Garden Court Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
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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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (33 vs median 8.0)
Bottom 25% in OH · Below recommended RN staffing · Significantly below average staffing · Below chain average · $76,996 in fines
What this means for your family
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 50% of the national benchmark, which can affect medication management and response times. The facility has 30 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
10
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Garden Court Nursing and Rehabilitation Center shows significant concerns with 141 deficiencies across 23 surveys, with over half triggered by family complaints. The facility repeatedly struggles with medication management, cleanliness and environment standards, and safety hazards. Multiple families have filed formal reports about inadequate care, including issues with proper medication handling, maintaining clean conditions, and preventing accidents. While all violations show correction dates, the persistent pattern of similar problems across multiple surveys suggests ongoing systemic challenges with care quality.
Dec 22, 2025Complaint4
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
Environmental Deficiencies
Keep all essential equipment working safely.
Dec 18, 2025Complaint4
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Aug 22, 2025Complaint2
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Jun 11, 2025Complaint4
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.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jun 4, 2025Complaint1
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.
Mar 26, 2025Complaint3
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Federal Penalties
Payment Denial
Apr 11, 2024
54-day denial
Fine
Sep 25, 2023
$76,996
Payment Denial
Sep 25, 2023
30-day denial
Ownership & Operations
Who Operates This Facility
Garden Court Nursing and Rehabilitation Center
for profit
Chain Affiliation
Hillstone Healthcare
12 facilities nationwide
Chain avg rating: 3.1/5 · Rank 12 of 14
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
Read reviews from families & visitors
Official Website
Visit trotwoodhealth.com
Medicare data downloads
Original nursing home datasets
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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.
Arc at Trotwood LLC
1.1 miNursing Home · Dayton, OH
Aventura at Shiloh Springs
1.3 miNursing Home · Trotwood, OH
Siena Woods Care Center
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Grace Brethren Village
3.1 miNursing Home · Englewood, OH
Cypress Pointe Health Campus
4.0 miNursing Home · Englewood, OH
Englewood Health and Rehab
4.3 miNursing Home · Englewood, OH