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.
| Cycle | Inspection date | This facility | Ohio avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-07-23 | 33 | 10.2 | 9.5 | +22.8 worse |
| 2 | 2022-11-07 | 32 | 10.7 | 9.8 | +21.3 worse |
| 3 | 2019-12-18 | 27 | 9.9 | 9.3 | +17.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 6 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 8 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Environmental | 4 |
| Administration | 1 |
| Infection control | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| 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
- 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
- EF0680Ensure the activities program is directed by a qualified professional.2025-12-22 · Health · corrected 2026-01-30
Potential for more than minimal harm
- EF0908Keep all essential equipment working safely.2025-12-22 · Health · corrected 2026-01-30
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2025-03-26 · Health · corrected 2025-04-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2025-02-27 · Health · corrected 2025-03-10
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2024-07-23 · Health · corrected 2024-09-03
Potential for more than minimal harm
- 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
- 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
- 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
- DF0692Provide enough food/fluids to maintain a resident's health.2024-07-23 · Health · corrected 2024-09-03
Potential for more than minimal harm
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2024-07-23 · Health · corrected 2024-09-03
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-07-23 · Health · corrected 2024-09-03
Potential for more than minimal harm
- 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
- 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
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-06-06 · Health · corrected 2024-06-21
Potential for more than minimal harm
- 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
- 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
- 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
- DF0759Ensure medication error rates are not 5 percent or greater.2024-06-06 · Health · corrected 2024-06-21
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- FF0880Provide and implement an infection prevention and control program.2023-10-25 · Health · corrected 2023-11-13
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2023-09-25 · Health · corrected 2023-11-13
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2023-09-25 · Health · corrected 2023-11-13
Potential for more than minimal harm
- GF0692Provide enough food/fluids to maintain a resident's health.2023-09-25 · Health · corrected 2023-11-13
Actual harm
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2023-06-14 · Health · corrected 2023-06-29
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- DF0880Provide and implement an infection prevention and control program.2023-03-15 · Health · corrected 2023-04-05
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2022-11-07 · Health · corrected 2023-01-23
Potential for more than minimal harm
- 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
- 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
- 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
- DF0637Assess the resident when there is a significant change in condition2022-11-07 · Health · corrected 2023-01-23
Potential for more than minimal harm
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2022-11-07 · Health · corrected 2023-01-23
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2022-11-07 · Health · corrected 2023-01-23
Actual harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- DF0610Respond appropriately to all alleged violations.2019-12-18 · Health · corrected 2020-01-10
Potential for more than minimal harm
- 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
- 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
- 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
- DF0679Provide activities to meet all resident's needs.2019-12-18 · Health · corrected 2020-01-10
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HILLSTONE HEALTHCARE INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-09-01 |
| BERGSTEN, PAUL | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2017-01-01 |
| DAPORE, MATTHEW | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2017-01-01 |
| BERGSTEN, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 |
| DAPORE, MATTHEW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-01-01 |
| HANDLER, AARON | Individual | CORPORATE DIRECTOR | — | 2014-11-14 |
| BERGSTEN, PAUL | Individual | CORPORATE OFFICER | — | 2017-01-01 |
| DAPORE, MATTHEW | Individual | CORPORATE OFFICER | — | 2017-01-01 |
| HOFFMAN, JILL | Individual | W-2 MANAGING EMPLOYEE | — | 2015-02-01 |
Other facilities in DAYTON
| Name | Overall | Beds |
|---|---|---|
| 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.