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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D68 | E23 | F22 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| May 26, 2026 | Fire safety | Fire Safety Standard | 5 | Potential harm | — | Open → |
| May 26, 2026 | Health | Health Complaint, Health Standard | 19 | Potential harm | — | Open → |
| Feb 24, 2026 | Health | Health Complaint | 9 | Potential harm | — | Open → |
| Dec 22, 2025 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 20, 2025 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Nov 13, 2025 | Health | Health Complaint | 12 | Immediate jeopardy | — | Open → |
| Apr 3, 2025 | Health | Health Complaint | 10 | Potential harm | — | Open → |
| Jan 17, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 8, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 13, 2024 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Jun 13, 2024 | Health | Health Complaint, Health Standard | 20 | Potential harm | — | Open → |
| Mar 25, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 5, 2024 | Health | Health Complaint | 4 | Potential harm | — | Open → |
| Dec 11, 2023 | Health | Health Complaint | 5 | Potential harm | — | Open → |
| Nov 2, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 5, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Jun 16, 2022 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 16, 2022 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Nov 13, 2025 | Civil money penalty (fine) | $219,427 | — | 365907|Fine|136763 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J1 | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D68 | E23 | F22 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 26, 2026 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2026 | |
| May 26, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 15, 2026 | |
| May 26, 2026 | K-0345 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
18 facilities in 9 states. CMS chain ID 151.
Chain average overall rating (CMS): 2.7
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Chi Living Communities | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2000 |
| Commonspirit Health | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2014 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Chi Living Communities | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2000 |
| Commonspirit Health | Organization | Indirect owner | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | Nov 1, 2014 |
| Alisa Iffland | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 6, 2017 |
| Prentice Lipsey | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 1, 2021 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| St Leonard Hcc 8100 Clyo Road, Centerville, OH 45458 CCN 365714 | 150 | Apr 2, 2026 | 773 harm | $47k | |
| Providence Care Center 2025 Hayes Avenue, Sandusky, OH 44870 CCN 365976 | 138 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Rosary Care Center 6832 Convent Boulevard, Sylvania, OH 43560 CCN 366279 | 2.3 km | 76 | Jul 29, 2026 | 40 | — | |
| Kingston Health Center of Sylvania 4121 King Road, Sylvania, OH 43560 CCN 366305 | 3.1 km | 127 | Jan 12, 2026 | 58 | — | |
| Arbors at Sylvania 7120 Port Sylvania Drive, Toledo, OH 43617 CCN 366060 | 3.1 km | 77 | Jun 30, 2026 | 401 open | — | |
| Divine Rehabilitation and Nursing at Sylvania 5757 Whiteford Rd, Sylvania, OH 43560 CCN 365898 | 3.2 km | 99 | Jul 16, 2026 | 1202 IJ2 harm2 open | $132k | |
| Otterbein Sunset House 4020 Indian Rd, Toledo, OH 43606 CCN 366148 | 4.8 km | 24 | May 1, 2025 | 371 open | — | |
| Ayden Healthcare of Toledo 4293 Monroe St, Toledo, OH 43606 CCN 365849 | 6.4 km | 98 | Aug 6, 2026 | 921 harm | — | |
| The Lakes of Sylvania 5351 Mitchaw Road, Sylvania, OH 43560 CCN 366452 | 6.5 km | 62 | Feb 12, 2026 | 24 | — | |
| Park Terrace Rehabilitation Center 2735 Darlington Rd, Toledo, OH 43606 CCN 365339SFF CandidateAbuse icon | 7 km | 99 | Mar 11, 2026 | 1472 IJ3 harm7 open | $133k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 365907 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 365907 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jun 15, 2026 |
| May 26, 2026 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 15, 2026 |
| May 26, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 15, 2026 |
| May 26, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 26, 2026 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 26, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 | Complaint |
| May 26, 2026 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jun 22, 2026 |
| May 26, 2026 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jun 22, 2026 |
| Feb 24, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Mar 10, 2026 | Complaint |
| Feb 24, 2026 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 10, 2026 | Complaint |
| Dec 22, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 6, 2026 | Complaint |
| Dec 22, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 6, 2026 | Complaint |
| Nov 20, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 20, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 20, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 20, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 4, 2025 | Complaint |
| Nov 13, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 4, 2025 | Complaint |
| Apr 3, 2025 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 14, 2025 | Complaint |
| Apr 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 14, 2025 | Complaint |
| Jan 17, 2025 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 31, 2025 | Complaint |
| Aug 8, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 | Complaint |
| Jun 13, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0361 | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 | Complaint |
| Jun 13, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 5, 2024 | Complaint |
| Jun 13, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Jun 13, 2024 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 5, 2024 |
| Mar 25, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Mar 5, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Mar 5, 2024 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Mar 5, 2024 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Apr 12, 2024 | Complaint |
| Mar 5, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 12, 2024 | Complaint |
| Dec 11, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Dec 11, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Dec 11, 2023 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Dec 11, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Dec 11, 2023 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Nov 2, 2023 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Oct 5, 2023 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Oct 5, 2023 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 27, 2023 | Complaint |
| Jun 16, 2022 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| Jun 16, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 29, 2022 |
| Jun 16, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| Jun 16, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 29, 2022 |
| Jun 16, 2022 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jul 29, 2022 |
| Jun 16, 2022 | F-0685 | Assist a resident in gaining access to vision and hearing services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jun 16, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jun 16, 2022 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 29, 2022 |
| Jun 16, 2022 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 29, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.28 (case-mix index 1.96).
| Terika Mbanu |
| Individual |
| Operational / managerial control |
| MANAGING CONTROL - GOVERNING BODY |
| not provided |
| Jan 5, 2024 |
| Mitch Melfi | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 23, 2016 |
| Heather Rehmer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jun 5, 2024 |
| Chi Living Communities | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 1, 2000 |
| Laurie Boehme | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Aug 2, 2021 |
| Dionne Hackett | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 12, 2025 |
| Casey Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 1, 2022 |
| Alisa Iffland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 13, 2011 |
| Joan Longhin-Howard | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 16, 2007 |
| Dianne Mcfarland | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 18, 2023 |
| Marissa Mckinney | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 20, 2021 |
| Heather Rehmer | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 5, 2024 |
| Shawn Tyler | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 28, 1977 |
| Caitlin Cecil | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 18, 2012 |
| Christina Finn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Stacey Grubbs | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 26, 2012 |
| Ted Hazard | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 8, 2017 |
| Kyle Munroe | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 8, 2015 |
| Shelly Murriel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Sep 9, 2024 |
| Jennifer Nagel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Nov 12, 2015 |
| Barbara Snodgrass | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Aug 15, 2016 |
| Matthew Wine | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2018 |
| Alisa Iffland | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 6, 2017 |
| Prentice Lipsey | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 1, 2021 |
| Heather Rehmer | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jun 25, 2024 |
| Chi Living Communities | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2000 |
| Commonspirit Health | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2014 |
| Concept Rehab, Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 5, 2015 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Aug 16, 2019 |
| Icp Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2024 |
| Sylvania Franciscan Health | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 1, 2014 |
| Ulrichpinciotti Design Group, LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2011 |
| Caitlin Cecil | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 18, 2012 |
| Christina Finn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 1, 2017 |
| Stacey Grubbs | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 26, 2012 |
| Dionne Hackett | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 31, 2025 |
| Ted Hazard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 8, 2017 |
| Casey Howard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 1, 2022 |
| Raied Hufdhi | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 25, 2025 |
| Alisa Iffland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 13, 2011 |
| Joan Longhin-Howard | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 16, 2007 |
| Gina Lucas | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 28, 2024 |
| Dianne Mcfarland | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 18, 2023 |
| Kyle Munroe | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 8, 2015 |
| Shelly Murriel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 9, 2024 |
| Jennifer Nagel | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 12, 2015 |
| Heather Rehmer | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jun 5, 2024 |
| Barbara Snodgrass | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Aug 15, 2016 |
| Cassie Stevenson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jul 8, 2015 |
| Matthew Wine | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2018 |
| Jun 26, 2026 |
562 IJ |
| — |
| The Gardens of St. Francis 930 South Wynn Road, Oregon, OH 43616 CCN 366312 | 60 | Mar 26, 2026 | 532 harm | $45k |
| St Clare Commons 12469 Five Point Road, Perrysburg, OH 43551 CCN 366410 | 60 | May 13, 2026 | 581 harm1 open | — |