Starfile

Starfile / Ohio

SYCAMORE TRAILS POST ACUTE

450 OAK RIDGE BOULEVARD, MIAMISBURG, OH 45342 · CCN 365640

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
102
Avg residents/day
67.3
Phone
9378668885

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
12025-06-24010.29.5-10.2 better
22022-08-253210.79.8+21.3 worse
32019-07-12199.99.3+9.1 worse

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.3874.1%
RN staffing (reported)0.7263.2%
Total nurse staffing (adjusted)2.69

Fines & penalties

Total fines
$11,037
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (51)2 actual harm

  1. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-12-30 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  2. DF0759Ensure medication error rates are not 5 percent or greater.2024-12-30 · Health · corrected 2025-01-14

    Potential for more than minimal harm

  3. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-11-18 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  4. DF0880Provide and implement an infection prevention and control program.2024-11-18 · Health · corrected 2024-11-21

    Potential for more than minimal harm

  5. DF0758Implement 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.2024-09-26 · Health · corrected 2024-10-07

    Potential for more than minimal harm

  6. 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.2024-09-26 · Health · corrected 2024-10-07

    Potential for more than minimal harm

  7. DF0760Ensure that residents are free from significant medication errors.2024-09-04 · Health · corrected 2024-09-17

    Potential for more than minimal harm

  8. CF0680Ensure the activities program is directed by a qualified professional.2024-06-27 · Health · corrected 2024-06-28

    Potential for minimal harm

  9. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-06-27 · Health · corrected 2024-06-28

    Actual harm

  10. 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.2024-06-27 · Health · corrected 2024-06-28

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-16 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  12. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-05-16 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  13. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-16 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  14. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-05-16 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  15. FF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2024-05-16 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  16. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-04-25 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  17. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-28 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  18. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-03-28 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  19. DF0880Provide and implement an infection prevention and control program.2024-03-28 · Health · corrected 2024-05-22

    Potential for more than minimal harm

  20. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-18 · Health · corrected 2023-12-22

    Potential for more than minimal harm

  21. DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2023-08-31 · Health · corrected 2023-09-22

    Potential for more than minimal harm

  22. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-31 · Health · corrected 2023-09-22

    Potential for more than minimal harm

  23. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-08-31 · Health · corrected 2023-09-22

    Potential for more than minimal harm

  24. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-04-04 · Health · corrected 2023-04-17

    Potential for more than minimal harm

  25. DF0558Reasonably accommodate the needs and preferences of each resident.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  26. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  27. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  28. BF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-08-25 · Health · corrected 2022-09-30

    Potential for minimal harm

  29. BF0625Notify 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.2022-08-25 · Health · corrected 2022-09-30

    Potential for minimal harm

  30. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  31. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  32. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-08-25 · Health · corrected 2022-09-30

    Actual harm

  33. DF0685Assist a resident in gaining access to vision and hearing services.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  34. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  35. 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.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  36. DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  37. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-25 · Health · corrected 2022-09-30

    Potential for more than minimal harm

  38. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  39. EF0570Assure the security of all personal funds of residents deposited with the facility.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  40. EF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  41. DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  42. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  43. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  44. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  45. DF0697Provide safe, appropriate pain management for a resident who requires such services.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  46. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  47. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  48. 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.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  49. DF0790Provide routine and 24-hour emergency dental care for each resident.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  50. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

  51. DF0880Provide and implement an infection prevention and control program.2019-07-12 · Health · corrected 2019-08-30

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-12-01
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
PACS GROUP, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL2024-12-01
PACS HOLDINGS, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-12-01
PROVIDENCE GROUP NH, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-12-01
APT, FREDERICKIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-01
CHANEY, STEVEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-01
JERGENSEN, JOSHUAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-01
MITCHELL, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL2024-12-01
JERGENSEN, JOSHUAIndividualCORPORATE OFFICER2024-12-01
MITCHELL, JOHNIndividualCORPORATE OFFICER2024-12-01

Other facilities in MIAMISBURG

NameOverallBeds
SYCAMORESPRING OF MIAMISBURG★★★★★99
KINGSTON OF MIAMISBURG★★★★☆113

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