Dayton Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Dayton Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, patternF686Mar 23, 2024

  Based on observation, interview, and record review, the facility failed to ensure residents received care, consistent with professional standards of practice to prevent pressure injury and does not develop pressure injury unless the individual's clinical condition demonstrated that they were unavoidable; and a resident with pressure injury receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new pressure injuries from developing for 2 (Resident #1 and Resident #2) of 10 residents reviewed for pressure injuries in that: 1.The facility failed to provide assessments, treatment for pressure injuries and notify physican to Resident #1's right dorsal foot pressure injury when it deteriorated to an… […]

• Immediate jeopardy, isolatedF678May 6, 2024

  Based on observations, interviews, and record reviews, the facility failed to provide basic life support, including CPR to a resident requiring such emergency care and subject to related physician orders and the resident's advance directives for 1 (Resident #1) of 31 residents reviewed for CPR. Resident #1 was found unresponsive on [DATE] around 4:00 a.m. by CNA B who immediately notified LVN A. LVN A failed to verify Resident #1's code status before calling hospice which led to the resident being pronounced dead and CPR not being initiated for approximately 2.5 hours after the resident was found to be unresponsive. […]

• Immediate jeopardy, isolatedF684Mar 23, 2024

  Based on interview and record review , the facility failed to provide treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 (Resident #1) of 10 residents reviewed for quality of care. The facility failed to coordinate care with the orthopedic surgeon and attending NP/MD of Resident #1's change in skin condition to RLE surgical area, addressing a scab, dark or discolored skin on top of resident's right foot identified in 02/14/2024. […]

• Actual harm, isolatedF697Sep 17, 2025

  Based on observation, interview and record review the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 of 15 Residents (Resident #15) who were reviewed for pain management. The facility failed to ensure the WCN assessed for pain and medicated Resident #15 with PRN pain medication prior to wound care and then failed to stop wound care when Resident #15 yelled out in pain multiple times. […]

• No harm, potential for more than minimal, widespreadF812Aug 26, 2025

  Based on observation, interview, and record review the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 preparation kitchen. * The facility did not ensure steam table lids did not have brown colored buildup on the inside edges.* The facility did not ensure baking sheets did not have brown colored buildup on the outside edges.* The facility did not ensure muffin pan did not have brown colored buildup on the inside and outside edges.* The facility did not ensure saucepans did not have brown colored buildup on the inside and outside of the pans. These failures could place all residents who eat from the kitchen at risk for foodborne illnesses. Findings included: During an observation on 08/26/2025 at 03:55 p.m. […]