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Nursing HomeMedicaid Investigative

Atrium Nursing and Rehabilitation

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1301 North Monroe Drive, Xenia, OH 4538599 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 38 Google reviews

5
4
3
2
1
Atrium Nursing and Rehabilitation Nursing Home in Xenia, OH — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • High staff turnover (74%)
  • High RN turnover (70%)

Bottom 25% in OH · Meets national RN staffing standard · Above recommended total nurse staffing · Very high staff turnover · Below chain average · $193,839 in fines

Source: Medicare data

What this means for your family

While recent reviews indicate that new ownership is actively renovating the facility and attempting to improve standards, the historical reports of severe neglect and unsanitary conditions are deeply concerning. If you are considering this facility, you must conduct an in-person tour to verify the current state of cleanliness and ask specifically about the current staffing ratios and medical oversight protocols.

Google Reviews

Google Reviews

38 reviews on Google
Atrium Nursing and Rehabilitation has a long history of severe complaints regarding facility hygiene, including reports of black mold, bed bugs, and unsanitary conditions. While recent reviews from late 2025 suggest a shift in ownership and ongoing renovations, the facility's historical reputation for neglect, understaffing, and poor medical management remains a significant concern for prospective families.

Quality Themes

Tap a score for details
FoodN/AStaff2.0Clean1.0Activities1.0Meds1.0MemoryN/AComms1.0ValueN/A

Strengths

  • Recent ownership transition
  • Ongoing facility renovations
  • Some staff members described as caring

Concerns

  • Severe lack of cleanliness (mold, bugs, filth) (mentioned by 9 reviewers)
  • Chronic understaffing (mentioned by 5 reviewers)
  • Poor medical care and medication management (mentioned by 3 reviewers)
  • Unresponsive administration and poor communication (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.9'18(7)4.01.0'20(3)1.01.3'22(3)1.01.3'24(13)4.5'25(8)

Distribution · 42 analyzed

5
10
4
5
3
0
2
1
1
26
10 reviews posted between Mar 10, 2024Mar 13, 2024 · 9 were 1-2 star

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With the recent ownership transition, what specific improvements have been prioritized to address the facility's overall cleanliness and maintenance?
  • 2Given the current staffing rating, could you walk me through your daily protocols for ensuring consistent, high-quality care and medication management for each resident?
  • 3What steps is the leadership team taking to improve communication with families and ensure that concerns are addressed in a timely manner?
  • 4I understand the facility is undergoing renovations; how are you managing these projects to ensure they do not disrupt the daily environment or safety of the residents?
  • 5What does a typical daily activity schedule look like, and how do you encourage residents to participate in a way that keeps them socially engaged?
  • 6Can you explain your internal process for monitoring health and responding to medical emergencies to ensure residents receive prompt and accurate care?

Personalized based on this facility's data


Key Review Excerpts

The wallpaper is falling off and behind it is nothing but black mold, the walls were covered in feces and blood. The floors were black and had food all over them.

Family member of rehab patient · 2024☆☆☆☆

My husband was there 3 week's. He loss 30 pounds, dehydrated, malnutrition and gangrene that they didn't treat!! I had to call 911 to get him out!!

Spouse of rehab patient · 2021☆☆☆☆

Since new ownership took over earlier this year they have been making great strides to improve resident and employee satisfaction as well as working to raise the standards of care from the low bar set by previous ownership.

General visitor · 2025★★★★★
Source: 38 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.27hrs
OK
Registered nurses for medical care
Total Nursing
4.24hrs
OK
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
63%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 14 measures

Medicare Rating
5/ 5
Better Than Avg

9

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility42.9%
Worse than Avg
Here
42.9%
US
19.5%
OH
25.4%
Greene
26.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
19.4%
OH
21.6%
Greene
18.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility23.7%
Mixed vs Avgs
Here
23.7%
US
12.1%
OH
28.2%
Greene
12.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility6.5%
Better than Avg
Here
6.5%
US
15.3%
OH
6.9%
Greene
12.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
15.4%
OH
9.4%
Greene
15.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
OH
6.3%
Greene
6.8%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
7penalties
Well below state avg (10.1)
35 complaint-triggered
$193,839 in fines

This facility shows concerning patterns with 34 complaint-triggered deficiencies, indicating families have repeatedly reported problems to authorities. The most recurring issues involve environmental safety and cleanliness, medication management, and accident prevention. Problems persist across multiple surveys, with recent deficiencies in 2024-2025 including abuse prevention policies, safety hazards, and medication errors, suggesting ongoing systemic issues that have not been fully resolved despite correction plans.

Dec 11, 2025Routine
5
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Jun 26, 2025Routine
15
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0640Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to manage his or her financial affairs.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Feb 6, 2025Routine
11
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Feb 6, 2025Complaint
2
0569Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Aug 14, 2024Complaint
5
0727Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

0908Potential for harm · WidespreadCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Jun 28, 2024Complaint
1
0689Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Federal Penalties

Fine

Aug 14, 2024

$6,500

Payment Denial

Aug 14, 2024

91-day denial

Fine

Mar 4, 2024

$128,726

Payment Denial

Mar 4, 2024

66-day denial

Fine

Jan 3, 2024

$15,887

Payment Denial

Aug 22, 2023

50-day denial

Fine

Aug 22, 2023

$42,726

Ownership & Operations

Who Operates This Facility

Owner / Operator

Atrium Nursing and Rehabilitation

Organization Type

for profit

Ownership & Management

Owners

Aaa Opco LLC

Owner · Organization

Aaa Eminent LLC

Owner (parent company) · Organization

Aaa Holdco LLC

Owner (parent company) · Organization

Ausch, Chaim

Owner (parent company)

Geldzahler, Yaakov

Owner (parent company)

Key personnel

S & T Bank5% or Greater Mortgage InterestAusch, ChaimManaging Control - Governing BodyGeldzahler, YaakovManaging Control - Governing BodyZserebrowski, YechezkelManaging Control - Governing BodyEminent Care Group LLCManager
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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