COVID-19 Update: We follow CDC guidelines. Call for more information


  • Memory Care

    Care for Alzheimer’s and Dementia

  • Rehabilitation Care

    Temporary care that rehabilitates

  • Respite Care

    Short term care

  • Senior Apartments

    Apartments designed for easy living

  • Skilled Nursing Facilities

    SNF’s monitor patients around the clock

Koester Pavilion Services

Koester Pavilion, located in Troy, is a 135-bed facility that was constructed in 1977 with newly remodeled patient and rehab rooms and dining room. We are located on the same campus as Upper Valley Medical Center and Hospice of Miami County. In addition to long term care, we offer skilled rehab, respite, and a memory care unit!

Affiliated with Premier Health and managed by AdCare Health Systems, Inc.Off Site Icon, Koester Pavilion is conveniently located near Interstate 75, on the campus of Premier Health’s Upper Valley Medical Center.

Short-Term Rehabilitation and Recovery Care

After recovering from surgery or other hospital care, you may not be ready to return home. The skilled nursing and rehabilitation professionals of Koester Pavilion’s dedicated Transitional Care Unit are ready to develop a personal plan of care to help you recover and regain your strength, so you can return to living independently at home.

Using a patient-centric approach, our highly trained team of physicians, nurse practitioners, nurses and therapists coordinate the highest quality of care to our patients. While recovering at Koester Pavilion, our patients work with a consistent rehab team, providing excellent staff-to-patient ratios and advanced therapy interventions and treatments.

Learn more about the Koester Pavilion Transitional Care Unit, our services and our new private rehab suites.

Long-Term Nursing Care

The skilled nursing team at Koester Pavilion encourages residents to achieve their personal best, every day, through the practice of restorative care.

Restorative care focuses on helping residents achieve and maintain optimal physical, mental and psychosocial function. This enhances residents’ ability to live as independently and safely as possible – and minimizes the decline that comes with aging.

Through restorative care, residents are encouraged to participate as much as possible in their care and daily activities such as bathing, dressing and transferring to and from bed or wheelchair.

Koester Pavilion also offers residents an activities program to help them stay engaged in hobbies and other activities they enjoy. These include music, walking and exercise programs, guest entertainers, pet therapy, outings to ballgames and theater, cookouts and religious services.

To help residents feel at home, we encourage them to bring items from home to create a home-like, familiar environment in their private or semi-private suites, which offer window views.

Amenities include:

Relaxing social dining for each meal
À la carte menu items
Beauty salon
Bird aviary
Theater room
Complimentary cable services
Memory Care

The specially trained staff of the Freedom Court Memory Care Unit at Koester Pavilion provide a safe, secure, supportive environment for residents with Alzheimer’s disease and other forms of dementia.

Living up to its name, Freedom Court encourages and supports residents’ independence, improving quality of life. Freedom Court offers private and semi-private suites, a large family room, dining room and outdoor area that includes a gazebo and garden furnished with comfortable seating.

Our staff members build trusting relationships with residents and their families. They incorporate daily activities and socialization into residents’ care to help them achieve their personal best.

We design activities to match residents’ interests and abilities and involve residents in daily housekeeping tasks such as folding, dusting and sweeping. These activities are therapeutic and help residents feel useful and productive.

Hospice Care

Koester Pavilion partners with several hospice agencies in the community to provide end-of-life care, including pain management. Hospice services provide individualized care, promoting patient/resident comfort and helping family and friends through end-of-life stages and grief.

Respite Care

Seniors can stay at Koester Pavilion while their caregivers are away on vacation or business – or need a brief respite from caregiving responsibilities. Contact the admissions department of Koester Pavilion in advance to schedule a respite care stay.

Lifestyle Amenities

  • Controlled Building Entry
  • Emergency Notification System
  • Furnished Meals
  • Housekeeping Services
  • Private Rooms
  • Transportation Available

Medical Services

  • Medication Administration
  • Occupational Therapy
  • Physical Therapy
  • Registered Nurses
  • Speech Therapy

Funding Sources

  • Medicaid
  • Medicare
  • Private Funds


They take great care of my husband on freedom court.

Resident’s Wife

66 days after a fall breaking ribs on my right side I was discharged home from Koester Pavilion. I received tender loving care 24/7 and full attention from the entire staff at Koester Pavilion. They brought me back to good health and for this I am most grateful!


Since my dad has been at Koester Pavilion, we have been very impressed and happy with his care. When we visit, he appears happy and well taken care of. It is evident that the nurses and staff have a wonderful rapport with him which is evident when he is out and about at the facility. During this recent health crisis, Koester Pavilion did an amazing job at being transparent and communicating what was happening at the facility. They let us know anytime there is new information and anytime there was a concern with my dad’s health. They have also allowed our family to FaceTime with him when he has been awake and engaged enough to talk to us. I am thankful for the care he has received while there and recommend this facility to anyone.

Adult Child of Resident