Comprehensive Review: Legacy of Miamisburg and Comparative Analysis

• Sycamore Trails Post Acute, the skilled nursing facility formerly known as Legacy of Miamisburg, sits at 450 Oak Ridge Boulevard in Miamisburg, Ohio. It is certified by both Medicare and Medicaid for short-term rehabilitation and long-term nursing care.

• If you are researching Legacy of Miamisburg, this is the same building and the same federal provider number, CCN 365640. It now operates under the Sycamore Trails Post Acute name, so the current federal ratings in this review reflect the newer operator, not the older reputation.
• On Medicare.gov Care Compare the home currently holds an overall rating of 3 out of 5 stars, which Medicare considers average. The sections below break down what sits behind that score so you can judge the facility on measured care rather than on its name or how the building looks.

At a glance

Key facts

Address: 450 Oak Ridge Boulevard, Miamisburg, OH 45342, in Montgomery County. Phone: (937) 866-8885. Ownership is a for-profit limited liability company. The home is certified for 102 beds and averages about 68 residents per day, so it runs well under full capacity.

How the Medicare ratings break down

Medicare's overall star rating blends three graded areas: state health inspections, staffing levels, and clinical quality measures. Sycamore Trails lands at 3 stars overall, but the three components are uneven, with two strong marks and one that pulls the score down sharply.

Health inspection: 3 of 5 stars. The inspection rating comes from on-site state surveys and carries the most weight in the overall score. At 3 stars it is average, and it is helped considerably by a clean recent survey, covered further below.

That average inspection mark is a step up from the poor ratings this address carried under prior ownership, which is part of why looking at current data matters here.

Staffing: 1 of 5 stars. This is the facility's clear weak point. One star is the lowest rung Medicare awards. It means reported nurse coverage, once adjusted for how sick the residents are, trails most other homes in the country.

A bottom-tier staffing score does not by itself prove poor care, but it does mean fewer nursing hours are spread across the residents than at better-staffed homes. This is the single most important thing to probe in person.

Quality measures: 5 of 5 stars. The quality measure rating tracks clinical outcomes such as mobility, pressure ulcers, falls, and hospital or emergency visits. Here the facility earns a full 5 out of 5, or much above average.

Strong quality measures suggest the clinical results residents actually experience are good, which partly offsets the low staffing score and lifts the overall rating out of the bottom tier.

The three components point in different directions: excellent outcomes and an average, recently clean inspection record, set against staffing that Medicare rates at the very bottom.

That combination is what produces the middle-of-the-road 3-star overall rating. It is a facility doing well on results while running lean on staff.

For a short rehabilitation stay that tension may matter less. For around-the-clock long-term care it matters more, which is a theme worth carrying into any tour.

The staffing hour counts below show more precisely where the low staffing star is coming from.

Staffing hours per resident

Care Compare reports total nurse staffing of about 3.40 hours per resident per day. That sits just under the roughly 3.5 hours per resident per day often cited as a general baseline for adequate nursing care, which lines up with the 1-star staffing rating.

• Registered nurse time is about 0.72 hours per resident per day, or roughly 43 minutes. That RN figure is actually reasonable for a home this size, which is a meaningful bright spot given that registered nurses handle the most complex clinical decisions.
• So the low staffing star is driven less by a shortage of registered nurses and more by total nurse hours sitting below the baseline, together with Medicare's adjustments for resident acuity and weekend coverage.
• With about 68 residents on an average day across 102 certified beds, the building is not full. It is worth asking how staffing would scale if the census rises, since the current hours are already rated poorly.

Recent inspection and enforcement

The most recent standard health survey on file was completed on June 24, 2025, and inspectors cited zero health deficiencies, an uncommon and genuine positive. The facility's only federal fine on record is $11,037, a modest amount by sector standards, and Medicare has not placed its abuse icon on the home. The summary data does not say what the fine was for, so the underlying survey report is the place to see the detail behind it.

The bottom line

Sycamore Trails Post Acute, formerly Legacy of Miamisburg, is an average-rated skilled nursing facility with excellent quality measures and a clean recent inspection, held back by a staffing level Medicare rates at the bottom of its scale.

• For a short-term rehabilitation stay, the strong quality-measure and inspection record are encouraging, and the solid registered nurse hours help.
• For long-term or higher-need care, the 1-star staffing rating is the factor to weigh most carefully, because day-to-day attention depends on how many nursing staff are actually on the floor.
• If you have seen older, harsher ratings for Legacy of Miamisburg elsewhere online, treat them as out of date. The operator has changed and the current federal numbers are the ones that describe the care offered today.
• The facility does not publish its pricing, and Care Compare does not include cost, so you will need to request a written rate for your specific care level directly from the home.
• Because staffing is the weak spot, it is also worth comparing this home against nearby alternatives on the same federal measures before committing.
• None of the strengths here erase the staffing concern, and the staffing concern does not erase the strong outcomes. The right call depends on the level and length of care you need.
• Use the checklist below to turn these data points into specific questions during a visit.

Everything above is drawn from the facility's current federal record, not from marketing materials or anonymous testimonials.

What to verify before you decide

Ask about nurse staffing on the specific unit and shift you are considering, including nurse aide coverage and overnight and weekend levels. The 1-star staffing rating makes this the most important question to answer in person.

• Ask to see the June 2025 survey report and a written explanation of the single federal fine on record, including what it was for and what has changed since.
• If you need short-term rehabilitation, ask the facility for documented outcomes from its rehab program, such as the share of patients discharged home and the average length of stay for conditions like yours.
• If dementia care is a priority, ask specifically what specialized support, security, and staffing the relevant unit provides, since those details are not captured in the federal star ratings.
• Check the facility's current page on Medicare.gov Care Compare before you commit, since star ratings, staffing hours, and penalties are updated as new surveys and payroll data arrive.

Request a written cost estimate for your care level, along with the payment types accepted and any expected rate increases.

All ratings, staffing hours, bed counts, the inspection date, and the penalty figure in this review come from Medicare.gov Care Compare, reflecting the standard health survey dated June 24, 2025.