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Nursing HomeMedicaid

Gem City Healthcare and Rehabilitation Center

Strong Medicare quality ratings; families often praise attentive and caring nursing staff. Still worth an in-person visit.

323 Forest Avenue, Five Oaks · Dayton, OH 4540587 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
3.4/5

based on 32 Google reviews

5
4
3
2
1
Gem City Healthcare and Rehabilitation Center Nursing Home in Dayton, OH — Street View
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What this means for your family

Recent reviews suggest an improvement in care quality and management responsiveness compared to previous years. However, given the historical reports of severe neglect for high-need residents, we strongly recommend that families of medically complex patients conduct an unscheduled visit to observe staffing levels and hygiene standards firsthand.

Google Reviews

Google Reviews

32 reviews on Google
Gem City Healthcare and Rehabilitation Center presents a highly polarized experience for families. While many recent reviewers praise the facility for its attentive nursing staff, helpful social services, and clean environment, others report severe lapses in care, including issues with basic hygiene, inadequate staffing, and poor communication. Prospective families should be aware of the stark contrast between these glowing testimonials and the critical safety concerns raised by some former residents and their families.

Quality Themes

Tap a score for details
Food3.0Staff7.0Clean6.0Activities5.0Meds3.0MemoryN/AComms5.0Value6.0

Strengths

  • Attentive and caring nursing staff
  • Helpful and supportive social services
  • Clean and well-maintained facility
  • Effective physical and occupational therapy

Concerns

  • Inadequate staffing levels leading to slow response times (mentioned by 4 reviewers)
  • Poor hygiene and basic care standards for high-need residents (mentioned by 3 reviewers)
  • Inadequate communication and responsiveness from management (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'18(2)'20(2)'22(4)'24(1)'26(4)

Distribution · 33 analyzed

5
18
4
1
3
0
2
2
1
12

How They Respond to Reviews

40%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given that some families have noted challenges with call-light response times, what specific protocols do you have in place to ensure residents receive timely assistance, especially during shift changes?
  • 2I noticed the facility has a strong reputation for physical and occupational therapy; how do you integrate these therapy goals into the daily care routine for residents who need extra support with hygiene and mobility?
  • 3With a 3-star rating in both health inspections and staffing, what specific steps is leadership taking to improve oversight and ensure consistent quality of care for residents?
  • 4I see that you actively engage with online feedback; how does your management team use family input to address concerns regarding communication and medication management?
  • 5Could you walk me through how the dining experience is structured to ensure residents are receiving proper nutrition and assistance, particularly for those who require help during meal times?
  • 6In the event of a sudden change in a resident's health status, what is your specific process for communicating updates to family members and coordinating with their primary physicians?

Personalized based on this facility's data


Key Review Excerpts

The nursing staff is top-notch—always attentive, professional, and genuinely caring. Questions and requests were addressed promptly by Ken, Shayla, Dawn and Miranda

Memory care family member · 2026★★★★★

The nurses and the aides have the biggest and most caring hearts in the industry. I visited weekly and never once was my relative dirty (mind you they were there for 2 years and were bedridden the entire time....never dirty!!!)

Long-term resident's family · 2024★★★★★

If your loved one is a total care patient, do not send them here. My father, within 4 days of being placed here, lost a little over 10 pounds. Was always laying in poop.

Long-term resident's family · 2020☆☆☆☆
Source: 32 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.52hrs
OK
Registered nurses for medical care
Total Nursing
6.02hrs
OK
All nurses + aides combined

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 · 12 measures

Medicare Rating
5/ 5
Better Than Avg

7

measures

Worse Than Avg

4

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility47.8%
Worse than Avg
Here
47.8%
US
12.1%
OH
28.2%
Montgomery
24.2%

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

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility9.0%
Better than Avg
Here
9.0%
US
19.4%
OH
21.6%
Montgomery
19.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
OH
92.6%
Montgomery
89.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility28.0%
Worse than Avg
Here
28.0%
US
19.5%
OH
25.4%
Montgomery
23.6%
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility7.5%
Worse than Avg
Here
7.5%
US
0.9%
OH
0.2%
Montgomery
0.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
5.3%
OH
6.3%
Montgomery
6.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
81.8%
OH
78.4%
Montgomery
71.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (10.1)

Families filed complaints that triggered a 2023 survey revealing issues with treatment care and pressure ulcer management. The facility shows recurring problems with medication management, care planning, and infection control across multiple surveys from 2018-2025. While the facility has corrected deficiencies when identified, the persistence of similar issues across years—particularly in medication safety and care planning—suggests ongoing quality concerns that warrant careful consideration.

Jul 1, 2025Routine
6
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.

0806Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Dec 5, 2019Routine
17
0223Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

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.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0222Potential for harm · PatternCorrected

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.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0100Minimal · WidespreadCorrected

Construction Deficiencies

Meet other general requirements.

Oct 3, 2018Routine
8
0163Potential for harm · Widespread

Construction Deficiencies

Install noncombustible or limited-combustible interior walls.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0521Potential for harm · WidespreadCorrected

Services Deficiencies

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

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.

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gem City Healthcare and Rehabilitation Center

Organization Type

for profit

Chain Affiliation

Chain Name

Recover-Care Healthcare

Chain Size

27 facilities nationwide

Chain avg rating: 2.5/5 · Rank 9 of 25

Ownership & Management

Owners

Buckeye Recover Care LLC

Owner · Organization

100%

Key personnel

Ohio Snf Management LLCManagerBerner, SusanManagerChapman, KennethManagerLabazzo, DeborahManagerKansas Snf Holdings LLCAdp of the Snf
Source: Medicare provider data

Contact

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References & Resources

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