GARDEN COURT NURSING AND REHABILITATION CENTER

Medicare-enrolled provider in

Dayton

Montgomery

Nursing Home Facility

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Provider Details

Facility Type:

Nursing Home Facility

Ownership:

For-Profit

Beds:

CCN:

365364

Address:

4911 COVENANT HOUSE DRIVE

Phone:

9378372651

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Overall

Understanding Medicare Coverage

Medicare Advantage plans vary in how they cover skilled nursing, home health, and long-term care. Understanding your plan's SNF copay and MOOP before a stay can prevent surprises.

Medicare Advantage PPO

More flexibility with out-of-network coverage

CMS Enforcement History

Total fines assessed:

CMS uses fines and payment denials to enforce federal standards.
Fines are assessed per deficiency and vary by severity.

View full inspection report below

No penalties

Utah average: 9.1 deficiencies.

Inspection Report:

This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
‍

Each

is a federal standard the facility failed to meet.

Survey: 2025-12-22 | Tag F0561 | Resident Rights Deficiencies | Severity: E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. --- Survey: 2025-12-22 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E Ensure the activities program is directed by a qualified professional. --- Survey: 2025-12-22 | Tag F0908 | Environmental Deficiencies | Severity: E Keep all essential equipment working safely. --- Survey: 2025-12-22 | Tag F0921 | Environmental Deficiencies | Severity: F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2025-08-22 | Tag F0584 | Resident Rights Deficiencies | Severity: F Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-08-22 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2025-06-11 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2025-06-11 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-06-11 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D Provide safe, appropriate pain management for a resident who requires such services. --- Survey: 2025-06-11 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2025-06-04 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-03-26 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2025-03-26 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D Ensure 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. --- Survey: 2025-03-26 | Tag F0921 | Environmental Deficiencies | Severity: F Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2024-07-23 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2024-07-23 | Tag F0685 | Quality of Life and Care Deficiencies | Severity: D Assist a resident in gaining access to vision and hearing services. --- Survey: 2024-07-23 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F 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. --- Survey: 2024-07-23 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D Provide or obtain dental services for each resident. --- Survey: 2024-07-23 | Tag F0550 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. --- Survey: 2024-07-23 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-07-23 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. --- Survey: 2024-07-23 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Develop and implement policies and procedures to prevent abuse, neglect, and theft. --- Survey: 2024-07-23 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2024-07-23 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2024-07-23 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-07-23 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D Provide enough food/fluids to maintain a resident's health. --- Survey: 2024-07-23 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-07-23 | Tag F0776 | Administration Deficiencies | Severity: D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. --- Survey: 2024-07-23 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2024-07-23 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. --- Survey: 2024-07-23 | Tag F0880 | Infection Control Deficiencies | Severity: E Provide and implement an infection prevention and control program. --- Survey: 2024-07-23 | Tag F0883 | Infection Control Deficiencies | Severity: E Develop and implement policies and procedures for flu and pneumonia vaccinations. --- Survey: 2024-07-23 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2025-02-27 | Tag F0584 | Resident Rights Deficiencies | Severity: D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2025-02-27 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2025-02-27 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2025-01-22 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-12-03 | Tag F0745 | Quality of Life and Care Deficiencies | Severity: D Provide medically-related social services to help each resident achieve the highest possible quality of life. --- Survey: 2024-12-03 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-06-06 | Tag F0558 | Resident Rights Deficiencies | Severity: D Reasonably accommodate the needs and preferences of each resident. --- Survey: 2024-06-06 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-06-06 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-06-06 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-06-06 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D Ensure medication error rates are not 5 percent or greater. --- Survey: 2024-06-06 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2024-06-06 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2024-05-13 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2024-05-13 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2024-05-13 | Tag F0919 | Environmental Deficiencies | Severity: D Make sure that a working call system is available in each resident's bathroom and bathing area. --- Survey: 2024-04-11 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2024-04-11 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2022-11-07 | Tag F0558 | Resident Rights Deficiencies | Severity: D Reasonably accommodate the needs and preferences of each resident. --- Survey: 2022-11-07 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2022-11-07 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. --- Survey: 2022-11-07 | Tag F0625 | Resident Rights Deficiencies | Severity: D Notify 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. --- Survey: 2022-11-07 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D Assess the resident when there is a significant change in condition --- Survey: 2022-11-07 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. --- Survey: 2022-11-07 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2022-11-07 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D Provide activities to meet all resident's needs. --- Survey: 2022-11-07 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: G Provide appropriate pressure ulcer care and prevent new ulcers from developing. --- Survey: 2022-11-07 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F 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. --- Survey: 2022-11-07 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. --- Survey: 2022-11-07 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2022-11-07 | Tag F0868 | Administration Deficiencies | Severity: E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly --- Survey: 2022-11-07 | Tag F0921 | Environmental Deficiencies | Severity: D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. --- Survey: 2024-01-09 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2023-10-25 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. --- Survey: 2023-10-25 | Tag F0880 | Infection Control Deficiencies | Severity: F Provide and implement an infection prevention and control program. --- Survey: 2023-09-25 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: E Provide activities to meet all resident's needs. --- Survey: 2023-09-25 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E Ensure the activities program is directed by a qualified professional. --- Survey: 2023-09-25 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G Provide enough food/fluids to maintain a resident's health. --- Survey: 2023-09-25 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2023-08-04 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. --- Survey: 2023-06-14 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. --- Survey: 2023-06-14 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2023-04-11 | Tag F0580 | Resident Rights Deficiencies | Severity: D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. --- Survey: 2023-04-11 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. --- Survey: 2023-04-11 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2023-03-15 | Tag F0770 | Administration Deficiencies | Severity: D Provide timely, quality laboratory services/tests to meet the needs of residents. --- Survey: 2023-03-15 | Tag F0776 | Administration Deficiencies | Severity: D Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. --- Survey: 2023-03-15 | Tag F0880 | Infection Control Deficiencies | Severity: D Provide and implement an infection prevention and control program. --- Survey: 2019-12-18 | Tag F0578 | Resident Rights Deficiencies | Severity: D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. --- Survey: 2019-12-18 | Tag F0584 | Resident Rights Deficiencies | Severity: E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. --- Survey: 2019-12-18 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Develop and implement policies and procedures to prevent abuse, neglect, and theft. --- Survey: 2019-12-18 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D Respond appropriately to all alleged violations. --- Survey: 2019-12-18 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted --- Survey: 2019-12-18 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. --- Survey: 2019-12-18 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D Provide care and assistance to perform activities of daily living for any resident who is unable. --- Survey: 2019-12-18 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D Provide activities to meet all resident's needs. --- Survey: 2019-12-18 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E Ensure 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. --- Survey: 2019-12-18 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. --- Survey: 2019-12-18 | Tag F0914 | Environmental Deficiencies | Severity: D Provide bedrooms that don't allow residents to see each other when privacy is needed.

Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.

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GARDEN COURT NURSING AND REHABILITATION CENTER

data last verified:

April 10, 2026

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