Dayton Senior AdvisorKoester Pavilion, at 3232 North County Road 25-A in Troy (Miami County), is a nursing home certified for Medicare and Medicaid with 127 certified beds and Ohio Department of Health State ID 1780N. Koester Pavilion holds a CMS overall rating of 3 out of 5 in Care Compare data dated October 1, 2026.
How does CMS rate Koester Pavilion in Troy, Ohio?
Koester Pavilion holds a CMS overall rating of 3 out of 5, with 2 stars for health inspections, 3 for staffing and 5 for quality measures on CMS's five-star scale.
| CMS / ODH measure | Value |
|---|---|
| CMS overall stars | 3 of 5 |
| Health inspections (CMS stars) | 2 of 5 |
| Staffing (CMS stars) | 3 of 5 |
| Quality measures (CMS stars) | 5 of 5 |
| Certified beds and average daily census | 127 beds, 115.5 residents a day |
| Name as CMS lists it | Vancrest-Upper Valley |
| Ownership (CMS) | For profit - Corporation |
| Chain affiliation (CMS) | Vancrest Health Care Centers, 13 homes nationwide |
| Medicare/Medicaid certification since | May 8, 1989 |
| ODH license | State ID 1780N; 127 licensed beds |
Its average census of about 116 residents fills roughly 91% of certified beds, above the 84% typical of certified homes in the six counties.
What does Koester Pavilion's inspection history look like?
The latest standard health inspection CMS has on file for Koester Pavilion took place July 21, 2026 and produced 14 health deficiencies: 14 from the routine survey and 1 from complaint visits.
For comparison, the July 25, 2024 survey recorded 13 deficiencies, with 0 more citations from infection-control checks; the latest-cycle median among the area's certified homes is 10, so this home's newest count is higher than usual.
Within CMS's three-year penalty window it lists no fines and 1 payment denials.
How much nursing time do residents at Koester Pavilion get?
At 3.83 total nurse hours per resident-day, Koester Pavilion is higher than the six-county median of 3.61; its 0.59 RN hours are roughly level with the six-county median of 0.57.
On weekends, total nurse staffing is 3.29 hours per resident-day. Nursing staff turnover is 37.7%, lower than the six-county median of 50.8%; RN turnover is 10.0%. CMS counts 0 administrator departures during its measurement period.
How does Koester Pavilion stack up against nearby homes?
Its 127 certified beds make it bigger than the Miami County median of 99 licensed nursing home beds. The nearest other certified home is Troy Rehabilitation and Healthcare Center in Troy, about 3.8 miles away as the crow flies, with a CMS rating of 3 of 5.
| Facility | Miles away | Licensed beds | CMS overall rating | Last CMS health inspection | Deficiencies cited |
|---|---|---|---|---|---|
| Troy Rehabilitation and Healthcare Center 512 Crescent Drive, 45373 | 3.8 | 155 | 3 of 5 | April 7, 2026 | 9 |
| Piqua Care Center 275 Kienle Drive, 45356 | 4.0 | 99 | 1 of 5 | June 26, 2025 | 11 |
| Piqua Manor 1840 West High Street, 45356 | 4.8 | 99 | 3 of 5 | March 26, 2026 | 10 |
| Stillwater Skilled Nursing & Rehabilitation 75 Mote Drive, 45318 | 6.9 | 75 | 2 of 5 | April 16, 2026 | 8 |
| Otterbein Tipp City 4375 South County Road 25a, 45371 | 8.1 | 99 | 3 of 5 | April 3, 2025 | 14 |
Where is Koester Pavilion, and what shares its campus?
Koester Pavilion is in Troy, Miami County, and Upper Valley Medical Center is the closest general hospital in CMS's list, about 4.3 miles away by straight line.
Kettering Health Troy follows at roughly 4.3 miles. These are straight-line distances, not drive times.
Which tour questions matter most at Koester Pavilion?
Begin with the questions its CMS data raises: ask for the plan of correction covering the 14 deficiencies cited July 21, 2026, and what is different now.
- Turnover of 37.7% is at or under the six-county median; ask which charge nurses have worked nights the longest.
- Occupancy is about 91%; ask whether there is a waiting list and whether rehab beds are kept separate.
- CMS lists a resident council; ask when it meets and whether family members may attend.
- If Medicaid may pay later, confirm Koester Pavilion accepts Ohio Medicaid for long stays and whether a resident must move rooms when payment switches.
