Ohio Living Swan Creek
1650 Swan Creek Lane, Toledo, OH 43614 · Lucas County · (419) 865-4445
34 certified beds, about 32 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365996 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2026, inspectors cited 8 health deficiencies (the Ohio average is 10.5, the national average 9.2).
Of 25 health citations since January 2020, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $34,873 in the last three years; the largest was $34,873, and the latest is dated August 27, 2025.
Nurses and nurse aides worked 4.02 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.86 of those hours.
45.7% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Ohio Living Communities, an affiliated group of 11 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.
201/20
805/23
210/23
204/24
308/25
804/26
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
2G
0H
0I
Potential for more than minimal harm
20D
1E
2F
Potential for minimal harm
0A
0B
0C
April 2, 2026Standard inspection · 8 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 interview, and review of facility policy the facility failed to store and handle food safely. This had the potential to affect all residents. The census was 32.
- E Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on review of the medical record, staff interview, pharmacist recommendations, and policy review, the facility failed to ensure adequate monitoring for psychotropic medication effectiveness, side effects and adverse effects. This affected four (#5, #13, #32, and #38) of five residents reviewed for unnecessary medications. This had the potential to affect 24 residents the facility identified as receiving psychotropic medications. The facility census was 32.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, staff interview, review of beneficiary protection notifications, and review of CMS (Centers for Medicare and Medicaid Services) guidance, the facility failed to ensure beneficiary protection notification included the estimated cost. This affected three (#11, #43, and #45) of three residents reviewed for beneficiary protection notice. The facility census was 32.
- 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 record review, staff interview, and policy review, the facility failed to ensure comprehensive care plans reflected each resident's individual needs and conditions. This affected two (#3 and #5) of 17 residents reviewed for comprehensive care plans. The facility census was 32.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, record review, and policy review, the facility failed to ensure dependent residents received adequate oral hygiene. This affected one (#19) of two residents reviewed for activities of daily living.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, record review, review of a delivery invoice, staff interview, and policy review, the facility failed to ensure wound treatments were implemented timely and failed to ensure pressure ulcer prevention devices were in place. This affected one (#3) of two residents reviewed for pressure ulcers. The facility census was 32.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on record review, review of pharmacy recommendations, and staff interview, the facility failed to ensure pharmacy recommendations were addressed by the facility's provider. This affected one (#5) of five residents reviewed for pharmacy recommendations. The facility census was 32.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure residents received appropriate antibiotics to treat urinary tract infections. This affected two (#26 and #44) of three residents reviewed for urinary tract infections (UTI). The facility census was 32.
August 27, 2025Complaint inspection · 3 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, family interview, staff interviews, and policy review, the facility failed to ensure a resident who experienced an unwitnessed fall with injury was provided timely treatment including notifying the physician of complaints of pain, inability to fully move extended leg and obtaining an x-ray. Actual harm occurred on 05/31/25, when Resident #30 experienced an unwitnessed fall from the bed with an injury. Following the incident, the resident continually complained of pain in his hip and had limited mobility with his leg. The facility did not obtain an x-ray of the hip until nine (9) days after the fall. Subsequently, Resident #30 was transferred to the hospital for surgical repair of a broken hip from the fall. This affected one (#30) of three residents reviewed for change in condition. The facility census was 28.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on review of medical records, family interview, staff interview, rand review of policy, the facility failed to provide interventions to prevent the development of a pressure ulcer. This affected one (#31) of three residents reviewed for pressure ulcers. The facility census was 28.
- 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, and staff interview, the facility failed to ensure interventions were implemented timely to address incontinence. This affected one (#11) of four residents reviewed for timely care and treatment in a facility census of 29.
April 29, 2024Complaint inspection · 2 citations
- 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, observation, staff interview, and review of the facility policy, the facility failed to ensure the treatment of a suprapubic catheter was provided per physician order and failed to ensure the documentation of urine output was completed per physician order. This affected two (#20 and #22) of two residents reviewed for urinary catheters. The facility census was 37.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on medical record review, observations, staff interview, and review of the facility policies, the facility failed to implement enhanced barrier precautions when providing catheter care to the residents. This affected two (#20 and #22) of two residents observed for catheter care. The facility identified two residents (#20 and #22) with indwelling catheters. The facility census was 31.
October 31, 2023Complaint inspection · 2 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, staff interview, and review of facility policy, the facility failed to ensure physician orders for a nutritional supplement were followed and the physician and dietician were notified regarding a significant weight loss. This resulted in actual harm when Resident #3's ordered nutritional supplement was not available from the supplier for the facility to administer, the facility did not reach out to the physician or the dietician for an alternate supplement or different interventions, and the resident had a significant weight loss of 15.2 pounds/ 8.5 percent weight loss. Additionally, when the significant weight loss occurred the facility failed to notify the physician and dietician of the occurrence. This affected one (#3) of three residents reviewed for weight loss. The facility census was 28.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, family interview, staff interview, and review of facility policies, the facility failed to notify the physician and resident representative of a significant weight loss for one (#3) of three residents reviewed for weight loss. The facility census was 28.
May 4, 2023Standard inspection · 8 citations
- F 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 the shower was maintained in a clean and sanitary manner. This affected all residents except two (#2 and #12) residents identified by they facility as not using the shower room. The facility census was 31.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, beneficiary notice review, staff interview, and review of facility policy, the facility failed to ensure Notice of Medicare Non-Coverage was provided when Medicare Part A services ended and a resident remained in the facility. This affected one (#17) of three residents reviewed for beneficiary notices. The facility census was 31.
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure communication interventions were provided and available for use to increase communication abilities of one (#10) resident reviewed for impaired hearing and communication interventions. Facility census 31.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure monitoring and interventions were implemented to promote the management of lower extremity edema. This affected one resident (#25) reviewed for bilateral lower extremity edema. Facility census 31.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, medical record review, staff interview, and review of facility policy, the facility failed to ensure interventions were maintained to promote intact skin integrity. This affected one (#13 ) of five residents reviewed for skin breakdown prevention interventions. The facility identified 28 residents with preventative treatment for skin breakdown. The facility census was 31.
- 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, staff interview, and review of facility policy, the facility failed to ensure fall prevention interventions were provided in accordance with physician orders and per care plan. This affected two (#17 and #23) of two residents reviewed for the prevention of accidents. The facility census 31.
- 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, and review of facility perineal care policy, the facility failed to ensure a resident received timely and proper incontinence. This affected one (#23) resident reviewed for incontinence care. The facility identified 26 incontinent residents. Facility census 31.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, observation, resident and staff interview, and review of facility policy, the facility failed to follow physician orders to provide a meal for one (#8) of one resident reviewed nutrition. The facility census was 31.
January 30, 2020Standard inspection · 2 citations
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review and staff interview, the facility failed to issue a written notice of bed hold policy to residents and resident representatives when transferred from the facility. This affected one (#20) of one resident reviewed for hospitalization. The facility identified six residents who were transferred to the hospital from the facility in the last three months. The census was 33.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide rationale for an as needed psychoactive medication order extending beyond 14 days. This affected one (#3) of five residents reviewed for unnecessary medications. The facility identified six residents who received antianxiety medications. The census was 33.
Fire safety inspections
15 fire safety citations on file: 6 on April 2, 2026, 7 on May 4, 2023, 2 on January 30, 2020.
Every fire safety citation15 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Meet requirements for sections of health care facilities separated by fire resistive construction.
- E Install corridor and hallway doors that block smoke.
- E Ensure proper usage of power strips and extension cords.
- F Use approved construction type or materials.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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 Provide properly protected cooking facilities.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- F Ensure proper usage of power strips and extension cords.
- E Install an approved automatic sprinkler system.
- E Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 27, 2025 | Fine | $34,873 |
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) | 4.02 | 3.69 | 3.86 |
| Registered nurses | 0.86 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.48 | 3.28 | 3.42 |
| Nurse aides | 2.17 | ||
| Licensed practical nurses | 1.00 | ||
| Nursing staff turnover (share who left in a year) | 45.7% | 48.7% | 45.8% |
| Registered nurse turnover | 25.0% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.06 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 4.24 on weekdays and 3.48 on weekends, 18% 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 5.43 in April to June 2025 to 4.02 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 | 4.02 | 0.86 | 4.24 | 3.48 | 0.0% | 2 of 90 | 32 |
| Oct to Dec 2025 | 4.73 | 1.14 | 5.12 | 3.73 | 0.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 5.15 | 1.16 | 5.59 | 4.05 | 0.0% | 0 of 92 | 28 |
| Apr to Jun 2025 | 5.43 | 1.05 | 5.86 | 4.34 | 0.0% | 0 of 91 | 28 |
| 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 | 0.0 | 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 | 6.1 | 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 with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.8 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 28.7 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 20.5 | 12.9 | 12.0 |
Owners and operators
Legal business name: OHIO LIVING COMMUNITIES. CMS links this home to Ohio Living Communities, a group of 11 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Adam, Sandra | Corporate director | Individual | 07/01/2019 | |
| Belfance, Leslie | Corporate director | Individual | 01/01/2023 | |
| Ingwersen, Melissa | Corporate director | Individual | 07/01/2022 | |
| Joyce, James | Corporate director | Individual | 07/01/2020 | |
| White, Terry | Corporate director | Individual | 07/01/2019 | |
| Gumina, Laurence | Corporate officer | Individual | 12/28/2011 | |
| Stillman, Robert | Corporate officer | Individual | 04/15/2013 | |
| Gumina, Laurence | Operational/managerial control | Individual | 12/28/2011 | |
| Hufdhi, Raied | Adp of the SNF | Individual | 03/04/2025 | |
| Phillips, Tim | Adp of the SNF | Individual | 01/01/2019 |
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 13 problems in this area, most recently on April 2, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on April 2, 2026: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 2, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 2, 2026: "Implement a program that monitors antibiotic use."
Other nursing homes nearby
- Heatherdowns Rehab & Residential Care Center Toledo, 1.3 mi · 2 of 5 stars · 61 citations
- Lutheran Village at Wolfcreek Holland, 1.5 mi · 4 of 5 stars · 29 citations
- Continuing Healthcare of Toledo Toledo, 1.8 mi · 2 of 5 stars · 64 citations
- Spring Meadows Nursing, a Villa Center Holland, 2.2 mi · 3 of 5 stars · 28 citations
- Foundation Park Care Center Toledo, 2.2 mi · 2 of 5 stars · 55 citations
- Ridgewood Manor Maumee, 2.6 mi · 3 of 5 stars · 37 citations
- Concord Care Center of Toledo Toledo, 2.7 mi · 2 of 5 stars · 57 citations
- Divine Rehabilitation and Nursing at Toledo Toledo, 3.5 mi · not rated · 107 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 Ohio Living Swan Creek's Medicare star rating?
- CMS rates Ohio Living Swan Creek 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Ohio Living Swan Creek get at its last inspection?
- 8 health deficiencies at the standard inspection on April 2, 2026. The Ohio average is 10.5.
- Has Ohio Living Swan Creek been fined?
- Yes. CMS lists 1 fine totaling $34,873 in the last three years.
- Does Ohio Living Swan Creek 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 Ohio Living Swan Creek?
- CMS lists 10 owners and managers, and links the home to Ohio Living Communities. Legal business name: OHIO LIVING COMMUNITIES.
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.