ElderGrade
C

61/100

Average

Grafton Oaks Nursing Center

405 Grafton Avenue, Dayton, OH 45406

CMS 2/5 stars #29 of 40 in Montgomery County (937) 276-4040
Certified beds
99
Occupancy
83%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • Nursing staff turnover of 69%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.05 total nurse hours per resident per day (national median 3.77)
  • 0.4 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 69% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.39 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.40 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.11 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 68.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 16 citations

Last standard health inspection: February 10, 2026 (6 months ago).

D Feb 10, 2026 F0655

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0692

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0695

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0759

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0842

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

No actual harm, potential for more than minimal harm

D Feb 10, 2026 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

G Sep 16, 2025 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Actual harm to a resident

Who owns this home

Full record
Owner Type Role Since
DMT SPE I LLC Organization 5% OR GREATER MORTGAGE INTEREST
NUSSBAUM, MATTISYAHU Individual MANAGING CONTROL - GOVERNING BODY
LUXOR HEALTHCARE GROUP LLC Organization OPERATIONAL/MANAGERIAL CONTROL
BERNER, SUSAN Individual OPERATIONAL/MANAGERIAL CONTROL
FRANLEY, ADAM Individual OPERATIONAL/MANAGERIAL CONTROL
NUSSBAUM, MATTISYAHU Individual OPERATIONAL/MANAGERIAL CONTROL
COMPLIANCE CONSULTING GROUP LLC Organization ADP OF THE SNF
GO PROPCO HOLDCO LLC Organization ADP OF THE SNF
GO PROPCO LLC Organization ADP OF THE SNF
HOWARD, WESHBALE & CO. Organization ADP OF THE SNF
JAMMA CONSULTING INC Organization ADP OF THE SNF
LUXOR HEALTHCARE GROUP LLC Organization ADP OF THE SNF

What families say

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Common questions about Grafton Oaks Nursing Center

What is the ElderGrade for Grafton Oaks Nursing Center? +

Grafton Oaks Nursing Center holds an ElderGrade of C (61 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Grafton Oaks Nursing Center? +

Residents receive an average of 3.39 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Grafton Oaks Nursing Center been cited for harming residents? +

Yes. 1 of the 16 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Grafton Oaks Nursing Center accept Medicaid? +

Yes, Grafton Oaks Nursing Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.