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Home / Ohio / Moraine

Respiratory and Nursing Center of Dayton

3421 Pinnacle Road, Moraine, OH 45439 · Montgomery County · (937) 268-3488

82 certified beds, about 72 residents a day · For profit - Corporation · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365515 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 30, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 32 health citations since May 2022 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 3.46 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.74 of those hours.

35.3% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Foundations Health Solutions, an affiliated group of 64 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.

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 32 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
23D
7E
1F
Potential for minimal harm
0A
0B
1C
June 30, 2026Standard inspection · 11 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 21, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on medical record review, observation, staff interview, review of facility policy, and review of the Food and Drug Administration (FDA) Food Code, the facility failed to ensure staff properly sanitized their hands during meal service. This affected seven residents (#12, #19, #28, #36, #54, #58, and #71) observed during meal service. The facility failed to ensure the dishwasher sanitation was at adequate levels. This had the potential to affect 61 residents who ate food out of the kitchen. The facility identified 13 residents (#2, #9, #10, #11, #16, #32, #36, #63, #66, #67, #72, #74, and #80) who did not eat food prepared in the kitchen. The facility census was 74.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2026
    Inspectors wroteBased on medical record review, observation, review of medication reconciliation logs for controlled medications, and staff interviews, the facility failed to ensure controlled medications available matched the number of controlled medications listed on the reconciliation logs. This affected five (#14, #33, #55, #65, and #67) of twenty residents sampled for narcotic medication administration. The facility census was 74.
  3. E
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2026
    Inspectors wroteBased on observations and staff interviews, the facility failed to ensure medications packages were labeled appropriately with the dated of opening for two (#5 and #33) residents. Additionally, the facility failed to ensure expired medications were removed from availability and destroyed in a timely manner. This had the potential to affect eight (Resident #1, #11, #14, #32, #33, #54, #55, and #62) of twenty residents sampled for medication storage. The facility census was 74.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 20, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on medical record reviews, observation, staff interviews and policy review, facility failed to ensure Enhanced Barrier Precautions were being followed, failed to ensure staff sanitized hands between residents during medication administration, and failed to ensure contact precautions were being followed. This affected four residents (#12, #41, #49, and #59) of 74 residents reviewed for infection control practices. Facility census was 74.
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 21, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on record review, resident interview, staff interview, review of Self Reported Incidents, and policy review, the facility failed to report an allegation of neglect to the State Survey Agency for one (#59) of four residents reviewed for abuse and neglect allegations. The facility census was 74.
  6. 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) July 20, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on record review, review of list of facility identified smokers, and staff interviews, the facility failed to ensure Minimum Data Set (MDS) assessments were accurate in the area of smoking for one (#48) out of four residents reviewed for smoking. The facility census was 74.
  7. 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 · Corrected (the home has a date of correction) July 20, 2026
    Inspectors wroteBased on record review, resident interviews, and staff interviews, the facility failed to ensure each resident had a comprehensive care plan that encompassed all aspects of resident care needs. This affected three (#2, #3, and #12) of 19 residents sampled for care plans. The facility census was 74.
  8. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteReview of the medical record, resident interview, and staff interview, revealed the facility failed assess and treat Resident #5's hearing loss and ear pain. This affected one (#5) of two residents reviewed for communication and sensory. The facility census was 74.
  9. 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) July 20, 2026
    Inspectors wroteBased on observation, record review, interviews, and policy review, the facility failed to adequately obtain daily weights as ordered and failed to monitor a resident's weight loss nutritional status. This affected one (#68) of four residents reviewed for nutrition. The facility census was 74.
  10. 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) July 20, 2026 · disputed by the home (informal dispute resolution)
    Inspectors wroteBased on review of medical records, staff interview, resident interview, and review of the manufacturer's guidelines, the facility failed to monitor a resident's blood sugar levels before the administration of injectable insulin. This affected one (#40) of six residents reviewed for medications. The census was 74.
  11. D
    Provide or obtain dental services for each resident.
    F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 20, 2026
    Inspectors wroteBased on record review, resident interview, staff interview, and policy review, the facility failed to provide routine dental services to one (#8) of three residents reviewed for dental services. The facility census was 74.
September 4, 2024Standard inspection · 12 citations
  1. E
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record reviews, staff interview, and review of the Resident Assessment Instrument (RAI) User's Manual 3.0, the facility failed to ensure quarterly Minimum Data Set (MDS) assessments were completed timely. This affected four (Residents #06, #08, #22, and #50) of 23 residents reviewed for timely MDS assessments. The facility census was 75 residents.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on observation and staff interview, the facility failed to practice food service safety and maintain a sanitary environment to prevent food and beverage contamination. This had the potential to effect 63 residents who received food from the facility kitchen. The facility census was 75 residents.
  3. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review, observation, staff interviews, and review of the facility policy, the facility failed to ensure the staff utilized proper hand hygiene and infection control practices during tracheostomy care. This affected one (Resident #56) of 18 residents with tracheostomies. The facility also failed to ensure staff donned appropriate personal protective equipment (PPE) to prevent the spread of Coronavirus (COVID-19). This affected one (Resident #10) of two facility-identified COVID-19 positive residents. The facility census was 75 residents.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review, observation, resident representative interview, and staff interviews, the facility failed to ensure resident representative preferences were honored. This affected one (Residents #54) of six residents reviewed for activities of daily living (ADL) assistance. The facility also failed to honor resident needs and preferences regarding bathroom accomodations. This affected one (Resident #49) of six residents reviewed for ADL assistance. The facility census was 75 residents.
  5. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on record review, staff interview, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to ensure comprehensive admission Minimum Data Set (MDS) assessments were completed timely. This affected one (Resident #56) of eight residents reviewed for timely assessments. The facility census was 75 residents.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to update resident care plans regarding changes in condition. This affected one (Resident #68) of two residents for hospitalizations. The facility census was 75 residents.
  7. 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) September 13, 2024
    Inspectors wroteBased on medical record reviews, observations, and staff interviews, the facility failed to ensure activity of daily living (ADL) care and services were provided for dependent residents. This affected two (Residents #50 and #46) of six residents reviewed for ADL assistance. The facility census was 75.
  8. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review, observation, and staff interview, the facility failed to ensure staff properly positioned dependent residents in bed. This affected one (Resident #50) resident of four residents reviewed for positioning. The facility census was 75 residents.
  9. 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.
    F688 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to provide care and services to prevent worsening of contractures and to prevent limited range of motion (ROM). This affected one (Resident #50) of four residents reviewed for ROM. The facility census was 75 residents.
  10. D
    Provide care or services that was trauma informed and/or culturally competent.
    F699 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to properly inform the staff of interventions and approaches for care of residents with Post Traumatic Stress Disorder (PTSD.) This had the potential to effect one (Resident #27) of one resident reviewed for trauma-informed care. The census was 75 residents.
  11. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 13, 2024
    Inspectors wroteBased on medical record review, observation, staff interview, and policy review, the facility failed to ensure open vials of insulin were properly dated after opened and used. This had the potential to affect two (Residents #44 and #60) residents of four residents observed for medication administration. The facility also failed to ensure tuberculin (TB) testing solution was properly dated after opening. This had the potential to affect all of the residents residing in the facility. The facility census was 75 residents.
  12. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · deficient, provider has September 13, 2024
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure staffing was posted daily including date, census and total numbers of actual hours worked per staff. This had the potential to affect all facility residents. The facility census was 75 residents.
December 20, 2023Complaint inspection · 2 citations
  1. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on record review, review of hospital records, and staff and laboratory (lab) technician interviews, the facility failed to timely treat a residents urinary tract infection (UTI). This affected one (#70) of three residents reviewed for change in condition. Facility census was 78.
  2. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 28, 2023
    Inspectors wroteBased on record review and staff interviews, the facility failed to ensure physician orders for antibiotics were administered as ordered. This affected one (#70) of three reviewed for medication administration. Facility census was 78.
May 16, 2022Standard inspection · 7 citations
  1. E
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 2, 2022
    Inspectors wroteBased on record review, interview, and observation, the facility failed to have a dignified smoking experience for 18 Residents (#09, #10, #14, #19, #31, #36, #37, #39, #55, #45, #46, #62, #63, #68, #70, #73, #76, and #278) who smoke. The facility census was 71.
  2. 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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 2, 2022
    Inspectors wroteBased on resident and staff interview and observation, the facility failed to maintain all areas and equipment in good repair. This affected one resident (#55) of one resident reviewed for environment. The facility censes was 71.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 2, 2022
    Inspectors wroteBased on interviews, record review and review of facility policy the facility failed to investigate and timely report an allegation of abuse. This affected one Resident (#06) of two residents reviewed for abuse. The facility census was 71.
  4. 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) June 2, 2022
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide activity of daily living (ADL) care for one resident (#66) of five residents reviewed for ADL care. The facility census was 71.
  5. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 2, 2022
    Inspectors wroteBased on observation, interviews, record review and review of the facility policy, the facility failed to measure and document a new skin alteration. This affected one resident (#06) of four residents reviewed for wounds. The facility census was 71.
  6. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 2, 2022
    Inspectors wroteBased on interviews and record review the facility failed to provide glasses to assist the residents vision in a timely manner. This affected one resident (#71) of four residents reviewed for hearing and vision. The facility census was 71.
  7. 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) June 2, 2022
    Inspectors wroteBased on interview and record review, the facility failed to obtain weights as ordered for one resident (#42) of six residents reviewed for nutrition. The facility census was 71.

Fire safety inspections

20 fire safety citations on file: 1 on June 30, 2026, 15 on September 4, 2024, 4 on May 16, 2022.

Every fire safety citation20 citations
  1. F
    Ensure proper usage of power strips and extension cords.
    K 920 · June 30, 2026 · Corrected (the home has a date of correction)
  2. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · September 4, 2024 · Corrected (the home has a date of correction)
  3. F
    Create arrangements with other facilities to receive patients.
    E 25 · September 4, 2024 · Corrected (the home has a date of correction)
  4. F
    Establish emergency prep training and testing.
    E 36 · September 4, 2024 · Corrected (the home has a date of correction)
  5. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · September 4, 2024 · Corrected (the home has a date of correction)
  6. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · September 4, 2024 · Corrected (the home has a date of correction)
  7. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · September 4, 2024 · Corrected (the home has a date of correction)
  8. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 4, 2024 · Corrected (the home has a date of correction)
  9. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · September 4, 2024 · Corrected (the home has a date of correction)
  10. F
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 4, 2024 · Corrected (the home has a date of correction)
  11. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · September 4, 2024 · Corrected (the home has a date of correction)
  12. E
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · September 4, 2024 · Corrected (the home has a date of correction)
  13. E
    Have properly located and lighted "Exit" signs.
    K 293 · September 4, 2024 · Corrected (the home has a date of correction)
  14. E
    Have proper power supply for life support equipment.
    K 915 · September 4, 2024 · Waiver
  15. E
    Ensure proper usage of power strips and extension cords.
    K 920 · September 4, 2024 · Corrected (the home has a date of correction)
  16. E
    Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
    K 926 · September 4, 2024 · Corrected (the home has a date of correction)
  17. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · May 16, 2022 · Corrected (the home has a date of correction)
  18. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · May 16, 2022 · Corrected (the home has a date of correction)
  19. E
    Have proper power supply for life support equipment.
    K 915 · May 16, 2022 · Corrected (the home has a date of correction)
  20. E
    Have proper medical gas storage and administration areas.
    K 923 · May 16, 2022 · 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.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.463.693.86
Registered nurses0.740.640.69
All nursing staff on weekends3.043.283.42
Nurse aides1.60
Licensed practical nurses1.12
Nursing staff turnover (share who left in a year)35.3%48.7%45.8%
Registered nurse turnover36.4%43.9%42.9%
Administrators who left0

CMS expects 5.54 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 3.64 on weekdays and 3.04 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.80 in April to June 2025 to 3.46 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.460.743.643.04 2.0%0 of 9072
Oct to Dec 20253.600.643.773.19 2.1%0 of 9270
Jul to Sep 20253.800.614.053.19 1.8%0 of 9269
Apr to Jun 20253.800.594.033.20 2.0%1 of 9170
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%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

JobMedianMiddle halfEmployed
Ohio, all employers
CNAs (nursing assistants)$18.76$17.93 to $21.4463,280
LPNs and LVNs$29.78$27.34 to $31.6839,900
Registered nurses$39.67$38.08 to $47.61143,730
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
3.15.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
5.96.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
12.03.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
4.78.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
19.124.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
5.912.912.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.71.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.61.81.8

Owners and operators

Legal business name: PINNACLE HEALTH CARE CENTER, INC.. CMS links this home to Foundations Health Solutions, a group of 64 nursing homes averaging 4.2 stars overall.

NameRoleTypeShareSince
Colleran, BrianCorporate directorIndividual01/01/2019
Colleran, BrianCorporate officerIndividual01/01/2019
Krystowski, JohnCorporate officerIndividual06/01/2018
Foundations Health Solutions, LLCOperational/managerial controlOrganization01/01/2019
Colleran, BrianOperational/managerial controlIndividual01/01/2019
Krystowski, JohnOperational/managerial controlIndividual06/01/2018
Smith, BrittanyOperational/managerial controlIndividual02/08/2021
Foundations Health Solutions, LLCAdp of the SNFOrganization05/16/2025
Colleran, BrianAdp of the SNFIndividual01/01/2019
Ferguson, HaroldAdp of the SNFIndividual06/01/2018
Krystowski, JohnAdp of the SNFIndividual06/01/2018
Smith, BrittanyAdp of the SNFIndividual02/08/2021

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on June 30, 2026: "Assist a resident in gaining access to vision and hearing services."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on June 30, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 5 problems in this area, most recently on June 30, 2026: "Ensure each resident receives an accurate assessment."
  4. 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 4, 2024: "Reasonably accommodate the needs and preferences of each resident."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.04 hours per resident per day, below the Ohio average of 3.28.

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Common questions

What is Respiratory and Nursing Center of Dayton's Medicare star rating?
CMS rates Respiratory and Nursing Center of Dayton 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Respiratory and Nursing Center of Dayton get at its last inspection?
5 health deficiencies at the standard inspection on June 30, 2026. The Ohio average is 10.5.
Has Respiratory and Nursing Center of Dayton been fined?
CMS lists no fines in the last three years.
Does Respiratory and Nursing Center of Dayton 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 Respiratory and Nursing Center of Dayton?
CMS lists 12 owners and managers, and links the home to Foundations Health Solutions. Legal business name: PINNACLE HEALTH CARE CENTER, INC..

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