, resident, staff and hospice staff interviews and policy review, the facility failed to collaborate with hospice in the development of a resident's comprehensive plan of care. This affected one (#58) of two reviewed for hospice services. The facility census was 100.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on record review, policy review, observation, and staff interview, the facility failed to ensure enhanced barrier precautions were implemented as ordered. This affected two (#20 and #302) out of 24 residents reviewed for infection control. Additionally, the facility also failed to follow infection control practices during incontinence care. This affected one (#2) out of three residents reviewed for urinary tract infections and urinary catheters. The facility census was 100.
March 5, 2020Standard inspection · 5 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on medical record review, observation, staff interview, and review of facility policy, the facility failed to maintain dignity while feeding residents in the dining room. This affected one Resident (#33) of two observed during dining. The facility census was 103.
- D 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, family and staff interviews, the facility failed to provide quarterly care plan meeting for one Resident (#46) of two reveiwed for care plans. The facility census was 103.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, observation, staff interview, resident interview, and review of facility policy, the facility failed assist dependent residents with keeping fingernails and toenails maintained. This affected two Residents (#3 and #49) of two reviewed for Activities of Daily Living (ADLs). The facility census was 103.
- D Observe each nurse aide's job performance and give regular training.
Inspectors wroteBased on review of personnel files and staff interview, the facility failed to provide 12 hours of nurse aide in-service for two State Tested Nursing Assistants (#86 and #158) of two reviewed for in-service training. The facility census was 103.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on medical record review, staff and resident interviews, the facility failed to provide dental services for one Resident (#49) of two reviewed for dental services. The facility census was 103.
Fire safety inspections
19 fire safety citations on file: 3 on May 7, 2026, 9 on October 19, 2023, 7 on March 5, 2020.
Every fire safety citation19 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- E Ensure proper usage of power strips and extension cords.
- 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.
- F Provide properly protected cooking facilities.
- F Install a fire alarm system that can be heard throughout the facility.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- 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.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Install emergency lighting that can last at least 1 1/2 hours.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have simulated fire drills held at unexpected times.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Ensure proper usage of power strips and extension cords.
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) | 4.45 | 3.69 | 3.86 |
| Registered nurses | 0.99 | 0.64 | 0.69 |
| All nursing staff on weekends | 4.05 | 3.28 | 3.42 |
| Nurse aides | 2.44 | ||
| Licensed practical nurses | 1.02 | ||
| Nursing staff turnover (share who left in a year) | 55.0% | 48.7% | 45.8% |
| Registered nurse turnover | 75.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.90 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 4.62 on weekdays and 4.05 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.14 in April to June 2025 to 4.45 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 | 4.45 | 0.99 | 4.62 | 4.05 | 10.8% | 0 of 90 | 88 |
| Oct to Dec 2025 | 4.53 | 1.02 | 4.67 | 4.18 | 16.9% | 0 of 92 | 91 |
| Jul to Sep 2025 | 4.36 | 0.96 | 4.57 | 3.83 | 16.0% | 0 of 92 | 85 |
| Apr to Jun 2025 | 4.14 | 0.82 | 4.33 | 3.68 | 15.1% | 0 of 91 | 83 |
| 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 | 4.8 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 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 | 0.5 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.4 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.7 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.5 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.8 | 1.8 |
Owners and operators
Legal business name: KINGSTON OF MIAMISBURG, LLC. CMS links this home to Kingston Healthcare, a group of 2 nursing homes averaging 3.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Kingston Healthcare Inc | 5% or greater direct ownership interest | Organization | 100% | 01/01/2006 |
| Nichols, Christine | 5% or greater indirect ownership interest | Individual | 13% | 12/14/2006 |
| Rumman, George | 5% or greater indirect ownership interest | Individual | 37% | 01/01/2006 |
| Wolfe, Elizabeth | 5% or greater indirect ownership interest | Individual | 8% | 07/06/2011 |
| Wolfe, Frederica | 5% or greater indirect ownership interest | Individual | 13% | 12/14/2006 |
| Biedenharn, Jill | W-2 managing employee | Individual | 01/25/2016 | |
| French, Diane | W-2 managing employee | Individual | 01/14/2019 | |
| Jones, Kara | W-2 managing employee | Individual | 12/05/2016 | |
| Libbe, Kent | W-2 managing employee | Individual | 01/01/2006 | |
| Rumman, George | W-2 managing employee | Individual | 01/01/2006 | |
| Baxter, Robert | Corporate director | Individual | 04/01/2019 | |
| Dukeman, Bruce | Corporate director | Individual | 01/01/2006 | |
| Miller, Jeffrey | Corporate director | Individual | 03/07/2012 | |
| Nichols, Christine | Corporate director | Individual | 04/05/2020 | |
| Nichols, William | Corporate director | Individual | 01/01/2006 | |
| Rumman, George | Corporate director | Individual | 01/01/2006 | |
| Rumman, Michael | Corporate director | Individual | 01/01/2006 | |
| Warburton, Mari | Corporate director | Individual | 03/04/2019 | |
| French, Diane | Corporate officer | Individual | 06/09/2020 | |
| Libbe, Kent | Corporate officer | Individual | 01/01/2006 | |
| Rumman, George | Corporate officer | Individual | 01/01/2006 | |
| Kingston Healthcare Company LLC | Operational/managerial control | Organization | 01/01/2006 | |
| Biedenharn, Jill | Operational/managerial control | Individual | 01/25/2016 |
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 9 problems in this area, most recently on May 7, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on May 7, 2026: "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 3 problems in this area, most recently on September 19, 2025: "Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 19, 2023: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
Other nursing homes nearby
- Sycamore Trails Post Acute Miamisburg, 2.5 mi · 4 of 5 stars · 47 citations
- Sycamorespring of Miamisburg Miamisburg, 2.6 mi · 5 of 5 stars · 10 citations
- Laurels of West Carrollton the West Carrollton, 3.2 mi · 1 of 5 stars · 35 citations
- Wood Glen Alzheimer's Community Dayton, 3.6 mi · 3 of 5 stars · 29 citations
- Carlisle Manor Health Care Inc Carlisle, 3.7 mi · 4 of 5 stars · 12 citations
- Vienna Springs Health Campus Dayton, 4.2 mi · 5 of 5 stars · 6 citations
- Astoria Health & Rehab Center Germantown, 4.8 mi · 5 of 5 stars · 1 citation
- Momentous Health at Franklin Franklin, 5.2 mi · 1 of 5 stars · 36 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 Kingston of Miamisburg's Medicare star rating?
- CMS rates Kingston of Miamisburg 4 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Kingston of Miamisburg get at its last inspection?
- 3 health deficiencies at the standard inspection on May 7, 2026. The Ohio average is 10.5.
- Has Kingston of Miamisburg been fined?
- CMS lists no fines in the last three years.
- Does Kingston of Miamisburg 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 Kingston of Miamisburg?
- CMS lists 23 owners and managers, and links the home to Kingston Healthcare. Legal business name: KINGSTON OF MIAMISBURG, 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.