Federal inspection record · CMS data as of October 1, 2026

Advanced Healthcare Center

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

CMS overall rating

4 of 5

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Certified beds
99
Residents per day
78
Ownership
For-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare + Medicaid
Certified since
October 7, 1987

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    +1 star

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Ohio homes

Advanced Healthcare Center carries 49 inspection points. That is fewer than 60% of Ohio's 913 rated homes.

5★4★3★2★1★+28 homes above 24805102550100200inspection points → fewer is better on the leftThis home · 49 pts · 3★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–15 pts
  • 4★ 15–42 pts
  • 3★ 42–69 pts
  • 2★ 69–121.25 pts
  • 1★ over 121.25 pts

Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

32 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 24 4 pts
E 7 8 pts
F 1 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care11D
  1. D

    Assist a resident in gaining access to vision and hearing services.

    January 29, 2026 · Standard · F685 · Corrected February 20, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    January 29, 2026 · Standard · F689 · Corrected February 20, 2026

  3. 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.

    January 29, 2026 · Complaint · F690 · Corrected February 20, 2026

  4. 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.

    May 28, 2025 · Complaint · F690 · Corrected June 10, 2025

  5. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    December 14, 2023 · Standard · F686 · Corrected January 11, 2024

  6. 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.

    December 14, 2023 · Standard · F690 · Corrected January 11, 2024

  7. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 13, 2023 · Standard · F677 · Corrected August 4, 2023

  8. D

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    July 13, 2023 · Standard · F686 · Corrected August 4, 2023

  9. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    July 13, 2023 · Standard · F689 · Corrected August 4, 2023

  10. 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.

    July 13, 2023 · Standard · F690 · Corrected August 4, 2023

  11. D

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    July 13, 2023 · Standard · F694 · Corrected August 4, 2023

Pharmacy Service9E
  1. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    January 29, 2026 · Standard · F755 · Corrected February 20, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    July 14, 2025 · Complaint · F760 · Corrected August 13, 2025

  3. D

    Ensure that residents are free from significant medication errors.

    April 3, 2025 · Complaint · F760 · Corrected April 16, 2025

  4. E

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    December 14, 2023 · Standard · F755 · Corrected January 11, 2024

  5. E

    Ensure medication error rates are not 5 percent or greater.

    December 14, 2023 · Standard · F759 · Corrected January 11, 2024

  6. D

    Ensure that residents are free from significant medication errors.

    October 12, 2023 · Complaint · F760 · Corrected October 20, 2023

  7. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    July 13, 2023 · Standard · F755 · Corrected August 4, 2023

  8. D

    Ensure that residents are free from significant medication errors.

    July 13, 2023 · Standard · F760 · Corrected August 4, 2023

  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.

    July 13, 2023 · Standard · F761 · Corrected August 4, 2023

Resident Rights4E
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    June 2, 2026 · Complaint · F580 · Corrected June 26, 2026

  2. E

    Keep residents' personal and medical records private and confidential.

    January 9, 2024 · Complaint · F583 · Corrected January 11, 2024

  3. E

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    December 14, 2023 · Standard · F580 · Corrected January 11, 2024

  4. D

    Reasonably accommodate the needs and preferences of each resident.

    December 14, 2023 · Standard · F558 · Corrected January 11, 2024

Nutrition and Dietary2F
  1. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    January 29, 2026 · Standard · F812 · Corrected February 20, 2026

  2. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 13, 2023 · Standard · F812 · Corrected August 4, 2023

Environmental2D
  1. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    January 29, 2026 · Complaint · F921 · Corrected February 20, 2026

  2. D

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    July 13, 2023 · Standard · F921 · Corrected August 4, 2023

Freedom from Abuse, Neglect, and Exploitation2D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    July 14, 2025 · Complaint · F609 · Corrected August 13, 2025

  2. D

    Respond appropriately to all alleged violations.

    July 14, 2025 · Complaint · F610 · Corrected August 13, 2025

Resident Assessment and Care Planning1D
  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.

    July 21, 2026 · Complaint · F657 · Corrected July 31, 2026

Infection Control1E
  1. E

    Provide and implement an infection prevention and control program.

    December 14, 2023 · Complaint · F880 · Corrected January 11, 2024

Inspection history

  1. 2026-01-29

    8 health deficiencies · 3 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2023-12-14

    12 health deficiencies · 4 fire-safety deficiencies

    Top issue: Pharmacy Service (4 deficiencies)

  3. 2023-07-13

    12 health deficiencies · 2 fire-safety deficiencies

    Top issue: Quality of Life and Care (5 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 29 min of nursing staff time a day, 30 min of it from a registered nurse.

This home

3 h 29 min

Ohio average

3 h 43 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 42% of nursing staff and 29% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.3 pts better99.0%92.7%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.9 pts better97.6%93.7%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better0.6%3.1%3.2%
Percentage of long-stay residents who have depressive symptoms32.2 pts worse63.8%31.6%13.5%
Percentage of long-stay residents who lose too much weight0.8 pts worse6.9%6.1%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.1 pts better13.4%25.5%19.5%
Percentage of long-stay residents who received an antipsychotic medication0.6 pts better7.9%8.5%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened5.3 pts better0.0%5.3%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better3.7%5.0%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better0.0%0.2%0.7%
Percentage of long-stay residents with a urinary tract infection0.4 pts better0.0%0.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.7 pts worse27.6%20.9%18.3%
Percentage of long-stay residents with pressure ulcers0.2 pts better3.0%3.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.6 pts better81.0%78.4%82.3%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.0%1.2%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.5 pts better85.9%76.4%80.1%

·

Who owns and runs it

19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Toledo Mstr Co LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Cobalt I Irrevocable TrustAdp Of The SNF · Organization0%3 facilities
Cobalt Ii Irrevocable TrustAdp Of The SNF · Organization0%3 facilities
Cobalt Iii Irrevocable TrustAdp Of The SNF · Organization0%3 facilities
Cobalt Iv Irrevocable TrustAdp Of The SNF · Organization0%3 facilities
Georgakopoulos, ToulaOperational/Managerial Control · Individual0%1 facilities
Georgakopoulos, ToulaAdp Of The SNF · Individual0%1 facilities
Groves, DonnaOperational/Managerial Control · Individual0%91 facilities
Kayyali, AmmarOperational/Managerial Control · Individual0%2 facilities
Kayyali, AmmarAdp Of The SNF · Individual0%2 facilities
Marino, PeterCorporate Officer · Individual0%4 facilities
Minority Report LLCAdp Of The SNF · Organization0%3 facilities
Parkway Mgt Co LLCOperational/Managerial Control · Organization0%4 facilities
Parkway Mgt Co LLCAdp Of The SNF · Organization0%4 facilities
Parkway Re Holdings I, LLCAdp Of The SNF · Organization0%1 facilities
Romeo, DominicOperational/Managerial Control · Individual0%90 facilities
Toledo Hc Holdings LLCAdp Of The SNF · Organization0%3 facilities
Toledo Mstr Co LLCAdp Of The SNF · Organization0%1 facilities
Tranquillo, DeborahCorporate Officer · Individual0%4 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke4E
  1. E

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    January 29, 2026 · K372 · Corrected February 20, 2026

  2. E

    Inspect, test, and maintain automatic sprinkler systems.

    December 14, 2023 · K353 · Corrected January 11, 2024

  3. E

    Install corridor and hallway doors that block smoke.

    December 14, 2023 · K363 · Corrected January 11, 2024

  4. E

    Inspect, test, and maintain automatic sprinkler systems.

    July 13, 2023 · K353 · Corrected August 4, 2023

Egress2F
  1. F

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    January 29, 2026 · K211 · Corrected February 20, 2026

  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.

    January 29, 2026 · K222 · Corrected February 20, 2026

Services1E
  1. E

    Have properly installed electrical wiring and gas equipment.

    December 14, 2023 · K511 · Corrected January 11, 2024

Miscellaneous1E
  1. E

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    December 14, 2023 · K741 · Corrected January 11, 2024

Gas, Vacuum, and Electrical Systems1E
  1. E

    Ensure proper usage of power strips and extension cords.

    July 13, 2023 · K920 · Corrected August 4, 2023

·

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