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Skilled nursing facility · CMS certified · CCN 365981

Gem City Healthcare and Rehabilitation Center

323 Forest Avenue, Dayton, OH 45405 · Montgomery County · one of 924 skilled nursing facilities in Ohio
Its Medicare cost report, line by line ↓
87
certified beds
3 / 5
overall CMS rating
For-profit
ownership type
33.2%
occupancy, Oct 2026: 29 residents a day · Ohio 84.3%
1.79
case mix, 1.27x the national average
4.99
nurse hours per resident day · Ohio 3.69
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This year’s cost report looks incomplete for this building, so we’re not running the numbers on it yet.

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How Gem City Healthcare and Rehabilitation Center compares

Better than most of Montgomery County on 2 of 8 lines.

Occupancy, Oct 202633.2%Behind mostLower than all 39 other buildings in Montgomery County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 86.2%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.99Better than mostHigher than all 39 other buildings in Montgomery County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.47. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 16 of the 39 other buildings in Montgomery County, level with 8

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 8 of the 39 other buildings in Montgomery County, level with 13

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating2 / 5Mid-packHigher than 12 of the 39 other buildings in Montgomery County, level with 17

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Mid-packHigher than 10 of the 39 other buildings in Montgomery County, level with 29

CMS's star rating for resident-care quality measures. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.90Better than mostHigher than 36 of the 39 other buildings in Montgomery County

Registered nurse hours for each resident, each day. The middle of the set: 0.59. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited16Behind mostFewer than 2 of the 39 other buildings in Montgomery County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

Better than most of Ohio on 2 of 8 lines.

Occupancy, Oct 202633.2%Behind mostHigher than 2 of the 916 other buildings in Ohio, level with 1

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 87.1%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.99Better than mostHigher than 872 of the 909 other buildings in Ohio, level with 1

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.57. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 311 of the 912 other buildings in Ohio, level with 193

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 178 of the 912 other buildings in Ohio, level with 217

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating2 / 5Mid-packHigher than 207 of the 909 other buildings in Ohio, level with 299

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating5 / 5Mid-packHigher than 324 of the 911 other buildings in Ohio, level with 587

CMS's star rating for resident-care quality measures. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.90Better than mostHigher than 796 of the 913 other buildings in Ohio, level with 2

Registered nurse hours for each resident, each day. The middle of the set: 0.60. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited16Behind mostFewer than 155 of the 923 other buildings in Ohio, the same as 16

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Ohio
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Gem City Healthcare and Rehabilitation Center
Google Street View · opens in Maps
Street View
323 Forest Avenue, Dayton, OH
Map around Gem City Healthcare and Rehabilitation Center
Map · Montgomery County
Montgomery County, Ohio
8 skilled nursing facilities; average overall rating 4.9, Ohio 3.2.
See how Montgomery County compares ›
Cost report, against Ohio
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Ohio. The rank counts from the top: 1st is the highest figure among Ohio's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

This year’s cost report looks incomplete for this building, so we’re not running the numbers on it yet. What the buildings in Ohio that filed reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
86.3%
906
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.1%
908
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
65.2%
901
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$341
910
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$351
912
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$5
912
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
1.4%
906
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 3.2
Health inspection2 / 5 · state 2.8
Staffing2 / 5 · state 2.4
RN hours per resident per day0.9 · state 0.64
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’253Q2’254Q3’254Q4’253Q1’264Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingOhionationrecent quarters
Needed more help with daily activities5.7%worse than state5.0%13.5%too few quarters to chart
Catheter inserted and left in6.3%worse than state0.2%0.7%too few quarters to chart
Urinary tract infection1.4%worse than state0.4%1.5%too few quarters to chart
Fall with major injury0.0%better than state3.1%3.2%too few quarters to chart
Newly given an antipsychotic (short stay)0.0%better than state1.2%1.5%too few quarters to chart
Ability to walk independently worsenedtoo few residents to report5.3%12.7%too few quarters to chart
Pressure ulcers3.7%worse than state3.2%4.5%too few quarters to chart
Given an antipsychotic2.4%better than state8.5%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
May 2026
last standard survey
16
deficiencies cited · Ohio avg 9.6
$0
fines, last 3 years
2020
last change of ownership on the federal file
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Ohio
state rate files
$279
median daily rate across the Ohio buildings in our rate book, Jul 2026 file
Ohio rates and what changed ›
Montgomery County
buildingbedsoverallAstoria Health & Rehab Center505 / 5Bethany Village2275 / 5Brookhaven Nursing & Rehabilitation Center995 / 5Cypress Pointe Health Campus705 / 5Oak Creek Terrace Inc695 / 5Sycamorespring of Miamisburg995 / 5Vienna Springs Health Campus545 / 5Grafton Oaks Nursing Center994 / 5
All Ohio buildings in Montgomery County ›
Ohio at a glance
924
buildings
81,248
licensed beds
83%
occupancy
85%
for-profit
Ohio market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyGrafton Oaks Nursing CenterDayton · 0.3 mi994 / 570-85%Dunbar Health & Rehab CenterDayton · 1.6 mi683 / 5over 85%Carecore at Mary ScottDayton · 2.0 mi1023 / 5under 70%Widows Home of DaytonDayton · 2.4 mi752 / 5over 85%Riverside Nursing and Rehabilitation CenterDayton · 2.7 mi1802 / 5over 85%Sanctuary at Wilmington PlaceDayton · 3.2 mi632 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Gem City Healthcare and Rehabilitation Center?
Gem City Healthcare and Rehabilitation Center in Dayton, OH carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Gem City Healthcare and Rehabilitation Center have?
Gem City Healthcare and Rehabilitation Center is certified for 87 beds in the Oct 2026 CMS file.
How full is Gem City Healthcare and Rehabilitation Center?
CMS's reported average residents put Gem City Healthcare and Rehabilitation Center's occupancy in the under 70% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.