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F
Critical

GARDEN COURT NURSING AND REHABILITATION CENTER

4911 COVENANT HOUSE DRIVE · DAYTON, OH 45426

9378372651 · For profit - Individual

67 beds42 residents112 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
C
Below Standard
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GARDEN COURT NURSING AND REHABILITATION CENTER receives an overall staffing grade of F (Critical). With 2.1281 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4206 HPRD, below the recommended 0.75. It is 1.77 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 21.25% compared to weekdays. The facility uses a moderate level of agency staff (10.9% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Had 4 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.1281 HPRD — needs 1.35 more hours per resident per day.
⚠️RN staffing (0.4206 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
2.1281hrs/resident/day▼ 1.77
CMS benchmark: 3.48
RN HPRD
0.4206hrs/resident/day▼ 0.26
Recommended: 0.75
Weekend Drop-off
21.25%
2.264 weekday → 1.7829 weekend
⚠ Significant weekend reduction
Agency Staff
10.9%
10.64% of RN hours from contractors
Days with Zero RN
4days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0.8984hrs/resident/day
Direct care aides
LPN HPRD
0.809hrs/resident/day
Licensed practical nurses
Consistency
0.5954std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Montgomery County Average-1.56 HPRD
3.69
02.13 HPRD
vs. Ohio State Average-1.60 HPRD
3.73
02.13 HPRD
vs. National Average-1.77 HPRD
3.90
02.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
GARDEN COURT NURSING AND REHABILITATION CENTER ★
DAYTON · This facility
—
F
2.12810.4206★★☆☆☆
MARIA JOSEPH LIVING CARE CENTER
DAYTON
0.5 mi
B
3.70140.787★★★☆☆
ARC AT TROTWOOD LLC
DAYTON
1.1 mi
B
3.52410.5596★★☆☆☆
ENGLEWOOD HEALTH AND REHAB
ENGLEWOOD
4.5 mi
C
3.18040.5676★★☆☆☆
BROOKHAVEN NURSING & REHABILITATION CENTER
BROOKVILLE
7.6 mi
C
4.16690.5121★★★★★
OAKS OF WEST KETTERING THE
KETTERING
8.6 mi
B
4.01220.706★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

21
Inspections
92
Total Deficiencies
$100,486
Fines Assessed
Dec 22, 2025Health
4 deficiencies cited
▼
Aug 22, 2025Health
2 deficiencies cited
▼
Jun 11, 2025Health
4 deficiencies cited
▼
Jun 4, 2025Health
1 deficiency cited
▼
Mar 26, 2025Health
3 deficiencies cited
▼
Feb 27, 2025Health
3 deficiencies cited
▼
Jan 22, 2025Health
1 deficiency cited
▼
Dec 3, 2024Health
2 deficiencies cited
▼
Jul 23, 2024Health
19 deficiencies cited
▼
Jun 6, 2024Health
7 deficiencies cited
▼
May 13, 2024Health
3 deficiencies cited
▼
Apr 11, 2024Health
2 deficiencies cited
▼
Jan 9, 2024Health
1 deficiency cited
▼
Oct 25, 2023Health
2 deficiencies cited· Includes actual harm
▼
Sep 25, 2023Health
4 deficiencies cited· Includes actual harm
▼
Aug 4, 2023Health
1 deficiency cited
▼
Jun 14, 2023Health
2 deficiencies cited
▼
Apr 11, 2023Health
3 deficiencies cited
▼
Mar 15, 2023Health
3 deficiencies cited
▼
Nov 7, 2022Health
14 deficiencies cited· Includes actual harm
▼
Dec 18, 2019Health
11 deficiencies cited
▼

Penalty History

Apr 11, 2024Payment Denial
Sep 25, 2023Fine
$76,996
Sep 25, 2023Payment Denial
Mar 15, 2023Fine
$9,750
Mar 6, 2023Fine
$4,580
Feb 28, 2023Fine
$4,580
Feb 21, 2023Fine
$4,580
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.