Grafton Oaks Nursing Center
Dayton · 0.4 mi · 99 beds
Citations0Substantiated0
Gem City Healthcare and Rehabilitation Center
323 FOREST AVENUE, Dayton, OH, 45405
Nursing home87 licensed beds0 citations on record
6 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 14 deficiencies against Gem City Healthcare and Rehabilitation Center in Dayton, Ohio at its most recent standard inspection on 2025-07-01, 8 of them arising from complaints. Medicare rates it 3 out of 5 overall.
3 / 5Medicare overall rating
87certified beds
14deficiencies at the last inspection
0immediate-jeopardy findings on record
0actual-harm findings on record
0federal fines
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.0
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.24
Potential for minimal harmThe least serious band.0
Most recentFEEDDDDDDFEEDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · F0814 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · F0693 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2026-05-21 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary Deficiencies · F0806 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-07-01 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2019-12-05 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below3 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are2 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS4.98901
Ownership
Who owns Gem City Healthcare and Rehabilitation Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| BUCKEYE RECOVER CARE LLC | Organization | 100% | since 05/01/2023 |
| OHIO SNF MANAGEMENT LLC | Organization | NOT APPLICABLE | since 11/01/2020 |
| BERNER, SUSAN | Individual | NOT APPLICABLE | since 07/15/2019 |
| CHAPMAN, KENNETH | Individual | NOT APPLICABLE | since 05/08/2020 |
| LABAZZO, DEBORAH | Individual | NOT APPLICABLE | since 04/25/2025 |
| KANSAS SNF HOLDINGS LLC | Organization | NOT APPLICABLE | since 10/19/2025 |
| MAD FAMILY HOLDINGS LLC | Organization | NOT APPLICABLE | since 11/01/2020 |
| NATR TRUST | Organization | NOT APPLICABLE | since 10/19/2025 |
| OHIO SNF MANAGEMENT LLC | Organization | NOT APPLICABLE | since 01/27/2025 |
| RARMNA HOLDINGS LLC | Organization | NOT APPLICABLE | since 10/19/2025 |
| RATR TRUST | Organization | NOT APPLICABLE | since 10/19/2025 |
| RNR HOLDINGS LLC | Organization | NOT APPLICABLE | since 10/19/2025 |
Part of the RECOVER-CARE HEALTHCARE group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Dunbar Health & Rehab Center
Dayton · 1.6 mi · 68 beds
Citations0Substantiated0
Carecore at Mary Scott
Dayton · 2.2 mi · 102 beds
Citations0Substantiated0
Widows Home of Dayton
Dayton · 2.5 mi · 75 beds
Citations0Substantiated0
Riverside Nursing and Rehabilitation Center
Dayton · 2.7 mi · 180 beds
Citations0Substantiated0
Sanctuary at Wilmington Place
Dayton · 3.3 mi · 63 beds
Citations0Substantiated0
Contact
Ask Gem City Healthcare and Rehabilitation Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 365981.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction