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Nursing HomeMedicaid Investigative

Garden Court Nursing and Rehabilitation Center

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

4911 Covenant House Drive, Dayton, OH 4542667 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Garden Court Nursing and Rehabilitation Center Nursing Home in Dayton, 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)
  • 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

Source: Medicare data

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 2026
RN Hours
0.37hrs
50%
Registered nurses for medical care
Total Nursing
2.79hrs
68%
All nurses + aides combined

Both 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

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility82.8%
Worse than Avg
Here
82.8%
US
12.1%
OH
28.2%
Montgomery
24.0%

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

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
14.4%
OH
5.8%
Montgomery
16.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.2%
Better than Avg
Here
3.2%
US
15.3%
OH
6.9%
Montgomery
16.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility83.6%
Worse than Avg
Here
83.6%
US
93.4%
OH
92.6%
Montgomery
92.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility12.6%
Better than Avg
Here
12.6%
US
19.4%
OH
21.6%
Montgomery
20.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
15.4%
OH
9.4%
Montgomery
17.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility28.6%
Worse than Avg
Here
28.6%
US
81.8%
OH
78.4%
Montgomery
81.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

30deficiencies
3penalties
Well above state avg (10.1)
73 complaint-triggered
$76,996 in fines

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, 2025Complaint
4
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.

0561Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0680Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure the activities program is directed by a qualified professional.

0908Potential for harm · PatternCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

Dec 18, 2025Complaint
4
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0754Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide properly sized and located linen or trash receptacles.

0781Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Aug 22, 2025Complaint
2
0584Potential for harm · WidespreadCorrected

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.

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.

Jun 11, 2025Complaint
4
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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

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.

Jun 4, 2025Complaint
1
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.

Mar 26, 2025Complaint
3
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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · IsolatedCorrected

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

Owner / Operator

Garden Court Nursing and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Hillstone Healthcare

Chain Size

12 facilities nationwide

Chain avg rating: 3.1/5 · Rank 12 of 14

Ownership & Management

Key personnel

Hoffman, JillW-2 Managing EmployeeHandler, AaronOfficer / DirectorBergsten, PaulOfficer / DirectorDapore, MatthewOfficer / DirectorBergsten, PaulManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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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