Majestic Care of Toledo SNF
131 North Wheeling Street, Toledo, OH 43605 · Lucas County · (419) 693-0751
85 certified beds, about 80 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2000
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366188 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 25, 2025, inspectors cited 3 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 25 health citations since May 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $22,432 in the last three years; the largest was $22,432, and the latest is dated October 19, 2023.
Nurses and nurse aides worked 3.15 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
45.2% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Majestic Care, an affiliated group of 26 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.
905/21
1210/23
309/25
104/26
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
18D
2E
4F
Potential for minimal harm
0A
0B
0C
April 28, 2026Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, review of self-reported incidents, staff interview, and review of facility policy, the facility failed to ensure injuries of unknown origin were thoroughly investigated and reported to the State Survey Agency. This affected one (Resident #59) of four residents reviewed for injuries of unknown origin. The facility census was 80.
September 25, 2025Standard inspection · 3 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, staff interview, and facility policy review, the facility failed to ensure accurate and descriptive wound assessments, timely treatment orders for an identified wound, and ensure wound interventions were in place for a resident with pressure ulcers. This affected one (#24) of two residents reviewed for pressure ulcers. The facility census was 67.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on medical record review, staff interview, and facility policy review, the facility failed to ensure residents were assessed and monitored for complications before and after hemodialysis treatments and failed to implement physician orders to notify the physician for weight loss in a day or week. This affected one (#24) of one resident reviewed for dialysis. The facility census was 67.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure physician orders were transcribed accurately in the electronic medical record. This affected one (Resident #5) of 20 residents reviewed for medical record accuracy. The facility census was 67.
October 19, 2023Standard inspection · 12 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of the medical record, observations, staff interview, policy review, and review of guidelines from the National Pressure Ulcer Advisory Panel (NPUAP), the facility failed to assess newly identified skin breakdown, notify the physician of skin breakdown, and implement treatments to aid in the healing of skin breakdown. This resulted in Actual Harm when Resident #28 was found to have an open area that was not assessed or treated for two days and then was assessed as a stage three pressure ulcer to the coccyx. Additionally, the facility failed to assess a newly identified skin breakdown for Resident #7, which placed the resident at risk for more than minimal harm that did not result in actual harm. This affected two (#7 and #28) of two residents reviewed for pressure ulcers. The facility identified 11 residents with pressure ulcers. The facility census 80.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, medical record review, staff interview, review of the facility policy, and review of the manufacturer's guidelines, the facility failed to ensure proper hand hygiene was performed during food service on the third floor. This affected Resident #30 and had the potential to affect all residents on the third floor except Resident #44 who received no food from the kitchen. The facility identified 31 residents on the third floor. Additionally, the facility failed to ensure the dishwasher in the main kitchen washed dishes at the appropriate temperature. This had the potential to affect all residents in the facility except Resident #44 who received no food from the kitchen. The facility identified Resident #44 as the only resident in the facility who did not receive food from the kitchen. The facility census was 80.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interview, review of facility monitoring logs, Legionella Risk Assessment review, and review of the policy, the facility failed to ensure monitoring for Legionella was completed. This had the potential to affect all 80 residents in the facility. The facility census was 80.
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on staff interview, review of monitoring logs, review of the medical record, and review of policy, the facility failed to ensure an antibiotic stewardship program was implemented to ensure infections and antibiotics were accurately being tracked. This had the potential to affect all 80 residents in the facility. The facility census was 80.
- D 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.
Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and review of policy, the facility failed to maintain comfortable room temperatures in resident rooms. This affected one resident (#67) of three residents reviewed on the 100 hallway. The facility census was 80.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, resident interview, staff interview and review of the policy, the facility failed to ensure residents who required staff assistance with activities of daily living, received adequate and timely care to maintain good personal hygiene including nail care and shaving. This affected two residents (#67 and #10) of three residents reviewed for activities of daily living. The facility census was 80:
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and review of policy, the facility failed to ensure resident's smoking materials were kept in a secured area by staff. This affected one resident (#36) of two residents reviewed for smoking. The facility census was 80.
- 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.
Inspectors wroteBased on observation, medical record review, staff interview, resident interview, review of physician orders, and policy review, the facility failed to ensure a urinary catheter anchor was in place for prevention of urinary catheter dislodgement. This affected one (#67) of one resident reviewed for urinary catheters. The facility identified five residents with urinary catheters. The facility census was 80.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, medical record review, resident interview, staff interview and policy review, the facility failed to ensure a resident received nutritional supplements as ordered. This affected one resident (#67) of three residents reviewed for nutrition. The facility census was 80.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on record review, staff interview, and review of the policy, the facility failed to ensure pneumococcal vaccines were offered to residents. This affected one (#1) of five residents reviewed for pneumococcal vaccines. The facility census was 80.
- D 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.
Inspectors wroteBased on record review, staff interview, review of the Centers for Disease Control Prevention (CDC) guidelines, and review of the policy, the facility failed to ensure COVID-19 vaccines were offered to residents. This affected two (#1 and #44) of five residents reviewed for COVID-19 vaccination. The facility census was 80.
- D Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, medical record review, resident interview, staff interview, and review of policy, the facility failed to ensure a resident's room was maintained in a clean, homelike environment. This affected one (#44) of two residents reviewed for a clean, homelike environment. The facility census was 80.
May 27, 2021Standard inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interviews, and review of facility policies, the facility failed to ensure the walk-in refrigerator was clean; food items in the upright kitchen refrigerator were properly covered, labeled, and dated; and failed to cover food during transportation and distribution to residents. This had the potential to affect 71 of 72 residents who receive food from the kitchen. The facility identified one resident (#19) who did not receive food from the kitchen and directly affected six residents (#6, #21, #42, #45, #53, and #69) who received a lunch meal tray in their resident room. The facility census was 72.
- E Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, resident record review, and review of the facility's policies, the facility failed to complete weekly wound assessments and failed to complete wound treatments as physician ordered. This affected four (#8, #53, #57, and #69) of six residents reviewed for pressure ulcers. The facility identified eight residents with pressure ulcers. The facility census was 72.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a resident's personal room and the dining room area (where the resident sat) were cleaned timely, after the resident repeatedly spits on the floor. This directly affected one (#49) and potentially affected fifteen (#7, #11, #16, #20, #24, #25, #27, #29, #32, #33, #40, #44, #62, #65, and #79) additional residents who eat in the 300 hall dining room. The facility census was 72.
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on record review, resident and staff interview, observation, and facility policy review, the facility failed to provide accommodations related to resident's smoking preferences. This affected one (#46) of one resident reviewed for smoking. The facility identified seven residents who smoked. The facility census was 72.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review, staff interview and facility policy review, the facility failed to develop a comprehensive care plan for residents to identify individual service needs. This affected two residents (#42 and #46) of three residents reviewed for care plans. The facility census was 72.
- 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.
Inspectors wroteBased on medical record review, staff interview, and review of the facility's policy, the facility failed to perform routine care for indwelling urinary catheters including cleaning the catheter insertion site. This affected one (#232) of one resident reviewed for catheter care. The facility identified two residents with indwelling urinary catheters. The facility census was 72.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interviews, medical record reviews, and review of facility policies, the facility failed to ensure medications were administered in accordance with physician orders. This affected three (#9, #19, and #57) residents reviewed for pharmacy services. The census was 72.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, staff interview, medical record review, and review of a drug manufacturer's administration instructions, the facility failed to prime an insulin pen prior to administration. This affected one (#72) of three residents observed during medication administration. The facility identified 17 residents with orders for insulin. The census was 72.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and review of a facility policy, the facility failed to accurate document medication administration in the medical record. This affected one (#231) of four residents reviewed for medication administration. The census was 72.
Fire safety inspections
9 fire safety citations on file: 2 on September 25, 2025, 6 on October 19, 2023, 1 on May 27, 2021.
Every fire safety citation9 citations
- F Provide properly protected cooking facilities.
- E Ensure proper usage of power strips and extension cords.
- 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.
- F Have exits that are accessible at all times.
- F Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Install an approved automatic sprinkler system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 19, 2023 | Fine | $22,432 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.15 | 3.69 | 3.86 |
| Registered nurses | 0.39 | 0.64 | 0.69 |
| All nursing staff on weekends | 2.65 | 3.28 | 3.42 |
| Nurse aides | 1.66 | ||
| Licensed practical nurses | 1.11 | ||
| Nursing staff turnover (share who left in a year) | 45.2% | 48.7% | 45.8% |
| Registered nurse turnover | 37.5% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.92 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 3.35 on weekdays and 2.65 on weekends, 21% 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 3.11 in April to June 2025 to 3.15 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 | 3.15 | 0.39 | 3.35 | 2.65 | 0.0% | 0 of 90 | 80 |
| Oct to Dec 2025 | 3.35 | 0.38 | 3.54 | 2.86 | 0.0% | 0 of 92 | 73 |
| Jul to Sep 2025 | 3.36 | 0.33 | 3.56 | 2.85 | 0.0% | 2 of 92 | 72 |
| Apr to Jun 2025 | 3.11 | 0.29 | 3.28 | 2.67 | 0.0% | 1 of 91 | 77 |
| 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.
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 | 2.6 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.3 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.6 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 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 | 6.3 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.6 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.1 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 12.9 | 12.0 |
Owners and operators
Legal business name: MAJESTIC CARE OF TOLEDO SNF OPERATIONS LLC. CMS links this home to Majestic Care, a group of 26 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Majestic Care of Toledo Operations Holdings LLC | 5% or greater direct ownership interest | Organization | 100% | 12/17/2021 |
| Pruitt, Paul | Managing control - governing body | Individual | 05/01/2023 | |
| 131 North Wheeling Street LLC | Operational/managerial control | Organization | 01/01/2022 | |
| Majestic Management LLC | Operational/managerial control | Organization | 12/17/2021 | |
| Chamberlain, Margaret | Operational/managerial control | Individual | 09/11/2023 | |
| Polisetty, Sudheer | Operational/managerial control | Individual | 01/01/2025 | |
| Pruitt, Paul | Operational/managerial control | Individual | 05/01/2023 | |
| Rewa, Angela | Operational/managerial control | Individual | 10/23/2023 | |
| Russell, Robert | Operational/managerial control | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Operational/managerial control | Individual | 12/02/2024 | |
| Voyles-Baden, Cathleen | Operational/managerial control | Individual | 12/17/2021 | |
| Wolfe, Eric | Operational/managerial control | Individual | 09/11/2023 | |
| 131 North Wheeling Street LLC | Adp of the SNF | Organization | 12/17/2021 | |
| Majestic Care of Toledo Realty Holdings LLC | Adp of the SNF | Organization | 12/17/2021 | |
| Majestic Management LLC | Adp of the SNF | Organization | 07/11/2025 | |
| Mdg Real Estate Global Limited | Adp of the SNF | Organization | 12/17/2021 | |
| Chamberlain, Margaret | Adp of the SNF | Individual | 09/11/2023 | |
| Marx, David | Adp of the SNF | Individual | 12/17/2021 | |
| Polisetty, Sudheer | Adp of the SNF | Individual | 01/01/2025 | |
| Pruitt, Paul | Adp of the SNF | Individual | 05/01/2023 | |
| Rewa, Angela | Adp of the SNF | Individual | 10/23/2023 | |
| Russell, Robert | Adp of the SNF | Individual | 04/08/2024 | |
| Shatrov, Anzhelika | Adp of the SNF | Individual | 12/02/2024 | |
| Voyles-Baden, Cathleen | Adp of the SNF | Individual | 12/17/2021 | |
| Wolfe, Eric | Adp of the SNF | Individual | 09/11/2023 |
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 9 problems in this area, most recently on September 25, 2025: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 4 problems in this area, most recently on October 19, 2023: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 25, 2025: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on October 19, 2023: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.65 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Arbors at Oregon Oregon, 1.3 mi · 3 of 5 stars · 50 citations
- Orchard Villa Oregon, 1.6 mi · 4 of 5 stars · 33 citations
- Ayden Healthcare of Oregon Oregon, 2 mi · 2 of 5 stars · 49 citations
- The Gardens of St. Francis Oregon, 3.3 mi · 3 of 5 stars · 40 citations
- Majestic Care of Point Place Toledo, 5.3 mi · 1 of 5 stars · 46 citations
- Merit House LLC Toledo, 5.3 mi · 2 of 5 stars · 43 citations
- Advanced Healthcare Center Toledo, 6 mi · 4 of 5 stars · 40 citations
- Park Terrace Rehabilitation Center Toledo, 6.4 mi · 1 of 5 stars · 105 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 Majestic Care of Toledo SNF's Medicare star rating?
- CMS rates Majestic Care of Toledo SNF 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Majestic Care of Toledo SNF get at its last inspection?
- 3 health deficiencies at the standard inspection on September 25, 2025. The Ohio average is 10.5.
- Has Majestic Care of Toledo SNF been fined?
- Yes. CMS lists 1 fine totaling $22,432 in the last three years.
- Does Majestic Care of Toledo SNF 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 Majestic Care of Toledo SNF?
- CMS lists 25 owners and managers, and links the home to Majestic Care. Legal business name: MAJESTIC CARE OF TOLEDO SNF OPERATIONS 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.