Nursing Home Alerts

Gem City Healthcare and Rehabilitation Center

323 Forest Avenue, Dayton, OH 45405

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Gem City Healthcare and Rehabilitation Center is a nursing home in Dayton, Ohio. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 6.0 to 5.0 hours per resident per day.

  2. Health inspection on May 21, 2026

    16 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 16 citations
    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0880 3 times since 2019.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure 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.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0812 2 times since 2025.

    • Citation F0814. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Dispose of garbage and refuse properly.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0908. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0584. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0584 2 times since 2025.

    • Citation F0640. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0656 2 times since 2019.

    • Citation F0677. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0685. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assist a resident in gaining access to vision and hearing services.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0686. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for F0760 2 times since 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      CMS lists it as corrected on June 19, 2026.

    • Citation F0732. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Post nurse staffing information every day.

      CMS lists it as corrected on June 19, 2026.

    See this home on CMS Care Compare

  3. Fire safety inspection on May 21, 2026

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation E0039. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Conduct testing and exercise requirements.

      CMS lists it as corrected on June 19, 2026.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for K0345 2 times since 2019.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for K0712 2 times since 2019.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for K0761 2 times since 2019.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on June 19, 2026.

      CMS has cited this home for K0222 2 times since 2019.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 19, 2026.

    • Citation K0915. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper power supply for life support equipment.

      CMS lists it as corrected on June 19, 2026.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on June 19, 2026.

    See this home on CMS Care Compare

  4. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 5 of 5.

  5. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from not rated by CMS to 3 of 5.

  6. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to not rated by CMS.

  7. Health inspection on July 1, 2025

    6 citations

    CMS lists this as a standard inspection.

    Show the 6 citations
    • Citation F0584. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: 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.

      CMS lists it as corrected on July 21, 2025.

    • Citation F0806. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

      CMS lists it as corrected on July 21, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on July 21, 2025.

    • Citation F0759. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure medication error rates are not 5 percent or greater.

      CMS lists it as corrected on July 21, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on July 21, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on July 21, 2025.

    See this home on CMS Care Compare

  8. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 4 of 5.

  9. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from not rated by CMS to 1 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to not rated by CMS.

  10. Health inspection on December 5, 2019

    5 citations

    CMS lists this as a standard inspection.

    Show the 5 citations
    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

      CMS lists it as corrected on January 15, 2020.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on January 15, 2020.

    • Citation F0757. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident’s drug regimen must be free from unnecessary drugs.

      CMS lists it as corrected on January 15, 2020.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on January 15, 2020.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 15, 2020.

    See this home on CMS Care Compare

  11. Fire safety inspection on December 5, 2019

    12 citations

    CMS lists this as a standard inspection.

    Show the 12 citations
    • Citation K0223. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0291. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0372. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0511. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0712. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have simulated fire drills held at unexpected times.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0761. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: To conduct inspection, testing and maintenance of fire doors by qualified individuals.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0914. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on January 15, 2020.

    • Citation K0100. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on January 15, 2020.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(937) 224-0793
Last standard health inspection
May 21, 2026 (5 months ago)
Certified beds
87
Residents per day, on average
33.9
Ownership type
For profit - Limited Liability company
Legal business name
Gem City Healthcare and Rehabilitation Center LLC
Chain
Recover-Care Healthcare
Takes part in
Medicare and Medicaid

Fewer health citations than the Ohio average (27 vs 31).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Gem City Healthcare and Rehabilitation Center last inspected?

CMS lists May 21, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Gem City Healthcare and Rehabilitation Center have?

CMS lists 27 health citations since December 5, 2019. CMS also calls these deficiencies.

Has Gem City Healthcare and Rehabilitation Center been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Gem City Healthcare and Rehabilitation Center?

Its CMS overall star rating is 3 of 5.

Is Gem City Healthcare and Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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