Symphony at Centerville
Nursing Home & Memory Care · Ohio, OH
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Symphony at Centerville

Nursing Home & Memory Care · Ohio, OH
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Symphony at Centerville accepts Medicare, Medicaid, and private pay.

Overview of Symphony at Centerville

Committed to delivering the finest care and assistance, Symphony at Centerville in Paragon Road, Dayton, OH, is a trusted senior living community that specializes in memory care. With naturally lit and well-thought-of residences, seniors live comfortably and safely. The community takes pride in a team of kind and compassionate professionals lending extra hands around the clock for seniors to maximize their freedom.

Stay active and well-connected with various engaging activities and enjoyable programs. Symphony at Centerville utilizes a holistic approach to ensure every aspect of seniors’ well-being is taken care of. Moreover, nutritious and tasty meals are served to satisfy dietary needs and preferences. Symphony at Centerville is great for seniors aiming to enjoy every moment of their golden years while receiving the utmost attention for their ever-changing needs.

(937) 999-2586

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 11.8% Below OH avg. ▼ 11.8% Below OH avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 38.9% Above OH avg. ▲ 38.9% Above OH avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 64.9% Below OH avg. ▼ 64.9% Below OH avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▼ 9.5% Below OH avg. ▼ 9.5% Below OH avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Ohio state averages

Total nursing care / resident Info This home is ranked 160th out of 203 homes in Ohio. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 8m per day
Rank #160 / 203Nurse hours — State benchmarkedThis home is ranked 160th out of 203 homes in Ohio. Shows adjusted nurse hours per resident per day benchmarked to the Ohio average, with a ranking across 203 Ohio SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Ohio avg (3h 50m per day)
vs Ohio avg
-19%

1 of 1 metrics below state avg

Staff typeHours / Day / Residentvs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 54m per day ▼ 12% State avg: 3h 17m per day · National avg: 3h 25m per day

Types of Care at Symphony at Centerville

Memory Care

Capacity and availability

This home usually has availability

Lower occupancy than the Ohio average: 78.7%
Occupancy rate
67.8% Rank #160 / 204Occupancy rate — State benchmarkedThis home is ranked 160th out of 204 homes in Ohio. Shows this facility's occupancy rate versus the Ohio average, with its Statewide rank out of 204. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
119 days
Walk Score
Walk Score: 23 / 100 Rank #519 / 705Walk Score — State benchmarkedThis home is ranked 519th out of 705 homes in Ohio. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Ohio SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

License Details

Facility TypeResidential Care Facility
StatusActive
CountyMontgomery

Contact Information

Fax(937) 435-5114

Contact Symphony at Centerville

Inspection History

In Ohio, the Department of Health, Bureau of Survey and Certification conducts unannounced onsite inspections to evaluate the quality of care and environment in all licensed facilities.

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the Ohio state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. OH average 1 Worse Metrics worse than Ohio average:
• Total citations (300% above)
0 Better No metrics in this bucket.
Latest Inspection September 18, 2025

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityOH Averagevs. OH Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 82 This facility has 300% more total citations than a typical Ohio nursing home (8 vs. OH avg 2).↑ 300% worse

Resident satisfaction survey results

Every two years, the Ohio Department of Aging and the Office of the State Long-Term Care Ombudsman organizations conduct a satisfaction survey among residents in long-term care facilities to assess their quality of care and life.

Average score

89 / 100

Ohio average: 86 / 100

2022 – 2023 Period

Care and services

92 / 100

Ohio average: 89 / 100

Environment

94 / 100

Ohio average: 95 / 100

Moving in

78 / 100

Ohio average: 82 / 100

Facility culture

86 / 100

Ohio average: 86 / 100

Caregivers

96 / 100

Ohio average: 89 / 100

Spending time

86 / 100

Ohio average: 80 / 100

Meals and dining

89 / 100

Ohio average: 81 / 100

Health Inspection History

Inspections since 2019
Total health inspections 7

Ohio average 6.7


Last Health inspection on Sep 2025

Total health citations
21 Rank #70 / 203Health citations — State benchmarkedThis home is ranked 70th out of 203 homes in Ohio. Shows this facility's total health deficiency citations benchmarked to the Ohio State average, with a ranking across all 203 OH SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Ohio average 30.9

Citations per inspection
3 Rank #43 / 203Citations per inspection — State benchmarkedThis home is ranked 43rd out of 203 homes in Ohio. Shows average deficiency citations per CMS inspection for this facility versus the Ohio mean across 203 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Ohio average 4.59


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

13 of 21 citations resulted from standard inspections; 6 of 21 resulted from complaint investigations; and 2 of 21 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than Ohio average

Ohio average: 0.3


Serious health citations
0
100% better than Ohio average

Ohio average: 0.9

0 critical citations Ohio average: 0.3

0 serious citations Ohio average: 0.9

20 moderate citations Ohio average: 29

1 minor citation Ohio average: 0.7
Citations history (last 7 years)
Environmental minor citation Sep 19, 2025

Nutrition moderate citation Mar 27, 2025
Corrected

Quality of Care moderate citation Mar 27, 2025
Corrected

Quality of Care moderate citation Mar 27, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 249
Employees 136
Contractors 113
Staff to resident ratio 2.57:1
26% better than Ohio average
Ohio average ratio: 2.04:1 Ohio average ratio: 2.04:1See full Ohio ranking
Avg staff/day 47
Average shift 7.9 hours
0% compared with Ohio average
Ohio average: 8.1 hours Ohio average shift: 8.1 hoursSee full Ohio ranking
Total staff hours (quarter) 34,349

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 37 total: 18 full-time employees and 19 contractors. 37
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 50 total: 26 full-time employees and 24 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 123 total: 58 full-time employees and 65 contractors. 123
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.3%

2,520 contractor hours this quarter

Certified Nursing Assistant: 65 Licensed Practical Nurse: 24 Registered Nurse: 19 Feeding Assistant: 4 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant586512314,88892100%8.1
Licensed Practical Nurse2624507,30992100%8.8
Registered Nurse1819374,50492100%9
Physical Therapy Assistant5059517683%7
Feeding Assistant0447766368%4.4
Other Dietary Services Staff5056518795%5.6
Respiratory Therapy Technician5055428491%6.1
Nurse Practitioner1015126470%8
Dietitian1015126470%8
Mental Health Service Worker1015126470%8
Physical Therapy Aide2025126975%7.4
Administrator3034206470%6.6
Clinical Nurse Specialist1014165257%8
Occupational Therapy Aide1013924852%8.2
Speech Language Pathologist2023656267%5.8
Qualified Social Worker2023566368%5.4
Medication Aide/Technician1012703538%7.7
RN Director of Nursing2022571718%8.6
Medical Director0111382224%6.3
Nurse Aide in Training202671112%6
123 Certified Nursing Assistant
% of Days 100%
50 Licensed Practical Nurse
% of Days 100%
37 Registered Nurse
% of Days 100%
5 Physical Therapy Assistant
% of Days 83%
4 Feeding Assistant
% of Days 68%
5 Other Dietary Services Staff
% of Days 95%
5 Respiratory Therapy Technician
% of Days 91%
1 Nurse Practitioner
% of Days 70%
1 Dietitian
% of Days 70%
1 Mental Health Service Worker
% of Days 70%
2 Physical Therapy Aide
% of Days 75%
3 Administrator
% of Days 70%
1 Clinical Nurse Specialist
% of Days 57%
1 Occupational Therapy Aide
% of Days 52%
2 Speech Language Pathologist
% of Days 67%
2 Qualified Social Worker
% of Days 68%
1 Medication Aide/Technician
% of Days 38%
2 RN Director of Nursing
% of Days 18%
1 Medical Director
% of Days 24%
2 Nurse Aide in Training
% of Days 12%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $3K Rank #133 / 203Federal fines — State benchmarkedThis home is ranked 133rd out of 203 homes in Ohio. Shows this facility's cumulative CMS federal fine dollars versus the Ohio average among facilities with fines, and where it ranks among 203 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
95% lower than Ohio average

Ohio average: $69K

Number of fines 1
46% fewer fines than Ohio average

Ohio average: 1.9

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Ohio average

Ohio average: 0.5

Fines amount comparison
Fines amount comparison
This facility $3K
Ohio average $69K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 6.8
17% worse than Ohio average

Ohio average: 5.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 13.6
7% worse than Ohio average

Ohio average: 12.7

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 6.4%
7% better than Ohio average

Ohio average: 6.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 7.4%
17% better than Ohio average

Ohio average: 8.9%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.0%
23% worse than Ohio average

Ohio average: 22.0%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.7%
23% better than Ohio average

Ohio average: 3.4%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.1%
30% worse than Ohio average

Ohio average: 3.9%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.6%
8% worse than Ohio average

Ohio average: 0.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 12.6%
103% worse than Ohio average

Ohio average: 6.2%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 21.4%
11% better than Ohio average

Ohio average: 24.0%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 9.0%
7% worse than Ohio average

Ohio average: 8.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 80.9%
12% worse than Ohio average

Ohio average: 92.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 62.6%
34% worse than Ohio average

Ohio average: 94.5%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 66.5%
15% worse than Ohio average

Ohio average: 78.0%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.3%
In line with Ohio average

Ohio average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 41.1%
46% worse than Ohio average

Ohio average: 75.6%

Breakdown by payment type

Medicare

21% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

67% of new residents, often for short stays.

Typical stay 4 - 5 months

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 8 - 9 months

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 97
Medicare
4
4.1% of residents
Medicaid
61
62.9% of residents
Private pay or other
32
33% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$10.0M
Operating loss
-$781.7K
Privately-owned community Operated by a partnership between two or more business owners.
Home revenue
$10.0M Rank #119 / 203Revenue — State benchmarkedThis home is ranked 119th out of 203 homes in Ohio. Shows this facility's annual revenue compared to the Ohio SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$781.7K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #72 / 203Payroll — State benchmarkedThis home is ranked 72nd out of 203 homes in Ohio. Shows total annual staff payroll benchmarked to the Ohio average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$6.1M
61.2% of revenue Rank #24 / 203Payroll % — State benchmarkedThis home is ranked 24th out of 203 homes in Ohio. Shows payroll as a percentage of revenue versus the Ohio average. Well-run Ohio SNFs typically land around 54–64% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.6M
Total costs $12.7M

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Transportation services icon
Transportation services icon

Transportation Services

Fitness and recreation icon
Fitness and recreation icon

Fitness and Recreation

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Places of interest near Symphony at Centerville

Address 41.9 miles from city center Info Estimated distance in miles from Dayton's city center to Symphony at Centerville's address, calculated via Google Maps.

Calculate Travel Distance to Symphony at Centerville

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Address

Financial Assistance for
Nursing Home in Ohio

Symphony at Centerville is located in Dayton, Ohio.
Here are the financial assistance programs available to residents in Ohio.

Get Financial aid guidance

PASSPORT Waiver

Ohio Medicaid PASSPORT

Age 60+
General Ohio resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Administered through regional agencies; waitlists possible.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care ($65/day) Home modifications ($1,500 avg.)

Ohio Home Care Program (non-Medicaid)

OH HCP

Age 60+
General Ohio resident, at risk of decline.
Income Limits ~$2,000/month individual, varies
Asset Limits $5,000 individual
OH

Limited funding; regional variation.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Assisted Living Waiver (ALW)

Ohio Assisted Living Waiver

Age 21+ (65+ prioritized)
General OH resident, Medicaid-eligible, NFLOC.
Income Limits (2025) ~$2,829/month (individual); QIT required.
Asset Limits $2,000 (individual), $3,000 (couple).
OH

Covers ~300 facilities; room/board not included (separate cost).

Benefits
Personal care Meals Medication management Transportation (~$3,000-$4,000/month value)

Program of All-Inclusive Care for the Elderly (PACE)

Ohio PACE (e.g., McGregor PACE)

Age 55+
General OH resident (specific counties), NFLOC, safe with PACE support.
Income Limits (2025) ~$2,829/month (Medicaid-eligible); private pay option available.
Asset Limits $2,000 (individual), $3,000 (couple) for Medicaid enrollees.
OH

Available in 9 counties (e.g., Cuyahoga, Franklin); expanding via Healthy Aging Grants.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Respite Therapies

Medicare Savings Program (MSP)

Ohio Medicare Savings Program

Age 65+ or disabled
General OH resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
OH

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Home Energy Assistance Program (HEAP)

Ohio HEAP

Age 60+ prioritized
General OH resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
OH

Covers gas, electric, oil; emergency aid via Winter/Summer Crisis Programs.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Ohio Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; OH resident; functional needs (2+ ADLs).
Income Limits (2025) Prioritizes ~$24,980/year (individual); no strict cap.
Asset Limits Not assessed; need-based.
OH

12 AAAs; rural/low-income priority; volunteer respite option.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

Ohio VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General OH resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
OH

High veteran demand; supports care in multiple settings.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Homestead Exemption

Ohio Homestead Exemption

Age 65+ (or disabled)
General OH resident, homeowner, low-income.
Income Limits (2025) ~$38,500/year individual, adjusted annually
Asset Limits Not assessed; home ownership required.
OH

Reduces taxable value by $25,000; applies to primary residence.

Benefits
Tax reduction (~$400-$800/year avg., varies by county)

Save the Dream Ohio (Homeowner Assistance Fund)

Ohio Save the Dream

Age 60+ prioritized
General OH resident, homeowner, hardship post-Jan 21, 2020.
Income Limits (2025) ~$147,600/year family of 4, 150% AMI; varies by county
Asset Limits Not assessed; hardship-focused.
OH

Covers delinquent mortgages, utilities, taxes; max $25,000 mortgage aid.

Benefits
Mortgage aid ($25,000 max) Utility/property tax aid ($5,000 avg.)

More homes from the same operator

Operated by Elegance Living

Frequently Asked Questions about Symphony at Centerville

Is Symphony at Centerville in a walkable area?

Symphony at Centerville has a walk score of 23. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the best email address for Symphony at Centerville?

The team at Symphony at Centerville can be reached at [email protected].

Has Symphony at Centerville had any recent deficiencies or citations?

Symphony at Centerville has had 8 recently reported deficiencies.

Are there photos of Symphony at Centerville?

Yes — there are 4 photos of Symphony at Centerville in the photo gallery on this page.

What is the address of Symphony at Centerville?

Symphony at Centerville is located at 7383 Paragon Rd, Dayton, OH 45459, United States.

What is the phone number of Symphony at Centerville?

(937) 999-2586 will put you in contact with the team at Symphony at Centerville.

What county is Symphony at Centerville located in?

Symphony at Centerville is in Montgomery County.

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