What is Lakes of Sylvania, the's Medicare star rating?

CMS rates Lakes of Sylvania, the 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Lakes of Sylvania, the get at its last inspection?

5 health deficiencies at the standard inspection on February 12, 2026. The Ohio average is 10.5.

Has Lakes of Sylvania, the been fined?

CMS lists no fines in the last three years.

Does Lakes of Sylvania, the 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 Lakes of Sylvania, the?

CMS lists 17 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF SYLVANIA LLC.

Lakes of Sylvania, the: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 12, 2026, inspectors cited 5 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 17 health citations since August 2021 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 4.01 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.76 of those hours.

34.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Trilogy Health Services, an affiliated group of 127 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.

1108/21

111/23

502/26

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 17 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

February 12, 2026Standard inspection · 5 citations

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 · Corrected (the home has a date of correction) April 10, 2026

Inspectors wroteBased 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.
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) April 10, 2026

Inspectors wroteBased 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.
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) April 10, 2026

Inspectors wroteBased 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.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 10, 2026

Inspectors wroteBased 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.
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 · Corrected (the home has a date of correction) April 10, 2026

Inspectors wroteBased 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.

November 22, 2023Standard inspection · 1 citation

D

Provide or obtain dental services for each resident.

F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 6, 2023

Inspectors wroteBased 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.

August 13, 2021Standard inspection · 11 citations

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) September 4, 2021

Inspectors wroteBased 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.
F

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
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 · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
D

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
D

Allow residents to self-administer drugs if determined clinically appropriate.

F554 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
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) September 4, 2021

Inspectors wroteBased 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.
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) September 4, 2021

Inspectors wroteBased 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.
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) September 4, 2021

Inspectors wroteBased 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.
D

Provide enough food/fluids to maintain a resident's health.

F692 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
D

Provide routine and 24-hour emergency dental care for each resident.

F790 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.
D

Provide or obtain dental services for each resident.

F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 4, 2021

Inspectors wroteBased 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.

Fire safety inspections

7 fire safety citations on file: 4 on February 12, 2026, 1 on November 22, 2023, 2 on August 13, 2021.

Every fire safety citation7 citations

F
Meet requirements for sections of health care facilities separated by fire resistive construction.

K 131 · February 12, 2026 · Corrected (the home has a date of correction)
E
Have restrictions on the use of highly flammable decorations.

K 753 · February 12, 2026 · Corrected (the home has a date of correction)
E
Ensure proper usage of power strips and extension cords.

K 920 · February 12, 2026 · Corrected (the home has a date of correction)
E
Have proper medical gas storage and administration areas.

K 923 · February 12, 2026 · Corrected (the home has a date of correction)
E
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 · November 22, 2023 · Corrected (the home has a date of correction)
F
Have properly installed electrical wiring and gas equipment.

K 511 · August 13, 2021 · Corrected (the home has a date of correction)
E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · August 13, 2021 · 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.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	4.01	3.69	3.86
Registered nurses	0.76	0.64	0.69
All nursing staff on weekends	3.60	3.28	3.42
Nurse aides	1.73
Licensed practical nurses	1.52
Nursing staff turnover (share who left in a year)	34.4%	48.7%	45.8%
Registered nurse turnover	12.5%	43.9%	42.9%
Administrators who left	0

CMS expects 4.60 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 4.18 on weekdays and 3.60 on weekends, 14% 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 3.72 in April to June 2025 to 4.01 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.01	0.76	4.18	3.60	0.0%	0 of 90	59
Oct to Dec 2025	4.08	0.59	4.18	3.81	0.0%	0 of 92	58
Jul to Sep 2025	4.10	0.53	4.23	3.75	0.0%	0 of 92	58
Apr to Jun 2025	3.72	0.56	3.89	3.32	0.0%	0 of 91	58
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Ohio, Jan to Mar 2026	3.64	0.60	3.80	3.24	4.6%	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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Ohio

Job	Median	Middle half	Employed
Ohio, all employers
CNAs (nursing assistants)	$18.76	$17.93 to $21.44	63,280
LPNs and LVNs	$29.78	$27.34 to $31.68	39,900
Registered nurses	$39.67	$38.08 to $47.61	143,730
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

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

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	3.7	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.0	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	1.5	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	5.6	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.3	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	5.3	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	18.7	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	6.4	12.9	12.0

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Lakes of Sylvania, the's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (67.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

67.1% this home

Better than the national rate

US median of homes 51.5% · Ohio: 147 better, 20 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 163 eligible stays.

Potentially preventable readmissions

10.5% this home

No different from the national rate

US median of homes 10.7% · Ohio: 3 better, 7 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 152 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Ohio: 1 better, 4 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 114 eligible stays.

Self-care and mobility at discharge

82.1% this home

Median of homes: Ohio55.6% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 84 residents counted.

Falls with major injury

0.0% this home

Median of homes: Ohio0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 117 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Ohio1.4% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 117 residents counted.

Medication list given at discharge

100.0% this home

Median of homes: Ohio100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 66 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: TRILOGY HEALTHCARE OF SYLVANIA LLC. CMS links this home to Trilogy Health Services, a group of 127 nursing homes averaging 4.2 stars overall.

Name	Role	Type	Since
Continental Merger Sub LLC	5% or greater indirect ownership interest	Organization	10/01/2021
Northstar Healthcare Income Inc	5% or greater indirect ownership interest	Organization	10/01/2021
Northstar Healthcare Income Operating Partnership LP	5% or greater indirect ownership interest	Organization	10/01/2021
Trilogy Holdings Nt-Hci, LLC	5% or greater indirect ownership interest	Organization	10/01/2021
Corbin, Kathy	W-2 managing employee	Individual	01/11/2011
Fightmaster, Lisa	W-2 managing employee	Individual	12/01/2015
Barney, Leigh	Corporate officer	Individual	11/01/2019
Bryant, William	Corporate officer	Individual	01/05/2016
Bufford, Randall	Corporate officer	Individual	11/01/2019
Conner, Gregory	Corporate officer	Individual	06/03/2021
Davis, David	Corporate officer	Individual	08/21/2017
Mehaffey, Todd	Corporate officer	Individual	01/31/2022
Pietrowski, Cristina	Corporate officer	Individual	01/31/2022
Prosky, Danny	Corporate officer	Individual	12/01/2015
Streiff, Mathieu	Corporate officer	Individual	12/01/2015
Trilogy Management Services LLC	Operational/managerial control	Organization	10/01/2021
Soles, Emily	Operational/managerial control	Individual	01/27/2023

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.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on February 12, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on February 12, 2026: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on August 13, 2021: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on August 13, 2021: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."

Other nursing homes nearby

Otterbein Sunset Village
Sylvania, 1 mi · 2 of 5 stars · 38 citations
Kingston Health Center of Sylvania
Sylvania, 2.3 mi · 3 of 5 stars · 37 citations
Rosary Care Center
Sylvania, 2.8 mi · 3 of 5 stars · 22 citations
Arbors at Sylvania
Toledo, 3.4 mi · 3 of 5 stars · 32 citations
Franciscan Care Ctr Sylvania
Toledo, 4 mi · 2 of 5 stars · 97 citations
Divine Rehabilitation and Nursing at Sylvania
Sylvania, 5 mi · 2 of 5 stars · 93 citations
Spring Meadows Nursing, a Villa Center
Holland, 6.6 mi · 3 of 5 stars · 28 citations
Otterbein Sunset House
Toledo, 6.9 mi · 3 of 5 stars · 24 citations

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.

Common questions

What is Lakes of Sylvania, the's Medicare star rating?: CMS rates Lakes of Sylvania, the 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Lakes of Sylvania, the get at its last inspection?: 5 health deficiencies at the standard inspection on February 12, 2026. The Ohio average is 10.5.
Has Lakes of Sylvania, the been fined?: CMS lists no fines in the last three years.
Does Lakes of Sylvania, the 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 Lakes of Sylvania, the?: CMS lists 17 owners and managers, and links the home to Trilogy Health Services. Legal business name: TRILOGY HEALTHCARE OF SYLVANIA LLC.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.