The nursing home failed to protect residents from abuse and neglect by others. Cited April 2026 — isolated incident, immediate jeopardy to residents.
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F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Garden Court Nursing and Rehabilitation Center
Registered name: Trotwood Health & Rehab LLC
DAYTON, OH · Medicare-certified · 67 beds
Needs attention
Special Focus candidateAbuse citationFor-profitChain member
Data as of September 1, 2026
2 of 5 overall
Garden Court Nursing and Rehabilitation Center in Dayton, OH has an overall rating of 2 out of 5 stars, with especially weak health inspection and staffing ratings at 1 out of 5 stars despite a 5-star quality measures score. It is listed as a Special Focus Facility candidate, has had $53,716 in fines in the last 24 months, and reported nurse staffing of 3.28 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.2767 hrs/resident/day
Quality measures
Last inspection: June 16, 2026Penalties, last 24 months: $53,716special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2767.
Staffing detail
- Registered nurses
- 0.51
- Licensed practical nurses
- 1.06
- Nurse aides
- 1.70
- Weekend nursing
- 2.78
Hours per resident per day.
Total staff turnover: 89%
Registered nurse turnover: 91%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—0%—
Residents with a fall causing major injury
0%6.7%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
7.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%3.7%Worsening
Residents whose ability to walk got worse
6.1%0%Improving
Long-stay residents on antianxiety or sleep medication
23.8%28.6%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.2%6.1%Improving
Residents with depressive symptoms
82.5%80%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—90.7%—
Long-stay residents given the pneumonia vaccine
79.5%86.7%Improving
Short-stay residents given the pneumonia vaccine
—31%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited September 2023 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited November 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make sure it did not hire anyone with a record of abuse, neglect, exploitation, or theft. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 606 — 42 CFR §483.12 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $53,716 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $130,712 in total fines · 2 payment denials.
- $53,716
Federal fine
Apr 30, 2026
- 54 days
Medicare/Medicaid payment denial
Apr 11, 2024
- 30 days
Medicare/Medicaid payment denial
Sep 25, 2023
- $76,996
Federal fine
Sep 25, 2023
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of BAO OPCO HOLDINGS · 5 homes · 1.6 stars avg
- Occupancy
- 29.8 residents on an average day (44% of 67 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.