Inspection > 2 years ago

Overview

Address
3109 CAMPUS DR, DAYTON, OH 45406
Phone
9372780761
Certified beds
102
Avg daily residents
75 (73% of beds filled)
Ownership
For-profit (individual owner)
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-02-28
Setting
Urban
2 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures Data not available.

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
3.54 3.68 3.71 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.37 0.64 0.39 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.14 0.82 1.19
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.03 2.22 2.13
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.51
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)
3.03
hrs / resident / day
RN (weekend)
0.27
hrs / resident / day
Total nurse (adjusted, weekend)
3.17
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
48.5%
annual
RN turnover
16.7%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.31
higher acuity than avg
Case-Mix Index Ratio
0.95
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) 2022-07-21 19 13 6 140 1 140
Cycle 2/3 (prior) 2019-06-06 22 16 6 199 1 199
Total weighted health score
154.8
lower is better

Deficiencies (54)

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).

52 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0552 Ensure that residents are fully informed and understand their health status, care and treatments. D 2025-12-13 2026-01-30
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. D 2025-12-13 2026-01-30
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-12-13 2026-01-30
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-12-13 2026-01-30
0610 Respond appropriately to all alleged violations. D 2025-08-12 2025-08-27
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-08-12 2025-08-27
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-01-24 2025-02-03
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-12-27 2025-01-10
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-12-27 2025-01-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-10-29 2024-11-08
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2023-11-28 2023-12-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-05-30 2023-05-31
0553 Allow resident to participate in the development and implementation of his or her person-centered plan of care. D 2022-07-21 2022-09-08
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2022-07-21 2022-09-08
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. D 2022-07-21 2022-09-08
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2022-07-21 2022-09-08
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. G 2022-07-21 2022-09-08
0761 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. F 2022-07-21 2022-09-08
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2022-07-21 2022-09-08
0791 Provide or obtain dental services for each resident. D 2022-07-21 2022-09-08
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2022-07-21 2022-09-08
0880 Provide and implement an infection prevention and control program. F 2022-07-21 2022-09-08
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. E 2022-07-21 2022-09-08
0885 Report COVID19 data to residents and families. F 2022-07-21 2022-09-08
0887 Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. D 2022-07-21 2022-09-08
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2019-06-06 2019-07-08
0576 Ensure residents have reasonable access to and privacy in their use of communication methods. E 2019-06-06 2019-07-08
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. E 2019-06-06 2019-07-08
0604 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. D 2019-06-06 2019-07-08
0641 Ensure each resident receives an accurate assessment. E 2019-06-06 2019-07-08
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 2019-06-06 2019-07-08
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2019-06-06 2019-07-08
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. D 2019-06-06 2019-07-08
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2019-06-06 2019-07-08
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2019-06-06 2019-07-08
0711 Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. E 2019-06-06 2019-07-08
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2019-06-06 2019-07-08
0761 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. E 2019-06-06 2019-07-08
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2019-06-06 2019-07-08
0880 Provide and implement an infection prevention and control program. F 2019-06-06 2019-07-08
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. E 2019-06-06 2019-07-08
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2018-05-03 2018-06-08
0568 Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. E 2018-05-03 2018-06-08
0583 Keep residents' personal and medical records private and confidential. D 2018-05-03 2018-06-08
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. E 2018-05-03 2018-06-08
0625 Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. E 2018-05-03 2018-06-08
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 2018-05-03 2018-06-08
0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. D 2018-05-03 2018-06-08
0692 Provide enough food/fluids to maintain a resident's health. D 2018-05-03 2018-06-08
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2018-05-03 2018-06-08

Showing 50 most recent of 54. See the All Data CSV for the full list.

Penalties (1)

Fines issued
1
last 3 years
Total fines
$21,733
Date Type Fine amount
2023-05-30 Fine $21,733

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 1.0% Medicaid 36.4% Other 62.7%

Operating performance

Operating Margin
-11.8%
Total Margin
-5.3%
Occupancy Rate
66.2%

Revenue & costs

Net Patient Revenue
$6.3M
Total Costs
$437K
Net Income
-$354K

Balance sheet

Total Assets
$1.7M
Total Liabilities
$3.7M
Fund Balance
-$2.0M
Current Ratio
0.64

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CARECORE HEALTH

Chain ID
108
Facilities in chain
10
Legal business name
CARECORE AT MARY SCOTT LLC
Chain-average star ratings (for peer context)
Overall
2.1
Health
1.9
Staffing
1.7
QM
4.4

Owner / manager organizations (1)

Organization Role Association
CARECORE HEALTH LLC OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021

Owner / manager individuals (5)

Name Role Association
HERTANU, CHAIM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 03/01/2021
DOSLAND, CHRISTINE OPERATIONAL/MANAGERIAL CONTROL since 07/07/2023
HERTANU, CHAIM OPERATIONAL/MANAGERIAL CONTROL since 03/01/2021
HUNTER, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 01/01/2024
HERTANU, CHAIM CORPORATE OFFICER since 03/01/2002

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
Both
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 0.64 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 36.4% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 1.0% metrics.medicare_day_share
Cost Report Net Income ($) $-354,009 metrics.net_income
Cost Report Net Patient Revenue ($) $6,292,384 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 66.2% metrics.occupancy_rate
Cost Report Operating Margin (%) -11.8% metrics.operating_margin
Cost Report Total Assets ($) $1,690,967 metrics.total_assets
Cost Report Total Costs ($) $437,022 metrics.total_costs
Cost Report Total Fund Balances ($) $-2,015,958 metrics.fund_balance
Cost Report Total Liabilities ($) $3,706,925 metrics.total_liabilities
Cost Report Total Margin (%) -5.3% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.19493 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.12623 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.39202 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.71318 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.17124 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 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 74.9 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 0.81764 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.22217 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.64448 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.68429 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.24731 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.1 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.4 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.7 Chain Average Staffing Rating
Provider Information Chain ID 108 Chain ID
Provider Information Chain Name CARECORE HEALTH Chain Name
Provider Information City/Town DAYTON City/Town
Provider Information CMS Certification Number (CCN) 366122 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 1997-02-28 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 39.7773 Latitude
Provider Information Legal Business Name CARECORE AT MARY SCOTT LLC Legal Business Name
Provider Information Location 3109 CAMPUS DR,DAYTON,OH,45406 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -84.238 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 102 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 10 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.30518 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.94740 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Individual 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 3109 CAMPUS DR Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name CARECORE AT MARY SCOTT 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 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 140 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 6 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 13 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2022-07-21 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 140 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 19 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 16 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2019-06-06 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 199 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 6 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 199 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 22 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.27483 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 16.7 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.51435 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.14026 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.02896 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02063 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.37408 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 3.54331 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 9372780761 Telephone Number
Provider Information Total Amount of Fines in Dollars 21733.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.02616 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 1 Total Number of Penalties
Provider Information Total nursing staff turnover 48.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 154.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Both With a Resident and Family Council
Provider Information ZIP Code 45406 ZIP Code