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Nursing HomeMedicaid Investigative

Xenia Health and Rehab

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

126 Wilson Drive, Xenia, OH 4538551 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.0/5

based on 29 Google reviews

5
4
3
2
1
Xenia Health and Rehab Nursing Home in Xenia, OH — Street View
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6/ 10
high Risk

Quality Concerns Identified

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

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (15 vs median 8.0)
  • High staff turnover (58%)
  • High RN turnover (67%)

Bottom 25% in OH · Below recommended RN staffing · Worst in SIMCHA HYMAN & NAFTALI ZANZIPER chain · No penalties on record

Source: Medicare data

What this means for your family

While some rehab patients report positive outcomes with the therapy team, the facility has a concerning pattern of reports regarding neglect, hygiene issues, and unprofessional staff behavior. Before choosing this facility, we strongly advise you to conduct an unannounced visit and specifically observe staff response times to call lights and the cleanliness of resident rooms.

Google Reviews

Google Reviews

29 reviews on Google
Xenia Health and Rehab receives highly polarized feedback, with recent reviews highlighting severe concerns regarding neglect, unprofessional staff behavior, and poor hygiene. While some rehab patients report positive experiences with the therapy team and individual nurses, multiple families have reported incidents of residents being left in soiled conditions and staff being verbally abusive or dismissive.

Quality Themes

Tap a score for details
Food1.0Staff3.0Clean3.0Activities5.0MedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Effective rehab therapy team
  • Some individual nurses provide compassionate care
  • Clean facility environment (noted by some visitors)

Concerns

  • Understaffing and slow response to call lights (mentioned by 4 reviewers)
  • Neglect regarding hygiene and basic care (bathing/toileting) (mentioned by 3 reviewers)
  • Unprofessional or abusive staff behavior (mentioned by 4 reviewers)
  • Poor quality and temperature of food (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(2)'17(1)'19(1)'24(9)'26(1)

Distribution · 30 analyzed

5
13
4
0
3
3
2
1
1
13

How They Respond to Reviews

97%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed the management is very active in responding to feedback; how does the team use resident and family input to improve daily services like dining and cleanliness?
  • 2With the rehab team being a noted strength here, how do you coordinate therapy sessions to ensure they don't interfere with a resident's rest or meal times?
  • 3What specific steps are being taken to ensure call lights are answered promptly and that residents receive timely assistance with personal hygiene and bathing?
  • 4Could you describe the meal service process, specifically how you ensure food is served at the appropriate temperature and meets nutritional needs?
  • 5In the event of a medical emergency during the night, what is the protocol for notifying the family and ensuring immediate physician oversight?
  • 6What kind of daily activities or social engagement opportunities are available to help residents stay connected with one another?

Personalized based on this facility's data


Key Review Excerpts

The room my wife was in, smelled like piss in the bathroom. She was so neglected, and left to lay in her own waste multiple times, and that ended up creating severe wounds on her bottom.

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

The food is cold always. I’m diabetic and was told they don’t have a specific diabetic diet plan. Couldn’t eat over half of food brought. Short staffed. Wait time to go to bathroom was 10-15 min.

Rehab patient · 2024★★☆☆☆

EVERYONE is absolutely wonderful. Very caring. They are a great team and ALL work well together.! From administration to the nurses, aids, housekeeping and the therapy team is a great !

Rehab patient · 2025★★★★★
Source: 29 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.68hrs
90%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

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 · 17 measures

Medicare Rating
4/ 5
Better Than Avg

7

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Similar to Avg

1

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility59.0%
Worse than Avg
Here
59.0%
US
93.4%
OH
92.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility8.0%
Better than Avg
Here
8.0%
US
12.1%
OH
28.2%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.6%
Better than Avg
Here
11.6%
US
19.5%
OH
25.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility2.2%
Better than Avg
Here
2.2%
US
15.4%
OH
9.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility7.3%
Mixed vs Avgs
Here
7.3%
US
14.4%
OH
5.8%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility88.9%
Worse than Avg
Here
88.9%
US
95.5%
OH
94.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility20.6%
Worse than Avg
Here
20.6%
US
81.8%
OH
78.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility36.5%
Worse than Avg
Here
36.5%
US
79.7%
OH
75.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.8%
Worse than Avg
Here
2.8%
US
1.6%
OH
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
Above state avg (10.1)
11 complaint-triggered

Families have filed complaints triggering inspections, with recurring issues in fire safety, medication management, and environmental cleanliness. The facility shows a pattern of deficiencies across multiple areas including sprinkler system maintenance, medication errors, and ensuring safe living conditions. While all violations have correction dates, the repeated nature of similar problems across recent surveys suggests ongoing operational challenges families should carefully consider.

Jul 31, 2025Routine
22
0730Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

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.

0868Potential for harm · WidespreadCorrected

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

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.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

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

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0567Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0637Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident when there is a significant change in condition

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

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.

0847Potential for harm · IsolatedCorrected

Administration Deficiencies

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

May 23, 2025Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

Feb 27, 2025Complaint
1
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 22, 2024Complaint
1
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.

Mar 7, 2024Complaint
1
0689Actual harm · 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.

Mar 4, 2024Complaint
1
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Xenia Health and Rehab

Organization Type

for profit

Chain Affiliation

Chain Name

Simcha Hyman & Naftali Zanziper

Chain Size

90 facilities nationwide

Chain avg rating: 2.3/5 · Rank 63 of 94 (Worst)

Ownership & Management

Owners

Flyer 7 Operations Holdings LLC

Owner · Organization

100%

Acm Ashem Holdings, LLC

Owner (parent company) · Organization

Ftk Flyer Oh, LLC

Owner (parent company) · Organization

Fyler 7 Holdings LLC

Owner (parent company) · Organization

Zanziper Family Trust

Owner (parent company) · Organization

Birnbaum, Ezra

Owner (parent company)

Hirsch, Shaye

Owner (parent company)

Moerman, Rafael

Owner (parent company)

Singer, Simon

Owner (parent company)

Zanziper, Natalie

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Xenia Property LLC5% or Greater Mortgage InterestHarrison, QuianaManagerKrieser, AkivaManagerMoerman, RafaelManagerAcm Ashem Holdings, LLCAdp of the Snf
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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