Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Xenia Health And Rehab during CMS and state inspections, most recent first.
The facility failed to keep its medication error rate below 5% when a resident with dementia, COPD, diabetes, and depression did not receive ordered doses of Singulair and calcium/vitamin D3 because the medications were not available at the time of administration. An RN attempted to pass the morning medications but was unable to administer these two ordered drugs, and later confirmed their unavailability, resulting in two errors out of 33 medication opportunities and an overall error rate of 6.06%.
A resident's room was found with a large hole and broken drywall near an electrical outlet, as well as black debris on the wall, while shower rooms used by multiple residents had a black substance along the flooring near the walls. Staff confirmed these conditions had persisted, affecting the cleanliness and safety of the environment.
The facility did not update its Legionella Water Management Plan or monitor pH levels of water sources, affecting all 40 residents. The plan lacked critical details, and the Administrator failed to act on recommendations from the health department, leading to non-compliance.
The facility failed to assess and manage fall risks for two residents, leading to deficiencies in their care. One resident was admitted with a high fall risk, but the facility did not complete a fall risk assessment. Another resident, who was severely cognitively impaired, experienced multiple falls, and the facility did not accurately complete his fall risk assessment or conduct thorough investigations. The facility's policies on fall prevention and medical record maintenance were not adhered to, contributing to the deficiencies.
Medication Error Rate Exceeded Due to Unavailable Ordered Medications
Penalty
Summary
The facility failed to ensure medications were administered as ordered, resulting in a medication error rate of 6.06% (two errors out of 33 medication opportunities) during a complaint investigation. Resident #15, admitted on 01/01/21 with dementia, chronic obstructive pulmonary disease, diabetes mellitus, and depression, was cognitively impaired and dependent on staff for activities of daily living per the 03/10/26 MDS assessment. Physician orders dated 02/06/26 directed that the resident receive Singulair 10 mg daily and calcium/vitamin D3 500 mg/5 mcg every morning and at bedtime. On 04/28/26 at 8:24 A.M., observation of medication administration by RN #105 showed that neither Singulair nor calcium/vitamin D3 was given because the medications were not available for administration. In an interview at 8:34 A.M. the same day, RN #105 confirmed that these ordered medications were not available to be administered as prescribed, contributing to the identified medication error rate above 5%.
Deficiencies in Room and Shower Area Cleanliness and Maintenance
Penalty
Summary
The facility failed to maintain a safe and clean environment in both resident rooms and common shower areas. In one instance, a resident's room was observed to have a large, approximately 12-inch circular hole in the wall behind the bedside dresser, with broken and crumbling drywall located near an electrical outlet. Additional damage included broken drywall with large cracks behind the resident's bed and black debris scattered on the wall underneath the window. Staff interviews confirmed the presence and persistence of these issues, with one CNA stating that the hole had been present for an extended period. The resident affected had severely impaired cognition and was dependent on staff for most activities of daily living. Further observations revealed that the shower rooms on two different halls contained a black substance scattered along the flooring near the walls. Both a CNA and a housekeeper confirmed the presence of this black substance in the respective shower rooms. These shower rooms are used by 19 residents, indicating a broader impact on the facility population. The findings were based on direct observations, medical record reviews, and staff interviews, and were investigated under a specific complaint number.
Failure to Update Legionella Water Management Plan and Monitor pH Levels
Penalty
Summary
The facility failed to adhere to public health authority recommendations to update its Legionella Water Management Plan in a timely manner and did not monitor pH levels of water sources, potentially affecting all 40 residents. The Legionella Water Management Plan lacked critical details, such as naming the Maintenance Director as a team member, parameters for flushing unused sinks and showers, and acceptable pH and temperature levels. The Water Management Evaluation Tool provided by the Bureau of Infectious Diseases contained 37 comments with recommendations for improvements, highlighting several deficiencies in the facility's water management program, including unclear information about water system components, lack of identification of responsible team members, and absence of detailed descriptions of piping materials and water conditioning equipment. The facility's weekly monitoring sheets did not document pH levels of water samples, as confirmed by the Maintenance Director. The Administrator admitted to not opening an email attachment from the local health department that contained the Water Management Evaluation Tool with recommendations for changes, mistakenly believing that the lifting of water restrictions by the health department indicated no urgency to revise the plan. This oversight led to non-compliance, as investigated under Complaint Number OH00162813.
Failure to Assess and Investigate Fall Risks
Penalty
Summary
The facility failed to assess and manage fall risks for two residents, leading to deficiencies in their care. Resident #38 was admitted with a high fall risk as indicated in his hospital referral, but the facility did not complete a fall risk assessment upon his admission. This oversight was confirmed by the Regional Nurse, who acknowledged that the assessment should have been completed based on the hospital paperwork. Resident #43, who was severely cognitively impaired and dependent on staff for various activities, experienced multiple falls during his stay. Despite being admitted with a history of dizziness and frequent falls, the facility did not accurately complete his fall risk assessment. The facility's records showed discrepancies in documenting his falls, with incorrect dates and incomplete investigations. The Neurological Assessment Flow Sheet was not properly maintained, and the facility failed to conduct a thorough investigation into the falls, as confirmed by the Regional Nurse. The facility's policies on fall prevention and medical record maintenance were not adhered to, contributing to the deficiencies. The Fall Prevention Program policy required a standardized risk assessment upon admission, which was not completed for the residents. Additionally, the facility's policy on maintaining accurate medical records was not followed, as evidenced by the incomplete and inaccurate documentation of the residents' falls and assessments.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Xenia
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Alpine Nursing And Rehabilitation Center | 0.2 mi | — | 0 | 0 |
| Atrium Nursing And Rehabilitation | 0.2 mi | — | 5 | 0 |
| Trinity Community | 6.7 mi | — | 0 | 0 |
| Friends Extended Care Center | 7.1 mi | — | 10 | 0 |
| Beavercreek Post Acute | 7.4 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.