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Home / Ohio / Toledo

Advanced Healthcare Center

955 Garden Lake Pkwy, Toledo, OH 43614 · Lucas County · (419) 382-2200

99 certified beds, about 84 residents a day · For profit - Corporation · Medicare and Medicaid since 1987

Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 365704 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 29, 2026, inspectors cited 6 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 40 health citations since July 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.39 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.44 of those hours.

45.1% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Health Care Facility Management, LLC, an affiliated group of 5 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
30D
9E
1F
Potential for minimal harm
0A
0B
0C
July 21, 2026Complaint inspection · 1 citation
  1. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2026
    Inspectors wroteBased on medical record review, resident interview, staff interview, and policy review, the facility failed to document evidence of care conferences conducted with residents at required intervals. This affected two (#1 and #2) of three residents reviewed for care conferences. The facility census was 72.
June 2, 2026Complaint inspection · 1 citation
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 26, 2026
    Inspectors wroteBased on closed medical record review, staff interview and review of the facility policy, the facility failed to ensure timely notification for a change in condition for a resident who was cognitively impaired and had a Power of Attorney (POA) for medical decisions. This affected one resident (#12) of three residents reviewed for timely notification. The facility census was 74.
January 29, 2026Standard inspection, Complaint inspection · 6 citations
  1. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, staff interview, and review of facility policy, the facility failed to ensure narcotic medications were administered and maintained in a secured manner. This affected four (#64, #72, #93, and #94) of 18 residents receiving narcotic medications residing on the 400 unit. The facility census was 83.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to maintain a reach in refrigerator at a safe temperature, failed to date and label food items, and failed to maintain a sanitary environment. This had the potential to affect all residents in the facility receiving food from the kitchen, except for Resident's #11, #30, #76, #88, and #89 who were identified by the facility as not receiving food by mouth. The facility census was 83.
  3. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on review of the medical record, resident interview, staff interview, and policy review, the facility failed to ensure vision services were provided timely. This affected one (#3) of two residents reviewed for vision services. The facility census was 83.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, medical record review, staff interview and review of facility policy, the facility failed to ensure fall prevention interventions were implemented and fall occurrences were thoroughly investigated. This affected one (#4) of one resident reviewed for fall incidents and related interventions. The facility census was 83.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, medical record review, staff interview, and facility policy review, the facility failed to ensure one resident's indwelling urinary catheter was maintained in a sanitary manner. This affected one (#37) of three residents reviewed for indwelling urinary catheters. The facility census was 83.
  6. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 20, 2026
    Inspectors wroteBased on observation, and staff interview the facility failed to ensure resident rooms were clean and equipment was adequately maintained. This affected three (#11, #37, and #30) of 24 residents reviewed for environmental services, The facility census was 83.
July 14, 2025Complaint inspection · 3 citations
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on observation, medical record review, staff and resident interview, review of Self Reported Incidents, and review of facility policy, the facility failed to immediately report an allegation of staff to resident physical abuse immediately to the administrator. This affected one (#3) of seven residents reviewed for staff to resident care and treatment in a facility census of 87.
  2. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on observation, medical record review, resident and staff interview and facility policy, the facility failed to thoroughly investigate an allegation of staff to resident physical abuse. This affected one (#3) of seven residents reviewed for staff to resident care and treatment in a facility census of 87.
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 13, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to administer a diuretic and insulin as ordered within a specified time frame for one (#3) out of seven patients reviewed in a census of 87.
May 28, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 10, 2025
    Inspectors wroteBased on review of the medical record, observation, staff interview, and policy review, the facility failed to ensure incontinence care was provided timely. This affected one (#85) of three residents reviewed for incontinence care. The facility census was 83.
April 3, 2025Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 16, 2025
    Inspectors wroteBased on medical record review, review of facility investigations, staff interview, and review of the facility policy the facility failed to ensure medications were administered to the correct resident. This affected one resident (#89) reviewed for medication errors. The facility census was 92.
January 9, 2024Complaint inspection · 1 citation
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on review of public social media videos, resident interviews, staff interviews, review of the employee handbook, review of staff schedules, and review of facility policy, the facility failed to ensure residents' right to privacy was honored when State Tested Nurse Aide (STNA) #100 video recorded conversations and interactions with staff and residents (including during personal care) in resident rooms, in common areas, discussed resident care needs and described a resident's malodorous wounds using profanity, while posting the videos to social media and not in accordance with facility policy. This affected four (#13, #31, #62, and #73) of four residents reviewed for privacy and confidentiality. The facility census was 81. Findings Include: [...]
December 14, 2023Standard inspection, Complaint inspection · 7 citations
  1. E
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical records review, staff interview and review of facility policy, the facility failed to timely notify the physician of a malfunctioning catheter. This affected one (#53) of one residents reviewed for catheter care. The facility census was 81.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical record review, resident interview, family interview, staff interview, review of the facility contingency box medication list, and review of facility policy, the facility failed to ensure medications were available from the pharmacy for timely administration. In addition, the facility failed to secure available medications from the contingency box for administration when resident's medications were unavailable from the pharmacy. This affected five (#2, #68, #284, #285, #287) of nine residents reviewed for medication administration. The facility census was 81.
  3. E
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and facility policy, the facility failed to ensure medications were administered as ordered by the physician, within prescribed time frames, and in accordance with manufacturer instructions for use, resulting in a medication error rate above five percent (%). A total of 10 medication errors were observed out of 43 opportunities for a medication administration error rate of 23.26%. This affected four (Residents #16, #52, #1, #53) of six residents observed during medication administration. The facility census was 81.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure signage and Personal Protective Equipment (PPE) were posted and available to a COVID-19 positive room. This affected one (Resident #17) of one resident observed for isolation. Additionally, the facility failed to ensure staff took off used PPE and practiced hand hygiene when exiting a COVID-19 positive room. This affected two (Residents #38 and #40) of two residents observed in contact with the staff member. The facility census was 81.
  5. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and facility policy review revealed the facility failed to ensure residents lighting was in working condition and within reach. This affected one (#287) of one residents reviewed for accommodation of needs. The facility census was 81.
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, resident interview, review of the air mattress user manual, and review of facility policy, the facility failed to ensure interventions were consistently implemented to promote skin integrity. This affected one (#53) of three residents reviewed for pressure ulcers. The facility census 81.
  7. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 11, 2024
    Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure interventions were implemented to timely address bowel incontinence and related indwelling urinary catheter malfunction. This affected one (#53) of two residents reviewed for incontinence and catheter care. The facility census was 81.
October 12, 2023Complaint inspection · 1 citation
  1. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 20, 2023
    Inspectors wroteBased on medical record review, policy review and staff interviews, the facility failed to ensure a resident was free from significant medication error, when insulin orders were erroneously discontinued from the medication record. This affected one (#2) of three residents reviewed for medication administration. The current census is 78.
September 7, 2023Complaint inspection · 8 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observation, staff interview, review of the medical record, and review of policy, the facility failed to ensure the functioning of wandering devices to prevent elopement was monitored. This affected two (#30 and #31) of two residents reviewed for wandering devices. Additionally, the facility failed to ensure hot water temperatures did not exceed 120 degrees Fahrenheit (F). This affected two (#11 and #115) of seven residents reviewed for hot water temperatures. The facility census was 78.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observations, staff interviews, review of facility identified diet list, review of the facility temperature logs, and review of the facility policies, the facility failed to ensure refrigerator and freezer temperatures were monitored daily. This had the potential to affect all residents in the facility except 10 residents (#38, #57, #58, #59, #61, #62, #68, #69, #86, and #102) identified to receive no food from the kitchen. Additionally, the facility failed to ensure staff followed proper hand hygiene when serving meals to residents in the dining room. This affected 13 residents (#11, #13, #14, #17, #22, #23, #25, #27, #30, #31, #46, #51, and #53) in the dining room who received cheese ravioli. The facility census was 78.
  3. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteReview of the resident medical records, facility documentation of Ombudsman notification, and staff interview, the facility failed to ensure required notification to the Ombudsman's office. This affected three (#58, #60, and #101) of three resident records reviewed. The facility census was 78.
  4. D
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on review of the medical record review, staff interview, and review of policy, the facility failed to ensure the comprehensive care plan included discharge planning. This affected two (#8 and #9) of three former residents reviewed for discharge care plans. The facility census was 78.
  5. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observation, staff interview, medication insert review, and policy review, the facility failed to ensure medications were administered timely and per manufacturer recommendations. This affected two residents (#17 and #40) of three residents observed for medication administration. The facility census was 78.
  6. D
    Provide special eating equipment and utensils for residents who need them and appropriate assistance.
    F810 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observation, staff interview, and record review, the facility failed to ensure residents received assistive devices with meals. This affected one (#11) of three residents reviewed for assistive devices. The facility census was 78.
  7. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on record review and staff interview, the facility failed to ensure staff accurately documented completed tasks in the medical record. This affected one (#30) of 14 records reviewed. The facility census was 78.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2023
    Inspectors wroteBased on observation, medical record review, staff interview, and policy review, revealed facility staff failed to follow the infection control protocol when caring for residents. This affected one (#86) of one residents observed in isolation. The facility census was 78.
July 13, 2023Standard inspection · 10 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, resident and staff interview, and facility policy review, the facility failed to ensure food was stored and served in a safe and sanitary manner. This had the potential to affect all residents except eight (#13, #18, #25, #49, #57, #58, #60, and #61) residents the facility identified who did not receive food from the kitchen. The facility census was 72.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on medical record review, observation, resident interview, resident representative interview, staff interview, and review of a facility policy, the facility failed to ensure dependent residents received assistance with bathing, personal hygiene, and transfers. This affected three (#62, #14, and #60) of five residents reviewed for activities of daily living. The facility census was 72.
  3. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to provide timely repositioning regarding dependent resident assessed at risk for pressure ulcer development. This affected one (#14) two residents reviewed for repositioning and pressure-reducing interventions. The facility census was 72.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and review of an owner's manual for an air mattress, the facility failed to ensure medical equipment was utilized in a safe manner. This affected one (#4) of four residents reviewed for accidents and hazards. The facility census was 72.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure timely incontinence care was provided. This affected one (#14) of one residents reviewed for the provision of incontinence care. The facility census was 72.
  6. D
    Provide for the safe, appropriate administration of IV fluids for a resident when needed.
    F694 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to maintain a peripherally inserted central catheter (PICC) line per physician orders. This affected one (#65) of one residents reviewed for peripheral vascular access. The facility identified five residents with peripheral vascular access lines. The facility census was 72.
  7. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on medical record review and resident and staff interview, the facility failed to ensure medications were available for administration. This affected one (#36) of one residents reviewed for availability of medications. The facility census was 72.
  8. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to maintain a peripherally inserted central catheter (PICC) line which resulted in the delay of administering an intravenous (IV) antibiotic medication as ordered. This affected one (#65) of five residents reviewed for medications. The facility census was 72.
  9. D
    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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, medical record review, staff interview, and review of a facility policy, the facility failed to ensure medications were not left at the bedside. This affected two (#59 and #70) of four residents observed for medication storage. The facility census was 72.
  10. D
    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
    F921 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, resident and staff interview, the facility failed to ensure resident equipment was maintained in a clean and sanitary manner. This affected two (#40 and #58) of five residents reviewed for a clean and sanitary environment. The facility census was 72.

Fire safety inspections

9 fire safety citations on file: 3 on January 29, 2026, 4 on December 14, 2023, 2 on July 13, 2023.

Every fire safety citation9 citations
  1. F
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 29, 2026 · Corrected (the home has a date of correction)
  2. F
    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.
    K 222 · January 29, 2026 · Corrected (the home has a date of correction)
  3. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · January 29, 2026 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 14, 2023 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 14, 2023 · Corrected (the home has a date of correction)
  6. E
    Have properly installed electrical wiring and gas equipment.
    K 511 · December 14, 2023 · Corrected (the home has a date of correction)
  7. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · December 14, 2023 · Corrected (the home has a date of correction)
  8. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · July 13, 2023 · Corrected (the home has a date of correction)
  9. E
    Ensure proper usage of power strips and extension cords.
    K 920 · July 13, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeOhioUnited States
All nursing staff (RN, LPN and aides)3.393.693.86
Registered nurses0.440.640.69
All nursing staff on weekends3.063.283.42
Nurse aides1.92
Licensed practical nurses1.03
Nursing staff turnover (share who left in a year)45.1%48.7%45.8%
Registered nurse turnover33.3%43.9%42.9%
Administrators who left0

CMS expects 4.24 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.53 on weekdays and 3.06 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.28 in April to June 2025 to 3.39 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.390.443.533.06 0.0%0 of 9084
Oct to Dec 20253.340.353.492.98 0.0%0 of 9286
Jul to Sep 20253.340.373.492.95 0.0%0 of 9284
Apr to Jun 20253.280.353.432.90 0.0%0 of 9189
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Ohio, Jan to Mar 20263.640.603.803.244.6%0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeOhioUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
4.05.313.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.20.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.00.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
0.33.23.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.16.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.83.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
6.98.815.4

Owners and operators

Legal business name: PARKWAY OPERATING CO LLC. CMS links this home to Health Care Facility Management, LLC, a group of 5 nursing homes averaging 3.8 stars overall.

NameRoleTypeShareSince
Toledo Mstr Co LLC5% or greater direct ownership interestOrganization100%11/01/2018
Marino, PeterCorporate officerIndividual01/04/2021
Tranquillo, DeborahCorporate officerIndividual11/01/2018
Parkway Mgt Co LLCOperational/managerial controlOrganization11/01/2018
Georgakopoulos, ToulaOperational/managerial controlIndividual12/01/2021
Groves, DonnaOperational/managerial controlIndividual04/14/2023
Kayyali, AmmarOperational/managerial controlIndividual06/14/2018
Romeo, DominicOperational/managerial controlIndividual04/01/2023
Cobalt I Irrevocable TrustAdp of the SNFOrganization11/01/2018
Cobalt II Irrevocable TrustAdp of the SNFOrganization11/01/2018
Cobalt III Irrevocable TrustAdp of the SNFOrganization11/01/2018
Cobalt IV Irrevocable TrustAdp of the SNFOrganization11/01/2018
Minority Report LLCAdp of the SNFOrganization11/01/2018
Parkway Mgt Co LLCAdp of the SNFOrganization06/26/2025
Parkway Re Holdings I, LLCAdp of the SNFOrganization01/23/2025
Toledo Hc Holdings LLCAdp of the SNFOrganization11/01/2018
Toledo Mstr Co LLCAdp of the SNFOrganization11/01/2018
Georgakopoulos, ToulaAdp of the SNFIndividual12/01/2021
Kayyali, AmmarAdp of the SNFIndividual02/11/2025

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on January 29, 2026: "Assist a resident in gaining access to vision and hearing services."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on January 29, 2026: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on June 2, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on January 29, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.06 hours per resident per day, below the Ohio average of 3.28.

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Common questions

What is Advanced Healthcare Center's Medicare star rating?
CMS rates Advanced Healthcare Center 4 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Advanced Healthcare Center get at its last inspection?
6 health deficiencies at the standard inspection on January 29, 2026. The Ohio average is 10.5.
Has Advanced Healthcare Center been fined?
CMS lists no fines in the last three years.
Does Advanced Healthcare Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Advanced Healthcare Center?
CMS lists 19 owners and managers, and links the home to Health Care Facility Management, LLC. Legal business name: PARKWAY OPERATING CO LLC.

Sources

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