SNF
GEM CITY HEALTHCARE AND REHABILITATION CENTER
CCN: 365981 · DAYTON, OH 45405 · Montgomery County
Overview
- Address
- 323 FOREST AVENUE, DAYTON, OH 45405
- Phone
- 9372240793
- Certified beds
- 87
- Avg daily residents
- 14 (16% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1994-12-09
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 6.15 | 5.85 | 4.06 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 1.89 | 1.02 | 1.24 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.36 | 1.30 | 0.90 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.90 | 3.53 | 1.91 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 3.25 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.02 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
5.22
hrs / resident / day
RN (weekend)
1.35
hrs / resident / day
Total nurse (adjusted, weekend)
3.44
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Resident acuity
Nursing Case-Mix Index
2.07
higher acuity than avg
Case-Mix Index Ratio
1.51
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-07-01 | 6 | 6 | 0 | 48 | 1 | 48 |
| Cycle 2/3 (prior) | 2019-12-05 | 7 | 5 | 2 | 60 | 1 | 60 |
Total weighted health score
51.0
lower is better
Infection-control citations
0
last cycle
Deficiencies (17)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
15 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0584 | 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. | F | 2025-07-01 | 2025-07-21 |
| 0759 | Ensure medication error rates are not 5 percent or greater. | D | 2025-07-01 | 2025-07-21 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2025-07-01 | 2025-07-21 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2025-07-01 | 2025-07-21 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-07-01 | 2025-07-21 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2025-07-01 | 2025-07-21 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2023-03-13 | 2023-04-04 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2023-03-13 | 2023-04-04 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2019-12-05 | 2020-01-15 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2019-12-05 | 2020-01-15 |
| 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2019-12-05 | 2020-01-15 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2019-12-05 | 2020-01-15 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2019-12-05 | 2020-01-15 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2018-10-03 | 2018-11-29 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2018-10-03 | 2018-11-29 |
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2018-10-03 | 2018-11-29 |
| 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2018-10-03 | 2018-11-29 |
Financial Health (FY 2023)
Operating performance
Occupancy Rate
4.5%
Cost per Resident Day
$229
Revenue & costs
Net Patient Revenue
$404K
Total Costs
$331K
Net Income
-$4.3M
Balance sheet
Total Assets
$417K
Total Liabilities
$4.2M
Fund Balance
-$3.8M
Current Ratio
0.03
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: RECOVER-CARE HEALTHCARE
- Chain ID
438- Facilities in chain
- 25
- Legal business name
- GEM CITY HEALTHCARE AND REHABILITATION CENTER LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.4
Staffing
2.2
QM
3.1
Owner / manager organizations (12)
| Organization | Role | Association |
|---|---|---|
| BUCKEYE RECOVER CARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 05/01/2023 |
| BHNV LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| KAMNA HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 05/01/2023 |
| KANSAS SNF HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| MAD FAMILY HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| NATR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| RARMNA HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| RATR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| RECOVER-CARE HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| RNR HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| WETR TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| OHIO SNF MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 11/01/2020 |
Owner / manager individuals (5)
| Name | Role | Association |
|---|---|---|
| GOLDSTEIN, AVROHOM | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| MARGULIES, ZISHA | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 10/19/2025 |
| BERNER, SUSAN | OPERATIONAL/MANAGERIAL CONTROL | since 07/15/2019 |
| CHAPMAN, KENNETH | OPERATIONAL/MANAGERIAL CONTROL | since 05/08/2020 |
| LABAZZO, DEBORAH | OPERATIONAL/MANAGERIAL CONTROL | since 04/25/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 110 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $229 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.03 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 89.1% | metrics.medicaid_day_share |
| Cost Report | Net Income ($) | $-4,250,251 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $404,364 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 4.5% | metrics.occupancy_rate |
| Cost Report | Total Assets ($) | $416,940 | metrics.total_assets |
| Cost Report | Total Costs ($) | $330,951 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-3,759,019 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $4,175,959 | metrics.total_liabilities |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.89948 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 1.91399 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 1.24454 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.05801 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.44359 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | 26 | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 13.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 1.29917 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 3.53086 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 1.02403 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 5.85407 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 5.15975 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.4 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.1 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.2 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 438 | Chain ID |
| Provider Information | Chain Name | RECOVER-CARE HEALTHCARE | Chain Name |
| Provider Information | City/Town | DAYTON | City/Town |
| Provider Information | CMS Certification Number (CCN) | 365981 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Montgomery | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1994-12-09 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 3 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 39.7693 | Latitude |
| Provider Information | Legal Business Name | GEM CITY HEALTHCARE AND REHABILITATION CENTER LLC | Legal Business Name |
| Provider Information | Location | 323 FOREST AVENUE,DAYTON,OH,45405 | Location |
| Provider Information | Long-Stay QM Rating | — | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | 2 | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -84.201 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | — | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 87 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | 0 | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 25 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 2.07384 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 1.50534 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 323 FOREST AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | GEM CITY HEALTHCARE AND REHABILITATION CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 580 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | — | QM Rating |
| Provider Information | QM Rating Footnote | 2 | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 48 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 0 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 6 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-07-01 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 48 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 6 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 5 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2019-12-05 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 60 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 2 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 60 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 1.34594 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | — | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | 26 | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 3.25083 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.36382 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.90206 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.02431 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 1.88702 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 6.15289 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 3 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | OH | State |
| Provider Information | Telephone Number | 9372240793 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 5.22129 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | — | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | 26 | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 51.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 45405 | ZIP Code |