Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ARC AT TROTWOOD LLC

DAYTON, OH · 127 certified beds · Last Life Safety survey May 20, 2025

CMS Certification Number 365309 · first certified September 1974

Ownership

Operated by ARCADIA CARE · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

38
Citations on file
Rolling three-year window
5
Life Safety surveys
In the same window
10
Tags cited more than once
Across separate surveys
24
Inspection & testing records
Of the citations on file

Position within OH

38 citations — more than 94% of the 922 certified nursing homes in OH. Compared within OH rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 9 citations; the earlier surveys in the window averaged 7.3. With 5 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 3 months from now. This facility’s last Life Safety survey was May 2025. Facilities in OH are typically surveyed 20–32 months after the last one (median 26), measured over 889 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

8 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

14 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 38 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • F-0908 Keep all essential equipment working safely.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in OH, and nationally. Surveyors differ markedly between states, so the OH figure is the meaningful one.

This facility38OH median16National median11
Citations on file over three years, compared
MeasureCitations
This facility38
Median facility in OH16
Median facility nationally11

Survey history

Citations at each Life Safety survey
112019-0672022-0722023-0892024-0592025-05
Citations at each Life Safety survey
Survey dateCitations
June 27, 201911
July 28, 20227
August 2, 20232
May 7, 20249
May 20, 20259

Most-cited tags

Most-cited tags at this facility
K-03454K-03534K-03723K-07612K-05212K-03632K-07122K-02222
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0345Have approved installation, maintenance and testing program for fire alarm systems.42025-05-20
K-0353Inspect, test, and maintain automatic sprinkler systems.42025-05-20
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.32024-05-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22022-07-28
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22025-05-20
K-0363Install corridor and hallway doors that block smoke.22025-05-20
K-0712Have simulated fire drills held at unexpected times.22025-05-20
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.22025-05-20

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 16
  • Egress Deficiencies 9
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Other 4
Citations by CMS category
CategoryCitations
Smoke Deficiencies16
Egress Deficiencies9
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies4
Services Deficiencies3
Construction Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 20, 2025 — 9 citations

Citations issued on May 20, 2025
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 20, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 20, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 20, 2025)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 20, 2025)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 20, 2025)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (June 20, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (June 20, 2025)
K-0914Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Deficient, Provider has date of correction (June 20, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (June 20, 2025)

May 7, 2024 — 9 citations

Citations issued on May 7, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 31, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (August 15, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (August 15, 2024)
K-0344Have an alternate power supply for its alarm system.Deficient, Provider has date of correction (August 15, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 31, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 31, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (July 31, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 15, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (July 31, 2024)

August 2, 2023 — 2 citations

Citations issued on August 2, 2023
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 15, 2023)
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (September 15, 2023)

July 28, 2022 — 7 citations

Citations issued on July 28, 2022
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (August 23, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (August 23, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (August 23, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (August 23, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (August 23, 2022)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (August 23, 2022)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (August 23, 2022)

June 27, 2019 — 11 citations

Citations issued on June 27, 2019
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (July 30, 2019)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (July 30, 2019)
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (July 30, 2019)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (July 30, 2019)
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (July 30, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 30, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 30, 2019)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (July 30, 2019)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (July 30, 2019)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (July 30, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (July 30, 2019)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.