Starfile

Starfile / Ohio

GARDEN COURT NURSING AND REHABILITATION CENTER

4911 COVENANT HOUSE DRIVE, DAYTON, OH 45426 · CCN 365364

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Individual
Certified beds
67
Avg residents/day
42.0
Phone
9378372651

Inspection history vs Ohio & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityOhio avgNational avgvs state
12024-07-233310.29.5+22.8 worse
22022-11-073210.79.8+21.3 worse
32019-12-18279.99.3+17.1 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care6
Resident assessment and care planning2
Nursing and physician services1
Resident rights8
Nutrition and dietary2
Pharmacy service4
Environmental4
Administration1
Infection control2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.11
RN staffing (reported)0.42
Total nurse staffing (adjusted)1.50

Fines & penalties

Total fines
$76,996
Number of fines
1
Number of penalties
3
Payment denials
2

Chain

Chain
HILLSTONE HEALTHCARE
Facilities in chain
14
Chain avg overall
3.10 / 5

Inspection citations (92)3 actual harm

  1. EF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-12-22 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  2. EF0680Ensure the activities program is directed by a qualified professional.2025-12-22 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  3. EF0908Keep all essential equipment working safely.2025-12-22 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  4. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-12-22 · Health · corrected 2026-01-30

    Potential for more than minimal harm

  5. FF0584Honor 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.2025-08-22 · Health · corrected 2025-09-27

    Potential for more than minimal harm

  6. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-08-22 · Health · corrected 2025-09-27

    Potential for more than minimal harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-06-11 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  8. EF0584Honor 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.2025-06-11 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  9. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-06-11 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  10. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-06-11 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  11. EF0584Honor 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.2025-06-04 · Health · corrected 2025-06-27

    Potential for more than minimal harm

  12. DF0759Ensure medication error rates are not 5 percent or greater.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  13. DF0761Ensure 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.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  14. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-03-26 · Health · corrected 2025-04-10

    Potential for more than minimal harm

  15. DF0584Honor 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.2025-02-27 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-27 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  17. DF0759Ensure medication error rates are not 5 percent or greater.2025-02-27 · Health · corrected 2025-03-10

    Potential for more than minimal harm

  18. EF0584Honor 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.2025-01-22 · Health · corrected 2025-02-07

    Potential for more than minimal harm

  19. DF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-12-03 · Health · corrected 2024-12-20

    Potential for more than minimal harm

  20. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-03 · Health · corrected 2024-12-20

    Potential for more than minimal harm

  21. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  22. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  23. EF0584Honor 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.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  24. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  25. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  26. DF0610Respond appropriately to all alleged violations.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  27. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  28. DF0685Assist a resident in gaining access to vision and hearing services.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  29. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  30. DF0692Provide enough food/fluids to maintain a resident's health.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  31. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  32. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  33. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  34. DF0791Provide or obtain dental services for each resident.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  35. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  36. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  37. EF0880Provide and implement an infection prevention and control program.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  38. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  39. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-07-23 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  40. DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-06 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  41. EF0584Honor 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.2024-06-06 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  42. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-06 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  43. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-06-06 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  44. DF0759Ensure medication error rates are not 5 percent or greater.2024-06-06 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  45. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-06-06 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  46. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-06-06 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  47. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-13 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-13 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  49. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-05-13 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  50. EF0584Honor 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.2024-04-11 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  51. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-11 · Health · corrected 2024-09-03

    Potential for more than minimal harm

  52. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-09 · Health · corrected 2024-01-26

    Potential for more than minimal harm

  53. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-25 · Health · corrected 2023-11-13

    Actual harm

  54. FF0880Provide and implement an infection prevention and control program.2023-10-25 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  55. EF0679Provide activities to meet all resident's needs.2023-09-25 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  56. EF0680Ensure the activities program is directed by a qualified professional.2023-09-25 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  57. GF0692Provide enough food/fluids to maintain a resident's health.2023-09-25 · Health · corrected 2023-11-13

    Actual harm

  58. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-09-25 · Health · corrected 2023-11-13

    Potential for more than minimal harm

  59. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-04 · Health · corrected 2023-08-26

    Potential for more than minimal harm

  60. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-14 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  61. DF0610Respond appropriately to all alleged violations.2023-06-14 · Health · corrected 2023-06-29

    Potential for more than minimal harm

  62. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-04-11 · Health · corrected 2023-04-21

    Potential for more than minimal harm

  63. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2023-04-11 · Health · corrected 2023-04-21

    Potential for more than minimal harm

  64. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-04-11 · Health · corrected 2023-04-21

    Potential for more than minimal harm

  65. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2023-03-15 · Health · corrected 2023-04-05

    Potential for more than minimal harm

  66. DF0776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.2023-03-15 · Health · corrected 2023-04-05

    Potential for more than minimal harm

  67. DF0880Provide and implement an infection prevention and control program.2023-03-15 · Health · corrected 2023-04-05

    Potential for more than minimal harm

  68. DF0558Reasonably accommodate the needs and preferences of each resident.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  69. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  70. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  71. DF0625Notify 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.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  72. DF0637Assess the resident when there is a significant change in condition2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  73. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  74. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  75. DF0679Provide activities to meet all resident's needs.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  76. GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-07 · Health · corrected 2023-01-23

    Actual harm

  77. FF0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  78. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  79. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  80. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  81. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-11-07 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  82. DF0578Honor 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.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  83. EF0584Honor 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.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  84. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  85. DF0610Respond appropriately to all alleged violations.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  86. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  87. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  88. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  89. DF0679Provide activities to meet all resident's needs.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  90. EF0761Ensure 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.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  91. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

  92. DF0914Provide bedrooms that don't allow residents to see each other when privacy is needed.2019-12-18 · Health · corrected 2020-01-10

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HILLSTONE HEALTHCARE INC.Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2017-09-01
BERGSTEN, PAULIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST60%2017-01-01
DAPORE, MATTHEWIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST40%2017-01-01
BERGSTEN, PAULIndividualOPERATIONAL/MANAGERIAL CONTROL2017-01-01
DAPORE, MATTHEWIndividualOPERATIONAL/MANAGERIAL CONTROL2017-01-01
HANDLER, AARONIndividualCORPORATE DIRECTOR2014-11-14
BERGSTEN, PAULIndividualCORPORATE OFFICER2017-01-01
DAPORE, MATTHEWIndividualCORPORATE OFFICER2017-01-01
HOFFMAN, JILLIndividualW-2 MANAGING EMPLOYEE2015-02-01

Other facilities in DAYTON

NameOverallBeds
STONESPRING OF VANDALIA★★★★★144
VIENNA SPRINGS HEALTH CAMPUS★★★★★54
BETHANY VILLAGE★★★★★252
SIENA WOODS CARE CENTER★★★★☆99
SANCTUARY AT WILMINGTON PLACE★★★☆☆63

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.