Deficiency Index

Beavercreek Post Acute

Dayton, Ohio · CCN 365374

35 surveys since 2011. The first finding at harm level was recorded in 2022.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
95
Surveys
35
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file27/35

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
110
Ownership
For profit - Corporation
Chain
PACS GROUP
County
Montgomery
Medicare-certified since
1978

CMS ratings

Overall
2
Health inspection
2
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat fewer weighted findings than its peer group.

Weighted by harm level, against 118 for-profit facilities of 100–127 beds in Ohio.

Last survey on record

Mar 20, 2025

599 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.053.51
Registered-nurse hours per resident day0.50—
Annual nurse turnover38.8%51.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$43,173 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG13.7%H—I—
No harm, potential for more than minimalD1866.7%E414.8%F414.8%
No harm, potential for minimalA—B—C—
CMS’s current file: 27 of the 95 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6842×

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  • F7272×

    Have 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.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5651×

    Honor the resident's right to organize and participate in resident/family groups in the facility.

  • F5801×

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

In the surveyor’s words

From the most serious findings on record at Beavercreek Post Acute, in the surveyor’s own words.

  • Actual harm, isolatedF684Mar 20, 2025

    Based on medical record review, observation, resident interview, staff interview, and review of the facility policy, the facility failed to properly and timely assess residents for change in condition. This resulted in Actual Harm for Resident #235 who had constipation with abdominal and rectal pain and had to be treated at the hospital for a fecal impaction. This affected one (Resident #235) of three residents reviewed for change in condition. The facility census was 95 residents. Findings include: Review of the medical record for Resident #235 revealed an admitted [DATE] with diagnoses including wedge compression fracture of T7 and T8 vertebra with routine healing, chronic obstructive pulmonary disease, and fibromyalgia. […]

  • Actual harm, isolatedF689May 30, 2023

    Based on medical record review, review of hospital records, staff interviews, and review of a facility policy, the facility failed to provide adequate supervision to prevent accidents and ensure staff implemented a resident's care plan and facility procedure when lifting the resident with a sit-to-stand lift resulting in an avoidable fall. This resulted in Actual Harm when a staff member inappropriately lifted Resident #10 by herself with a sit-to-stand lift and without utilizing the lift straps resulting in the resident falling from the lift. Resident #10 subsequently fractured her bilateral femurs requiring hospitalization and surgical repair. This affected one (#10) of three residents reviewed for falls. […]

  • Actual harm, isolatedF689Feb 17, 2022

    Based on medical record review, review of the hospital record, observation, resident and staff interview and review of the Falls Flowchart, the facility failed to provide the necessary supervision to a resident during incontinence care. This resulted in Actual Harm when Resident #19 sustained a head injury requiring an emergency room visit, when State tested Nursing Aide (STNA) #350 left the resident's bedside and Resident #19 fell out of the raised bed onto the floor. This affected one resident (#19) of three residents reviewed for falls. The facility census was 78. Findings include: Review of the medical record for Resident #19 revealed an admitted [DATE] and a discharge date of [DATE]. Diagnoses included [CONDITION(S)]. […]

  • No harm, potential for more than minimal, widespreadF803Mar 20, 2025

    Based on review of menus and spreadsheets, observation, staff interview, medical record review, resident interview, and review of the facility policy, the facility failed to ensure menu portion sizes were followed and menus were reviewed by a dietitian in advance. This affected all of the residents residing in the facility except for one (Resident #61) who received no food by mouth. The facility failed to ensure the resident got to make choices concerning breakfast. This affected three (Residents #22, #45, and #21) of three residents reviewed for choices during the annual survey. The facility census was 95 residents. Findings include: 1. […]

  • No harm, potential for more than minimal, widespreadF812Mar 20, 2025

    Based on observation, interview and record review, the facility failed to ensure the kitchen and food items were maintained in a manner to prevent foodborne illness. This affected all residents in the facility except for one resident (#61) that received no food by mouth. The facility census was 95. Findings include: Observation on 03/10/25 at 8:48 A.M of the kitchen with Dietary Manager (DM) #215 revealed the following kitchen sanitation concerns: there was built up dirt behind the dishwasher, the garbage disposal had rust in the bowl of it, in the dishwasher room there were splashes of a substance running down the walls from the celling to the floor, there were rusty and dusty vents above the steam table area, the window in the kitchen had cobwebs, the wall behind the sink in the kitchen… […]

Read 21 findings in full →The most serious and the most recent: 21 of 95 on record.

Every survey on record

FindingsAt actual harm or above

  • Mar 20, 2025Standard and complaint10 findings · 1 harm
  • Jan 23, 2025Complaint1 finding
  • Dec 31, 2024Complaint1 finding
  • Aug 14, 2024Complaint1 finding
  • May 1, 2024Complaint1 finding
  • Feb 5, 2024Complaint1 finding
  • May 30, 2023Complaint1 finding · 1 harm
  • May 5, 2023Complaint1 finding
Show the 27 earlier surveys
  • Aug 11, 2022Standard3 findings
  • Mar 30, 2022Complaint1 finding
  • Mar 10, 2022Complaint1 finding
  • Feb 17, 2022Complaint2 findings · 1 harm
  • Jan 13, 2022Complaint1 finding
  • Dec 21, 2020Complaint2 findings
  • Dec 7, 2020Infection control2 findings
  • Nov 5, 2020Infection control2 findings
  • Feb 18, 2020Complaint2 findings
  • Oct 26, 2019Complaint1 finding
  • Sep 11, 2019Complaint2 findings
  • Jul 25, 2019Standard9 findings
  • Jan 14, 2019Complaint5 findings
  • Jun 14, 2018Standard12 findings
  • Jul 12, 2017Complaint1 finding
  • Jun 30, 2017Complaint2 findings
  • Apr 27, 2017Standard6 findings
  • Feb 23, 2017Complaint1 finding
  • Jan 28, 2016Standard2 findings
  • Dec 8, 2015Complaint1 finding
  • Jan 11, 2015Complaint1 finding
  • Oct 9, 2014Standard5 findings
  • Apr 29, 2014Complaint1 finding
  • Mar 18, 2014Complaint1 finding
  • Feb 4, 2014—4 findings
  • Jul 11, 2013—3 findings
  • Feb 10, 2011—5 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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