Atrium Nursing and Rehabilitation
A nursing home in Xenia, Ohio 45385
1301 North Monroe Drive, Xenia, Ohio 45385. (937) 372-4495.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 2of 5 CMS’s overall rating
- 8 health citations at the latest inspection cycle Ohio average: 10.5
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
8 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Dec 11, 2025.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Jun 28, 2024
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
42 citations in 9 months of the last 36. Last cited May 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 42 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 22 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
May 27, 2026: complaint inspection3 citations
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Ensure the transfer/discharge meets the resident’s needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Provide the required documentation or notification related to the resident’s needs, appeal rights, or bed-hold policies.
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Have policies and procedures ensuring the administrator’s responsibilities for facility closure are completed successfully.
Dec 11, 2025: standard inspection5 citations
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
Jun 26, 2025: standard inspection10 citations
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Honor the resident’s right to manage his or her financial affairs.
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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.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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Ensure each resident receives an accurate assessment.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Provide appropriate foot care.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Feb 6, 2025: standard inspection5 citations
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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.
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Provide and implement an infection prevention and control program.
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Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Feb 6, 2025: standard and complaint inspection2 citations
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Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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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.
Aug 14, 2024: complaint inspection5 citations
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Keep all essential equipment working safely.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jun 28, 2024: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 2, 2024: complaint inspection1 citation
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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.
Mar 14, 2024: complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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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.
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Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Mar 4, 2024: complaint inspection3 citations
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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.
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Keep all essential equipment working safely.
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Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 3, 2024: complaint inspection4 citations
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Provide appropriate foot care.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jan 1, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 99 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $176,905 in all.
- 2 Medicare payment denials in the last three years.
- 22 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Aug 14, 2024 | Medicare payment denial | Not given |
| Aug 14, 2024 | Fine | $6,500 |
| Mar 4, 2024 | Medicare payment denial | Not given |
| Mar 4, 2024 | Fine | $154,518 |
| Jan 3, 2024 | Fine | $15,887 |
Who does the caring?
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | Not given | 3.71 |
| Of which registered nurses | Not given | 0.64 |
| At weekends | Not given | 3.29 |
| Nursing staff turnover | Not given | 49% |
| Registered nurse turnover | Not given | 44.4% |
| Administrators who left | Not given | Not given |
Who owns it?
- Aaa Opco LLC owns 100% directly since Dec 31, 2024.
- Eminent CARE Group LLC runs it.
- 28 owners or officers are people: Yaakov Geldzahler (owns a share through other companies, 50%); Chaim Ausch (owns a share through other companies, 50%); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Jazmaine Smith (runs it (operational or managerial control)); Jazmaine Smith (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Susan Berner (runs it (operational or managerial control)); Susan Berner (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Yaakov Geldzahler (runs it (operational or managerial control)); Yaakov Geldzahler (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Chaim Ausch (runs it (operational or managerial control)); Chaim Ausch (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Tamera Mcconnaha (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Yechezkel Zserebrowski (runs it (operational or managerial control)); Yechezkel Zserebrowski (on the governing body (managing control)); Crystal Allen (runs it (operational or managerial control)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Aaa Eminent LLC | Owns a share through other companies | 100% | Dec 31, 2024 |
| Aaa Holdco LLC | Owns a share through other companies | 100% | Dec 31, 2024 |
| S & T Bank | Holds 5% or more of the mortgage | 100% | Mar 6, 2018 |
| Aaa Opco LLC | Owns a share directly | 100% | Dec 31, 2024 |
| Hospitality MN LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 6, 2014 | |
| Howard Wershbale & Co. | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2024 | |
| Carerite Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2024 | |
| Dj Hospitality LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Feb 6, 2014 | |
| Hospitality Realty LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Aug 11, 2017 | |
| Med-Net Compliance LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2024 | |
| Armstead Pharmacy Provider Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2024 | |
| Eminent CARE Group LLC | Runs it (operational or managerial control) | Dec 31, 2024 | |
| Eminent CARE Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Dec 31, 2024 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | Not rated |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 10.5 miles, this one had the 9th most health citations at the latest inspection cycle (8; the middle value was 10).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Atrium Nursing and Rehabilitation This nursing home | 8 | |
| Alpine Nursing and Rehabilitation Center | 0.0 | 10 |
| Xenia Health and Rehab | 0.2 | 15 |
| Overbrook Landing Health and Rehabiliation | 1.5 | Not given |
| Trinity Community | 6.7 | 6 |
| Friends Extended Care Center | 6.8 | 3 |
| Beavercreek Post Acute | 7.4 | 10 |
| Village at the Greene | 9.0 | 16 |
| Wright Rehabilitation and Healthcare Center | 9.4 | 10 |
| Trinity Community at Fairborn | 9.5 | 10 |
| Bellbrook Health and Rehab | 10.1 | 17 |
| Jamestown Place Health and Rehab | 10.5 | 23 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.