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A+
Excellent

GEM CITY HEALTHCARE AND REHABILITATION CENTER

323 FOREST AVENUE · DAYTON, OH 45405

9372240793 · For profit - Limited Liability company

87 beds13.7 residents31 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A+
Excellent
RN Staff
A+
Excellent
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

GEM CITY HEALTHCARE AND REHABILITATION CENTER receives an overall staffing grade of A+ (Excellent). With 6.2207 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 2.32 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 19.24% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

📊Staffing levels are highly variable day to day (consistency score: 1.1745). This means the care experience can be very different depending on the day.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
6.2207hrs/resident/day▲ 2.32
CMS benchmark: 3.48
RN HPRD
1.9242hrs/resident/day▲ 1.24
Recommended: 0.75
Weekend Drop-off
19.24%
6.5783 weekday → 5.3129 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9313hrs/resident/day
Direct care aides
LPN HPRD
1.3652hrs/resident/day
Licensed practical nurses
Consistency
1.1745std 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+2.53 HPRD
3.69
06.22 HPRD
vs. Ohio State Average+2.49 HPRD
3.73
06.22 HPRD
vs. National Average+2.32 HPRD
3.90
06.22 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
GEM CITY HEALTHCARE AND REHABILITATION CENTER ★
DAYTON · This facility
—
A+
6.22071.9242★★★☆☆
OAKS OF WEST KETTERING THE
KETTERING
4.3 mi
B
4.01220.706★★☆☆☆
MARIA JOSEPH LIVING CARE CENTER
DAYTON
4.8 mi
B
3.70140.787★★★☆☆
GARDEN COURT NURSING AND REHABILITATION CENTER
DAYTON
5.2 mi
F
2.12810.4206★★☆☆☆
ARC AT TROTWOOD LLC
DAYTON
5.7 mi
B
3.52410.5596★★☆☆☆
BEAVERCREEK POST ACUTE
DAYTON
7.9 mi
C
3.32360.5925★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
17
Total Deficiencies
$0
Fines Assessed
Jul 1, 2025Health
6 deficiencies cited
▼
Mar 13, 2023Health
2 deficiencies cited· Includes actual harm
▼
Dec 5, 2019Health
5 deficiencies cited
▼
Oct 3, 2018Health
4 deficiencies cited
▼
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.