All states › Ohio › Dayton › Trotwood Health & Rehab
4911 Covenant House Drive Dayton, OH 45426 · Montgomery County
All 19 nursing homes in Dayton, OH (19 take Medicaid)
CMS certification number 365364 · See this home on Medicare Care Compare
Is Trotwood Health & Rehab a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Trotwood Health & Rehab as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Ohio average of 3.2.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.80 hours per resident per day at Trotwood Health & Rehab, above the Ohio median of 3.58 (US median: 3.72). About 0.81 of those hours are from registered nurses. On weekends it falls to 3.20 hours, 16% below its all-week average. Ask how weekends are staffed. 84.3% of nursing staff left within a year (Ohio median 48.9%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Trotwood Health & Rehab: Medicare and Medicaid
Trotwood Health & Rehab is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Ohio's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 16, 2026 and found 22 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 92 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 92 citations at Trotwood Health & Rehab across 17 inspection dates, 52 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on April 30, 2026 (complaint inspection). The most common areas cited were resident rights (20) and quality of life and care (18). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, April 30, 2026). 7 citations were under CMS's abuse, neglect and exploitation rules.
June 16, 2026 · 23 citations · includes complaint inspection
FNot hire anyone with a finding of abuse, neglect, exploitation, or theft.
FDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
FEnsure the activities program is directed by a qualified professional.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
FProvide and implement an infection prevention and control program.
EEnsure 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.
EEnsure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DHonor the resident's right to manage his or her financial affairs.
DNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide enough food/fluids to maintain a resident's health.
DEnsure that residents are free from significant medication errors.
DKeep all essential equipment working safely.
April 30, 2026 · 1 citation, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
December 22, 2025 · 4 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EEnsure the activities program is directed by a qualified professional.
EKeep all essential equipment working safely.
August 22, 2025 · 2 citations · includes complaint inspection
FHonor 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 11, 2025 · 4 citations · includes complaint inspection
EHonor 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.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProvide safe, appropriate pain management for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
June 4, 2025 · 1 citation · includes complaint inspection
EHonor 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.
March 26, 2025 · 3 citations · includes complaint inspection
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
February 27, 2025 · 3 citations · includes complaint inspection
DHonor 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
January 22, 2025 · 1 citation · includes complaint inspection
EHonor 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.
December 3, 2024 · 2 citations · includes complaint inspection
DProvide medically-related social services to help each resident achieve the highest possible quality of life.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
July 23, 2024 · 19 citations · includes complaint inspection
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EHonor 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.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DRespond appropriately to all alleged violations.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DAssist a resident in gaining access to vision and hearing services.
DProvide enough food/fluids to maintain a resident's health.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
DProvide or obtain dental services for each resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
June 6, 2024 · 7 citations · includes complaint inspection
EHonor 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.
DReasonably accommodate the needs and preferences of each resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure medication error rates are not 5 percent or greater.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
May 13, 2024 · 3 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
April 11, 2024 · 2 citations · includes complaint inspection
EHonor 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
January 9, 2024 · 1 citation · includes complaint inspection
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
October 25, 2023 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProvide and implement an infection prevention and control program.
November 7, 2022 · 14 citations, includes actual harm
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
FHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EHave the Quality Assessment and Assurance group have the required members and meet at least quarterly
DReasonably accommodate the needs and preferences of each resident.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
DAssess the resident when there is a significant change in condition
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide activities to meet all resident's needs.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DProvide timely, quality laboratory services/tests to meet the needs of residents.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Questions to ask on a tour of Trotwood Health & Rehab
- Inspectors cited the home at the immediate-jeopardy level on April 30, 2026 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 16, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 84.3% a year. How many of the staff come from agencies?
- The home averages about 44% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $53,716 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Apr 30, 2026 | Fine | $53,716 |
| Apr 11, 2024 | Payment Denial | 54 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
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Location
Hospitals near Trotwood Health & Rehab
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 5.1 mi
-
5.1 mi
Kettering Health Dayton DaytonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 7m for patients treated and sent home
- 6.3 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Trotwood Health & Rehab › All nursing homes in Dayton ›
Compare Trotwood Health & Rehab with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Cypress Pointe Health Campus · Englewood · 5 stars · 4.0 mi
- Brookhaven Nursing & Rehabilitation Center · Brookville · 5 stars · 7.7 mi
- Siena Woods Care Center · Dayton · 4 stars · 2.3 mi
- Stonespring of Vandalia · Dayton · 4 stars · 4.1 mi
Other Bao Opco Holdings nursing homes in Ohio
- Blue Ash Health & Rehab · Cincinnati · 1 stars
- Lincoln Knolls Health & Rehab · Youngstown · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 5 Bao Opco Holdings nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.