Lakes Of Sylvania, The
5351 Mitchaw Road, Sylvania, OH 43560 · For profit - Limited Liability company · 62 certified beds · (419) 824-6699 Medicare & Medicaid certified
On the public record, this home looks stronger than most — but visit before you decide.
- a strong health-inspection score (5/5) — the hardest rating to game (though it’s ranked within its own state, not nationally)
- no federal fines or payment denials on record
- lower-than-typical staff turnover (34% vs 45% nationally) — better care continuity
- a high number of inspection citations overall (17) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.
A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.
| Health inspectionSurveyor-assigned, ranked within your stateInspector-verified | 5 of 5 |
| StaffingFrom payroll records (PBJ) | 3 of 5 |
| Quality measuresSelf-reported by the facility | 5 of 5 |
Location & what’s nearby
Open in Google Maps ↗ · Directions ↗ · Larger map ↗
Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.
Quality measures — how residents actually fare
| Overall quality measures | 5 of 5 |
| Long-stay residentspeople who live here | 5 of 5 |
| Short-stay residentsrehab / post-hospital | 5 of 5 |
Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.
Trend — is this home getting better or worse?
Over 2025-02 to 2026-06, this home’s CMS overall rating improved from 4 to 5 stars. From monthly CMS archive snapshots.
Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.
See all quality measures vs. state & national benchmarks
| Measure | This home | State avg | Typical state | vs typical state |
|---|---|---|---|---|
| Long-stay residents whose need for help with daily activities increased | 3.7% | 5.3% | 15.4% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who lose too much weight | 1.8% | 6.2% | 5.4% | better |
| Long-stay residents with a catheter left in their bladder | 0.0% | 0.2% | 0.9% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with a urinary tract infection | 0.0% | 0.4% | 2.0% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents with depressive symptoms | 24.8% | 30.1% | 6.5% | better than state‡ — see note marked double-dagger below the table |
| Long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% | better |
| Long-stay residents with falls causing major injury | 1.5% | 3.2% | 3.3% | better |
| Long-stay residents whose ability to walk worsened | 5.6% | 6.1% | 16.1% | typical for the state‡ — see note marked double-dagger below the table |
| Long-stay residents on antianxiety or hypnotic medication | 30.2% | 25.5% | 18.9% | worse |
| Long-stay residents given the seasonal flu vaccine | 100.0% | 94.5% | 95.3% | typical |
| Long-stay residents with pressure ulcers | 4.3% | 3.4% | 4.7% | typical |
| Long-stay residents with worsening bladder/bowel control | 19.9% | 21.4% | 21.2% | typical |
| Long-stay residents who got an antipsychotic medication§ — see the note below the table | 5.3% | 8.8% | 17.1% | better |
| Short-stay residents who newly got an antipsychotic medication | 0.0% | 1.2% | 1.4% | better |
| Short-stay residents given the seasonal flu vaccine | 90.2% | 75.6% | 79.4% | better |
| Short-stay residents rehospitalized after admission | 18.7% | 24.9% | 22.6% | better |
| Short-stay residents with an outpatient ER visit | 6.4% | 12.9% | 12.0% | better |
‡ On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.
§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.
CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.
Short-stay rehab — if you are coming here from a hospital
Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.
67.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 163 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.
Met the expected recovery: 82.1% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 84 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.
Therapy staffing: this home’s payroll records show 0.56 therapist hours per resident per day in 2026Q1 — more than 86% of the 13,892 homes that report any therapy hours at all.
Weekend therapy: weekend therapy hours are 12% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.
This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.
See every short-stay measure CMS publishes for this home
| Measure | This home | U.S. median | Period covered | CMS’s call |
|---|---|---|---|---|
| Got home and stayed homeRate of successful return to home or community from a SNF | 67.1%CMS range 57.6–73.3 | 51.5% | Oct 2022–Sep 2024 | better than U.S. |
| Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF | 10.5%CMS range 8.0–14.9 | 10.7% | Oct 2022–Sep 2024 | no different from U.S. |
| Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge | 82.1% | 56.6% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge | 78.6% | 52.8% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge | 72.6% | 50.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting | 100.0% | 100.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge | 100.0% | 98.7% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay | 0.0% | 0.0% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened | 0.0% | 1.9% | Oct 2024–Sep 2025 | CMS makes no comparison for this measure |
| Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization | 6.7%CMS range 4.1–10.2 | 7.1% | Oct 2023–Sep 2024 | no different from U.S. |
| Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs | 1.28 | 1.02 | Oct 2022–Sep 2024 | CMS makes no comparison for this measure |
From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.
Staffing
How full it usually is: this home is certified for 62 beds and averages 58.9 residents a day — about 95% occupied, or roughly 3 beds typically open. It runs essentially full — expect a waiting list. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.
Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.01 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.76 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.73 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.
Weekend coverage: total nurse staffing is 3.60 hrs/resident/day on weekends vs 4.18 on weekdays — 14% thinner on weekends. RN hours go from 0.91 to 0.39 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)
This home’s total nursing-staff turnover of 34% is below the national median of 45%.
Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.
Inspection trend
Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.
Inspection deficiencies
State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.
Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.
17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.
- Potential for harm · D2026-02-12 · tag F0636 — isolatedAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
What the surveyor found here — the official record, unedited, may be distressing
Based on medical record review and staff interview, the facility failed to ensure comprehensive assessments were completed within required timeframes. This affected one (#73) of one resident reviewed for comprehensive assessments. The facility census was 59.Findings include:Review of the medical record for Resident #73 revealed an admission date of 01/26/26.Review of the admission Minimum Data Set (MDS) revealed the assessment was initiated on 02/02/26 and was incomplete. Interview on 02/11/2026 at 3:06 P.M. with Registered Nurse (RN) #211 verified she had not completed the admission comprehensive assessment (MDS) within the required 14 days. RN #211 further confirmed today was day 16 and the assessment was not completed. Interview on 02/11/2026 at 4:19 P.M. with RN Clinical Support RN (RNCS) #327 revealed the facility did not have a policy for the completion of MDS assessments.
- Potential for harm · Dcited before2026-02-12 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, record review and staff interview, the facility failed to ensure nail care was provided to dependent residents. This affected one (#11) resident reviewed for activities of daily living (ADLs). The facility census was 59.Findings include:Review of the medical record for Resident #11 revealed an admission date of 01/10/18 with diagnoses of epilepsy, morbid obesity, lymphedema, and anxiety. Review of the significant change comprehensive Minimum Data Set (MDS) assessment, dated 01/15/26, revealed Resident #11 had impaired cognition and was dependent on staff for bed mobility and transfers. Further review revealed Resident #11 required substantial/maximal assistance for personal hygiene, and was dependent on staff for bathing.Review of the care plan, initiated 01/26/18, revealed Resident #11 required staff assistance to complete ADL tasks completely and safely. Further review revealed no indication of the level of care required by Resident #11 to perform personal hygiene.Observation on 02/09/26 at 8:16 P.M. revealed Resident #11 sitting up in bed and alert. Further…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2026-02-12 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, observation, staff interview, and review of facility policy, the facility failed to ensure pressure relieving interventions were implemented. This affected one (#11) of three residents reviewed for pressure ulcers. The facility census was 59. Findings include:Review of the medical record for Resident #11 revealed an admission date of 01/10/18 with diagnoses of epilepsy, morbid obesity, lymphedema, and anxiety.Review of the significant change comprehensive Minimum Data Set (MDS) assessment, dated 01/15/26, revealed Resident #11 had impaired cognition and was dependent on staff for bed mobility, transfers, and transitioning from lying to sitting. Further review revealed Resident #11 had a stage three pressure ulcer and did not reject care. Review of Resident #11's care plan, initiated 01/26/18, revealed the resident was at risk for skin breakdown related to impaired mobility, incontinence of bowel and bladder, history of pressure ulcers and obesity. Interventions included encourage…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-02-12 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolatedProvide safe and appropriate respiratory care for a resident when needed.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, staff interview, and review of the facility policy, the facility failed to ensure oxygen was administered per physician orders. This affected one (#29) of one resident reviewed for oxygen therapy. The facility identified eight residents (#1, #9, #11, #19, #29, #42, #47, and #84) who received oxygen therapy. The facility census was 59. Findings include:Review of the medical record for Resident #29 revealed an admission date of 12/10/20 with the diagnosis of acute and chronic respiratory failure with hypoxia and chronic obstructive pulmonary disease (COPD).Review of current physician orders revealed Resident #29 was ordered oxygen to be administered at two liters/minute (l/m).Review of the care plan, revised 02/26/25, revealed Resident #29 had shortness of breath with interventions to administer oxygen per physician orders.Observation on 02/09/26 at 9:54 P.M. revealed Resident #29 had oxygen running via nasal cannula at 2.5 l/m.Observation on 02/10/26 at 8:31 A.M. revealed Resident #29 had oxygen running via nasal cannula at three…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2026-02-12 · tag F0842 — failed to keep accurate, complete medical records — isolatedSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, and staff interview, the facility failed to ensure accurate documentation for a pressure relieving device. This affected one (#28) of three residents reviewed for pressure ulcers. The facility census was 59.Findings include:Review of the medical record for Resident #28 revealed an admission date of 11/01/23 with diagnoses of spinal stenosis, intervertebral disc degeneration, paraplegia, and altered mental status. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/16/26, revealed Resident #28 had intact cognition, had upper and lower extremity bilateral impairment, and used a wheelchair for mobility. Further review revealed Resident #28 was at risk for developing pressure injuries and had a pressure reducing device for her bed. Review of a physician order, initiated 10/15/25, revealed Resident #28 should have an air mattress in place. Further review of the order revealed staff should check for proper inflation. The order was discontinued on 02/10/26. Review of the Medication Administration History (MAH) for December 2025,…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2023-11-22 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident interview, staff interview and record review, the facility failed to ensure a resident received dental services in a timely manner. This affected one (Resident #33) of one reviewed for dental services. The facility census was 50. Findings include Review of the medical record for Resident #33 revealed an admission date of 01/15/23. Diagnoses included kidney disease, emphysema, bipolar disorder and muscle weakness. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #33 was cognitively intact with a BIMS of 15 and required limited assistance of one staff member and for mobility and transfers. Review of the baseline care plan dated 01/15/23 revealed Resident #33 was noted to have broken teeth with intervention to ensure lighting in resident room was appropriate. Review of the progress notes dated 02/22/23 revealed Resident #33 was seen by the 360 care dentist and was found to need all top teeth (quantity of eight) extracted. The dental group recommended…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2021-08-13 · tag F0812 — failed to store, cook, and serve food safely — widespreadProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation and staff interview, the facility failed to change contaminated gloves before touching food items when serving resident meals. This had the potential to affect all residents who received food from the kitchen. Resident #7 was identified by the facility as receiving nothing by mouth. The facility census was 56. Findings include: Observations on 08/09/21 from 11:40 A.M. to 11:55 A.M. of lunch service revealed Dietary Aide (DA) #478 plating resident meals. DA #478 gloved her hands, picked up a plate, touched the serving utensils for the chopped steak, mashed potatoes and California blend vegetables. Then without changing the gloves, picked up a dinner roll with a gloved hand and placed the roll on a plate. DA #478 repeated this process ten times without changing her gloves. In addition, observation of DA #464 revealed she donned gloves and proceeded to touch serving tongs, french fries, a metal pan, opened a refrigerated drawer, and then picked up a hot dog and placed it on the grill. DA #464 then removed her gloves and donned a new pair. DA #464 picked up a loaf…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · F2021-08-13 · tag F0880 — failed to prevent and control infections — widespreadProvide and implement an infection prevention and control program.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, review of the COVID-19 screening log, staff interview, and review of the facility policy, the facility failed to ensure proper screening procedures were in place for to assess visitors entering the facility for signs and symptoms of COVID-19. This had the potential to affect all 56 residents residing in the facility. Additionally, the facility failed to properly clean, sanitize and, store bed pans in resident bathrooms. This affected two (#33 and #41) residents, who reside in the same resident room. The facility census was 56. Findings include: 1. Observation on 08/12/21 at 8:15 A.M. revealed the front entrance door was unlocked, allowing outside persons entrance to the building. Once inside, a posted sign indicated visitors are to be screened for signs and symptoms of COVID-19. No staff were available to provide visitor screening for signs and symptoms of COVID-19, allowing visitors to enter building unscreened. Review of the COVID-19 screening log revealed four visitor entries without initials, indicating screening was completed by staff. Interview on…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · E2021-08-13 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — patternEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
What the surveyor found here — an excerpt from the official record, may be distressing
NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, resident and staff interview and review of facility policy, the facility failed to ensure medications were not left unattended at resident bedside and failed to maintain a safe environment as care planned for fall prevention. This affected three residents (#11, #13 and #29) who were identified by the facility as being cognitively impaired, independently mobile, and one (#2) of two residents reviewed for fall precautions. The facility census was 56. Findings include: 1. Observation on 08/09/21 at 10:13 A.M. of Resident #9's room revealed a medication cup on the resident's tray table with four pills in the cup. Interview Resident #9 at the time of the observation revealed the pills were prescription medications that were left on her tray table by the nurse. Resident #9 stated the nurse was called away before she was able to take them all. Resident #9 picked up the medications and took them. Interview on 08/09/21 at 10:16 A.M. with Licensed Practical Nurse (LPN) #449…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-13 · tag F0550 — failed to protect resident dignity and rights — isolatedHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, staff interview and review of facility policy, the facility failed to treat residents with dignity by hanging signs in resident rooms indicating care needs. This affected two (#13 and #39) of three residents reviewed for dignity. The facility census was 56. Findings include: 1. Review of Resident #39's medical record revealed an admission date of 01/23/21. Diagnoses included hemiplegia and hemiparesis affecting left non-dominant side, spinal stenosis, and dementia. Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/07/21, revealed Resident #39 was severely cognitively impaired and required extensive two person assistance with bed mobility. Review of the plan of care revealed a resident profile intervention, implemented 08/09/21, to place a sign in the resident room as a reminder to put resident's right hip in straight/neutral alignment when seated in chair and in laying position. Observation on 08/09/21 at 9:58 A.M. of Resident #39's room revealed a sign hanging on the outside of the cabinet door, next to the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
Show the remaining 7 citations
- Potential for harm · D2021-08-13 · tag F0554 — isolatedAllow residents to self-administer drugs if determined clinically appropriate.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, resident and staff interview, and review of facility policy, the facility failed to complete a self-administration of medication assessment, and failed to obtain a physician orders for a resident who preferred to have medications left at bedside. This affected one (#9) resident reviewed for self-administration of medication. The facility census was 56. Findings include: Review of Resident #9's medical record revealed an admission date of 04/06/18 and a readmission date of 01/22/21. Diagnoses included hypertensive heart disease, end stage renal disease, and type II diabetes mellitus. Review of the quarterly Minimum Data Set (MDS) assessment, dated 05/10/21, revealed Resident #9 was cognitively intact. Additional review of Resident #9's medical record revealed no evidence of a self-administration of medication assessment, a physician order for self-administration of medication, and there was no plan of care interventions for self-administration of medication. Observation on 08/09/21 at 10:13 A.M. of Resident #9's room revealed a medication cup on the resident's…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-08-13 · tag F0677 — failed to help fully-dependent residents with daily care — isolatedProvide care and assistance to perform activities of daily living for any resident who is unable.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on observation, medical record review, and resident and staff interview the facility failed to assist residents with shaving. This affected two (#2 and #50) of two residents reviewed for grooming. The facility census was 56. Findings include: 1. Review of Resident #2's medical record revealed an admission date of 12/18/20 and a readmission date of 07/09/21. Diagnoses included fracture of neck of right femur, chronic obstructive pulmonary disease, schizophrenia, bipolar disorder, macular degeneration; and disorientation. Review of the significant change in status Minimum Data Set (MDS) assessment, dated 07/19/21, revealed Resident #2 was moderately cognitively impaired, rejection of care occurred one to three days of the seven day look back period and the resident required extensive two person assistance with personal hygiene. Review of the plan of care, initiated 12/29/20, revealed Resident #2 required staff assistance to complete activities of daily living (ADL) tasks completely and safely. Review of the Point of Care (POC) documentation and progress notes in the electronic…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-13 · tag F0685 — isolatedAssist a resident in gaining access to vision and hearing services.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, and resident and staff interviews, the facility failed to provide assistance to repair or replace broken glasses for one (Resident #50) of one resident reviewed for vision. The facility census was 56. Findings include: Review of Resident #50's medical record revealed an admission date of 04/15/21. Diagnoses included type two diabetes mellitus, Parkinson's disease, heart failure, chronic kidney disease stage 3, major depressive disorder single episode, and altered mental status. Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/17/21, revealed Resident #50 was moderately cognitively impaired. Resident #50's vision was highly impaired. Observation on 08/09/21 at 9:51 A.M. of Resident #50 wearing broken eyeglasses with the left lens completely missing. Interview on 08/09/21 at 9:54 A.M. with Resident #50 revealed his eyeglasses had been broken for a long time, possibly prior to admission to the facility. Resident #50 was not aware of having access to an optometrist or having his eyeglasses fixed. Resident #50 reported no…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-08-13 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolatedProvide appropriate pressure ulcer care and prevent new ulcers from developing.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, observation, staff interview, and review of the facility policy, the facility failed to ensure an air mattress was in place and functioning for a resident with a pressure ulcer. The affected one (#7) of one resident reviewed for pressure ulcers. The facility census was 56. Findings include: Review of the medical record for the Resident #7 revealed an admission date of 04/16/21. Diagnoses included gastro paresis, chronic obstructive pulmonary disease, and type II diabetes. Resident #7 had an unstageable pressure ulcer to the left hip present upon admission. Review of the minimum data set (MDS) assessment, dated 08/03/21, revealed has unhealed pressure, pressure reducing device to bed. Review of the order dated 04/16/21 revealed order for air mattress. On 05/04/21 the resident readmitted from the hospital with pressure wound to the left hip and right heel ulcer. Review of the care plan 05/14/21 revealed Resident #7 has left hip pressure ulcer. Interventions included the use of pressure reducing mattress. Review of the current skin assessments revealed…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-13 · tag F0692 — failed to prevent malnutrition and dehydration — isolatedProvide enough food/fluids to maintain a resident's health.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, staff interview, and review of facility policy, the facility failed to follow physician orders for obtaining a resident's weekly weight to monitor nutritional status. This affected one (#9) resident reviewed for physician orders. The facility census was 56. Findings include: Review of Resident #9's medical record revealed an admission date of 04/06/18 and a readmission date of 01/22/21. Diagnoses included hypertensive heart disease with heart failure, end stage renal disease, and type II diabetes mellitus. The resident received hemodialysis three times a week. Review of the quarterly Minimum Data Set (MDS) assessment, dated 05/10/21, revealed Resident #9 was cognitively intact. Review of the plan of care, initiated 02/13/20, revealed Resident #9 was malnourished/at risk for malnutrition related to diagnoses, inadequate nutrient/energy intakes, and or/metabolic demands. Interventions included obtain weight as ordered/needed. Review of a physician order, dated 02/28/20, for Resident #9 revealed an order for weekly weight on Tuesdays, 6:00 A.M. to 6:00…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · D2021-08-13 · tag F0790 — failed to provide dental care — isolatedProvide routine and 24-hour emergency dental care for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure residents were educated and offered access to routine dental care. This affected one (Resident #15) of one residents reviewed for dental care in a skilled nursing facility. The facility census was 56. Findings include: Review of Resident #15 medical record revealed an admission date of 06/03/21. Diagnoses included Parkinson's disease, hypertensive heart disease with heart failure, hypothyroidism, hyperlipidemia, dysarthria and anarthria, and major depressive disorder. Review of the admission Minimum Data Set (MDS) assessment, dated 06/06/21, revealed Resident #15 was cognitively intact. No dental concerns were identified. Interview on 08/09/21 at 3:30 P.M. with Resident #15 revealed the resident had a desire to schedule with a dentist and did not know there was access to a dentist through the facility. Resident #15 revealed for a variety of reasons she had not been to the dentist for a couple of years and would like to have her natural teeth checked. Resident…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
- Potential for harm · Dcited before2021-08-13 · tag F0791 — failed to provide routine dental services — isolatedProvide or obtain dental services for each resident.
What the surveyor found here — an excerpt from the official record, may be distressing
Based on medical record review, resident and staff interviews, and review of facility policy, the facility failed to ensure residents were educated and offered access to replace missing dentures. This affected one (Resident #50) of one residents reviewed for dental care in a nursing facility. The facility census was 56. Findings include: Review of Resident #50's medical record revealed an admission date of 04/15/21. Diagnoses included type two diabetes mellitus, Parkinson's disease, stage 3 chronic kidney disease, major depressive disorder, gastro-esophageal reflux disease, altered mental status, and dysphagia oropharyngeal phase. Review of the quarterly Minimum Data Set (MDS) assessment, dated 07/17/21, revealed Resident #50 was moderately cognitively impaired. Interview on 08/09/21 at 9:54 A.M. with Resident #50 revealed he had dentures but had lost them prior to entering the facility. Resident #50 was not aware a dentist came to the facility and does not recall having been informed or provided the opportunity to have his dentures replaced. Interview on 08/12/21 at 12:59 P.M. with…
This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.
“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.
- Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
- Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
- State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Fines & penalties
No federal fines in the current CMS record.
Part of a chain
This home belongs to TRILOGY HEALTH SERVICES — 123 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →
| Rating | This home | Chain avg | |
|---|---|---|---|
| Overall | 5 of 5 | 4.2 | +0.8 vs chain |
| Health inspection | 5 of 5 | 3.5 | +1.5 vs chain |
| Staffing | 3 of 5 | 3.3 | -0.3 vs chain |
| Quality measures | 5 of 5 | 4.8 | +0.2 vs chain |
The other 122 homes this chain runs (chain average 4.2★, per CMS)
Showing 40 of 122; lowest-rated first.
A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.
Who owns this facility
| Owner / manager | Type | Role | Share | Since |
|---|---|---|---|---|
| CONTINENTAL MERGER SUB LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2021 |
| NORTHSTAR HEALTHCARE INCOME INC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2021 |
| NORTHSTAR HEALTHCARE INCOME OPERATING PARTNERSHIP LP | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2021 |
| TRILOGY HOLDINGS NT-HCI, LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | since 10/01/2021 |
| CORBIN, KATHY | Individual | W-2 MANAGING EMPLOYEE | — | since 01/11/2011 |
| FIGHTMASTER, LISA | Individual | W-2 MANAGING EMPLOYEE | — | since 12/01/2015 |
| BARNEY, LEIGH | Individual | CORPORATE OFFICER | — | since 11/01/2019 |
| BRYANT, WILLIAM | Individual | CORPORATE OFFICER | — | since 01/05/2016 |
| BUFFORD, RANDALL | Individual | CORPORATE OFFICER | — | since 11/01/2019 |
| CONNER, GREGORY | Individual | CORPORATE OFFICER | — | since 06/03/2021 |
| DAVIS, DAVID | Individual | CORPORATE OFFICER | — | since 08/21/2017 |
| MEHAFFEY, TODD | Individual | CORPORATE OFFICER | — | since 01/31/2022 |
| PIETROWSKI, CRISTINA | Individual | CORPORATE OFFICER | — | since 01/31/2022 |
| PROSKY, DANNY | Individual | CORPORATE OFFICER | — | since 12/01/2015 |
| STREIFF, MATHIEU | Individual | CORPORATE OFFICER | — | since 12/01/2015 |
| TRILOGY MANAGEMENT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | since 10/01/2021 |
| SOLES, EMILY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | since 01/27/2023 |
5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.
Follow the money — this home’s finances
Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.
This home reported $1.8M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.
Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.
Cost & finances
Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.
What families pay in OH
This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Ohio Medicaid page.
Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.
Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 366452. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-02-12, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →
Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →
Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.