4951 Covenant House Dr, Dayton, OH 45426
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Prices not published
About Trotwood Health & Rehab LLC
Trotwood Health & Rehab LLC provides skilled nursing and rehabilitation services to Dayton, Ohio residents recovering from surgery, injury, or illness. Our clinical team focuses on helping patients regain independence through personalized therapy and compassionate medical care.
Community at a glance
Capacity
67 residents
Location
Dayton, OH
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
4911 COVENANT HOUSE DRIVE, Dayton, Ohio 45426
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Trotwood Health & Rehab LLC is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
- Medicare flags Trotwood Health & Rehab LLC for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on June 16, 2026, state inspectors cited 28 health deficiencies (the Ohio average is 10.3).
Nurses and nurse aides spend 3 hours 17 minutes with each resident a day, below the Ohio average of 3 hours 41 minutes.
Medicare fined Trotwood Health & Rehab LLC once in the last three years, $53,716 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 17 minutesBelow the Ohio average |
| Registered nurse time per resident, per day | 31 minutesBelow the Ohio average |
| Nursing staff who left in the past year | 89%Above the Ohio average |
1 administrator has left the home in the past year.
Inspections
76 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 16, 2026 · Standard inspection · 23 citations
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 16, 2026Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 16, 2026Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationCorrected Jul 16, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jul 16, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 16, 2026Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Jul 16, 2026Ensure the activities program is directed by a qualified professional.
Risk of harm, no one hurt, widespread (level F)Quality of Life and CareCorrected Jul 16, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jul 16, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Jul 23, 2026Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 16, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 16, 2026Keep all essential equipment working safely.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Jul 16, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 16, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 16, 2026Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 16, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 16, 2026Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 16, 2026Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 16, 2026Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 16, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 16, 2026Honor the resident's right to manage his or her financial affairs.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 16, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 16, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 16, 2026
April 30, 2026 · Complaint investigation · 1 citation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate danger to residents, a few residents (level J)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 1, 2026
December 22, 2025 · Complaint investigation · 4 citations+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Jan 30, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jan 30, 2026Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jan 30, 2026Ensure the activities program is directed by a qualified professional.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 30, 2026
August 22, 2025 · Complaint investigation · 2 citations+
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.
Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Sep 27, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Sep 27, 2025
June 11, 2025 · Complaint investigation · 4 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 27, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jun 27, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 27, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Jun 27, 2025
June 4, 2025 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 27, 2025
March 26, 2025 · Complaint investigation · 3 citations+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, widespread (level F)EnvironmentalFrom a complaintCorrected Apr 10, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 10, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 10, 2025
February 27, 2025 · Complaint investigation · 3 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 10, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Mar 10, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 10, 2025
January 22, 2025 · Complaint investigation · 1 citation+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 7, 2025
December 3, 2024 · Complaint investigation · 2 citations+
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 20, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 20, 2024
July 23, 2024 · Standard inspection · 16 citations+
Have 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.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesCorrected Sep 3, 2024Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Sep 3, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 3, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Sep 3, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Sep 3, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Sep 3, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Sep 3, 2024Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Sep 3, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Sep 3, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Sep 3, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 3, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 3, 2024Provide or obtain dental services for each resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 3, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Sep 3, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 3, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 3, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
1 fine totaling $53,716 and 1 Medicare payment denial in the last three years.
- April 30, 2026Fine: $53,716
- April 11, 2024Payment denial, 54 days
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Trotwood Health & Rehab LLC
- Medicare-certified beds
- 67
- Average residents per day
- 30
- Accepts
- Medicare and Medicaid
- First certified
- December 20, 1977
- Part of a chain
- Bao Opco Holdings, 5 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 365364
Location
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4911 COVENANT HOUSE DRIVEDayton, OH 45426
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Questions about Trotwood Health & Rehab LLC
How did Trotwood Health & Rehab LLC do on its last inspection?+
State inspectors visited on June 16, 2026 and cited 28 health deficiencies, 6 of them from complaint investigations. The Ohio average is 10.3.
How much nursing care does each resident get at Trotwood Health & Rehab LLC?+
Nurses and aides spend 3 hours 17 minutes with each resident per day, including 31 minutes from registered nurses. 89% of nursing staff left over the past year.
Has Trotwood Health & Rehab LLC been fined by Medicare?+
Yes. Medicare fined Trotwood Health & Rehab LLC once in the last three years, totaling $53,716.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.