Stillwater Skilled Nursing and Rehabilitation
75 Mote Drive, Covington, OH 45318 · Miami County · (937) 473-2075
75 certified beds, about 52 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365483 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 16, 2026, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 23 health citations since October 2019 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 3.56 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
66.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Michael Slyk, an affiliated group of 7 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.
210/19
1203/23
106/25
111/25
102/26
604/26
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 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
15D
7E
1F
Potential for minimal harm
0A
0B
0C
April 16, 2026Standard inspection · 6 citations
- 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.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to properly store the resident medications. This had the potential to affect the seven residents with medications stored in the [NAME] Hall cart. The facility census was 46 residents.
- 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, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure a comprehensive person-centered care plan included the resident preferences and refusals of cares/services for laryngectomy tube. This affected one (Resident #8) of two residents reviewed for care plans. The facility census was 46 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to ensure a replacement laryngectomy tube (used to keep neck stoma open and to provide a permanent, total airway separation) was at the resident's bedside or easily accessible for staff use. This affected one (Resident #8) of one facility-identified resident with laryngectomy tube. The facility census was 46 residents.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to ensure residents did not receive unnecessary medications. This affected one (Resident #22) of five residents reviewed for unnecessary medications. The facility census was 46 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure a medication error rate of five percent (%) or lower. The medication error rate was 7.4% based on two errors out of 27 medication opportunities. This affected one (Resident #34) of the four residents observed for medication administration. The facility census was 46 residents.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, staff interview, and review of the facility policy, the facility failed to implement the antibiotic stewardship plan and failed to properly monitor antibiotic use. This affected one (Resident #22) of five residents reviewed for unnecessary medications. The facility census was 46 residents.
February 23, 2026Complaint inspection · 1 citation
- E Protect each resident from the wrongful use of the resident's belongings or money.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on medical record review, staff interview, review of Self-Reported Incident (SRI), review of the incident log, review of police statement, review of staff drug screening results, and policy review, the facility failed to ensure resident's controlled substances were not misappropriated. This affected four (#18, #31, #50 and #78) of five residents reviewed for misappropriation. The facility census was 49.
November 26, 2025Complaint inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observations, staff interviews and policy review, the facility failed to implement their policy to ensure residents with enhanced barrier precautions (EBP) have clear signage and/or instruction on their doors indicating required personal protective equipment (PPE) and care activities that require PPE. Additionally, the facility failed to ensure staff have awareness of the EBP policy and what PPE to use. This affected nine (#13, #18, #20, #30, #34, #39, #42, #43 and #56) out of nine residents reviewed for EBP. The facility census was 57.
June 6, 2025Complaint inspection · 1 citation
- D Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Inspectors wroteBased on medical record review, interviews with staff and Resident Representative, and facility policy review, the facility failed to ensure Resident Representative was notified of room change prior to a room change. This affected one resident (#54) out of the three residents reviewed for room change notification. The facility census was 55.
March 24, 2023Standard inspection · 12 citations
- F Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure there was sufficient dietary staff to carry out functions of the nutrition services. This affected four (Residents #46, #23, #19, and #31) and had the potential to affect all residents residing in the facility, as all residents received their meals from the facility's kitchen. The facility's census was 56.
- E 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 medical record review, observations, resident and staff interviews, review of facility water temperature logs and review of invoices, the facility failed to ensure comfortable water temperatures were maintained for residents bathrooms and shower room. This affected three (#31, #45, and #46) of three residents reviewed for the physical environment and had the potential to affect 13 (#2, #6, #9, #11, #14, #23, #31, #32, #38, #45, #46, #118, and #309) residents residing on the West-hall. The current census is 56.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, staff and resident interviews, review of Resident Assessment Instrument Manual (RAI) 3.0, the facility failed to conduct care plan review meetings quarterly and failed to include the resident, members of the facility interdisciplinary team (IDT), or resident representative in the care plan review meetings. This affected four (#26, #31, #41, and #48) of the six residents reviewed for quarterly care plan meetings. Additionally, the facility failed to remove a hospice care plan when the services were discontinued. This affected one (#4) of one residents reviewed for hospice services. The facility census was 56.
- 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.
Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure medications were properly stored. This affected one (Resident #46) with the potential to affect five (Residents #50, #32, #37, #22, and #27) identified by the facility as cognitively impaired and ambulatory. The facility's census was 56.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observation, staff interview, review of facility policy, and of Centers of Disease Control and Prevention (CDC) guidance, the facility failed to ensure a urinary catheter bag was appropriately secured off the floor. This affected one (Resident #4) of one resident reviewed for urinary catheter bag infection control. The facility failed to follow proper isolation procedures for a resident positive with Coronavirus 2019 (COVID-19). This affected one (Resident #46) of one resident reviewed for COVID-19 isolation procedures. The facility failed to ensure staff utilized appropriate Personal Protective Equipment (PPE) when interacting with residents, while the facility had an outbreak of COVID-19 and the community transmission rate was high. This affected one (Resident #15) observed during a staff interaction. [...]
- 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 the policy, the facility failed to ensure incontinence care was provided in a dignified manner. This affected one (#4) of one resident reviewed for infection urinary catheter care. The facility census was 56.
- 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 interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete a comprehensive Minimum Data Set Assessment (MDS) within the required time frame. This affected two (#58 and #259) of two residents reviewed for comprehensive assessments. The facility census was 56.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review, staff interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete a significant change in status assessment (SCSA) Minimum Data Set Assessment (MDS) within the required time frame. This affected one (#52) of two residents reviewed for Hospice services. The facility census was 56.
- D Assure that each resident’s assessment is updated at least once every 3 months.
Inspectors wroteBased on medical record review, staff interview and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to complete quarterly Minimum Data Set Assessment (MDS) within the required time frame. This affected three (#24, #26, and #52) of three residents reviewed for quarterly assessments. The facility census was 56.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, staff interviews, and review of the Resident Assessment Instrument (RAI) Manual 3.0, the facility failed to accurately code Minimum Data Set (MDS) assessments. This affected two (#4 and #26) out of the six residents reviewed for MDS accuracy. The facility census was 56.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review, staff interview, review of the facility policy and review of the Ohio Department of Medicaid website, the facility failed to ensure the Preadmission Screening and Resident Review (PASARR) was accurately completed. This affected one (#39) of one resident reviewed for PASARR accuracy. The facility censes was 56.
- D Assist a resident in gaining access to vision and hearing services.
Inspectors wroteBased on medical record review, observations, staff interview and facility policy review, the facility failed to provide care and services to maintain or improve communication. This affected one (#16) of one residents reviewed for communication. The facility census was 56.
October 3, 2019Standard inspection · 2 citations
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview and facility policy review ,the facility failed to monitor laboratory tests in accordance with physician orders to ensure the adequate use of medications for one resident (#44) of five reviewed for unnecessary medications. The faciltiy census was 60.
- 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, staff interview, and facility policy review, the facility failed to have hospice progress notes available for review. This affected one (#26) of one resident reviewed for hospice services. The facility census was 60.
Fire safety inspections
15 fire safety citations on file: 3 on April 16, 2026, 7 on March 24, 2023, 5 on October 3, 2019.
Every fire safety citation15 citations
- 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 Install a fire alarm system that can be heard throughout the facility.
- F Have an alternate power supply for its alarm system.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Inspect, test, and maintain automatic sprinkler systems.
- E Install a fire alarm system that can be heard throughout the facility.
- E Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E Have proper medical gas storage and administration areas.
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) | 3.56 | 3.69 | 3.86 |
| Registered nurses | 0.49 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.51 | 3.28 | 3.42 |
| Nurse aides | 1.87 | ||
| Licensed practical nurses | 1.19 | ||
| Nursing staff turnover (share who left in a year) | 66.1% | 48.7% | 45.8% |
| Registered nurse turnover | 77.8% | 43.9% | 42.9% |
| Administrators who left | 2 |
CMS expects 5.01 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 3.58 on weekdays and 3.51 on weekends, 2% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.51 in April to June 2025 to 3.56 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 | 3.56 | 0.49 | 3.58 | 3.51 | 21.4% | 0 of 90 | 52 |
| Oct to Dec 2025 | 3.57 | 0.38 | 3.68 | 3.28 | 16.2% | 0 of 92 | 56 |
| Jul to Sep 2025 | 3.82 | 0.60 | 4.00 | 3.37 | 17.1% | 0 of 92 | 53 |
| Apr to Jun 2025 | 3.51 | 0.61 | 3.70 | 3.03 | 12.0% | 0 of 91 | 56 |
| 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 | 8.2 | 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 | 5.0 | 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 | 6.7 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 7.5 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 42.0 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: MIAMI COV SNF INC. CMS links this home to Michael Slyk, a group of 7 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| D'amico, Daniel | 5% or greater direct ownership interest | Individual | 33% | 12/01/2018 |
| Slyk, Michael | 5% or greater direct ownership interest | Individual | 67% | 09/01/2022 |
| D'amico, Daniel | Corporate officer | Individual | 12/01/2018 | |
| Slyk, Michael | Corporate officer | Individual | 09/01/2022 | |
| Ryder, Gwynn | Operational/managerial control | Individual | 03/28/2025 | |
| Mstc Development Inc | Adp of the SNF | Organization | 12/01/2018 | |
| D'amico, Daniel | Adp of the SNF | Individual | 03/28/2025 | |
| Dixon, Koby | Adp of the SNF | Individual | 01/01/2025 | |
| Ryder, Gwynn | Adp of the SNF | Individual | 03/28/2025 | |
| Slaughter, Brianna | Adp of the SNF | Individual | 01/01/2024 |
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.
- When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on April 16, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on April 16, 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."
- 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 April 16, 2026: "Implement a program that monitors antibiotic use."
- 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 June 6, 2025: "Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made."
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Piqua Manor Piqua, 4.8 mi · 3 of 5 stars · 20 citations
- Vancrest-Upper Valley Troy, 6.9 mi · 3 of 5 stars · 39 citations
- Ayden Healthcare of Piqua Piqua, 8.1 mi · 1 of 5 stars · 41 citations
- Troy Rehabilitation and Healthcare Center Troy, 8.5 mi · 2 of 5 stars · 37 citations
- Versailles Rehabilitation and Health Care Center Versailles, 10.3 mi · 2 of 5 stars · 24 citations
- Springmeade Healthcenter Tipp City, 12.2 mi · 2 of 5 stars · 33 citations
- Fair Haven Shelby County Sidney, 13.8 mi · 1 of 5 stars · 56 citations
- Village Green Rehabilitation and Healthcare Center Greenville, 13.8 mi · 5 of 5 stars · 9 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 Stillwater Skilled Nursing and Rehabilitation's Medicare star rating?
- CMS rates Stillwater Skilled Nursing and Rehabilitation 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Stillwater Skilled Nursing and Rehabilitation get at its last inspection?
- 6 health deficiencies at the standard inspection on April 16, 2026. The Ohio average is 10.5.
- Has Stillwater Skilled Nursing and Rehabilitation been fined?
- CMS lists no fines in the last three years.
- Does Stillwater Skilled Nursing and Rehabilitation 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 Stillwater Skilled Nursing and Rehabilitation?
- CMS lists 10 owners and managers, and links the home to Michael Slyk. Legal business name: MIAMI COV SNF 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.