Toledo, OH

Advanced Healthcare Center

2-star overall rating with 2-star inspections with 14 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

955 Garden Lake Pkwy, Toledo, OH

(419) 382-2200

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Health Care Facility Management, LLC

Operator or chain grouping

Approved since

1987-10-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

5 facilities

Chain averages 3 overall / 3 health / 2 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.37

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.88

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.34

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.46

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.95

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.33

CMS adjusted RN staffing hours

Adjusted total hours

2.98

CMS adjusted total nurse staffing hours

Case-mix index

1.53

Higher values indicate more complex resident acuity

RN turnover

43%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,280

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

13.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9812

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.61

Performance 53.01% · Measure score 2.61 · Achievement 2.61 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

Baseline 2.81 hours · Performance 2.90 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.66%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 11.11% · Lower 95% interval 6.45%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.27	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 20 · Denominator 20
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 20
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 20 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 110
Staff flu vaccination coverage	67.83%	42% 25.8 pts better	Numerator 97 · Denominator 143
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.3%	92.4% 2.9 pts better	93.4% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 87.5% · Q2 95.2% · Q3 98.8% · Q4 98.7% · 4Q avg 95.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	94.6%	94.5% 0.1 pts better	95.5% 0.9 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 94.6%
Percentage of long-stay residents experiencing one or more falls with major injury	0.9%	3.3% 2.4 pts better	3.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	28.7%	26.1% 2.6 pts worse	11.4% 17.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.4% · Q2 16.7% · Q3 24.0% · Q4 49.2% · 4Q avg 28.7%
Percentage of long-stay residents who lose too much weight	2.1%	6.2% 4.1 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 2.6% · Q4 4.3% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.1%	25.4% 8.3 pts better	19.6% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.7% · Q2 16.5% · Q3 16.7% · Q4 12.9% · 4Q avg 17.1%
Percentage of long-stay residents who received an antipsychotic medication	11.4%	11.5% 0.1 pts better	16.7% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.3% · Q2 15.8% · Q3 6.7% · Q4 7.4% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	2.8%	7.7% 4.9 pts better	16.3% 13.5 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 4.0% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.6%	6.2% 3.6 pts better	14.9% 12.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 1.4% · Q3 2.7% · Q4 3.1% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.2% About the same	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.0%	21.7% 1.7 pts better	19.8% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.3% · Q2 24.8% · Q3 14.9% · Q4 23.2% · 4Q avg 20.0%
Percentage of long-stay residents with pressure ulcers	7.0%	3.7% 3.3 pts worse	5.1% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 7.9% · Q3 5.9% · Q4 3.5% · 4Q avg 7.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	72.3%	78.1% 5.8 pts worse	81.7% 9.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 64.0% · Q2 75.9% · Q3 81.4% · Q4 70.7% · 4Q avg 72.3%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	70.0%	75.6% 5.6 pts worse	79.7% 9.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 70.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-12-14 · Fire 2023-12-14

14 health deficiencies

Top issue: Pharmacy Service (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-07-13 · Fire 2023-07-13

10 health deficiencies

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

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

24 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2023-12-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-07-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-08-04

E · Potential for more than minimal harm 2023-07-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-08-04

F · Potential for more than minimal harm 2023-01-26

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-30

F · Potential for more than minimal harm 2023-01-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-26

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-02-24

F · Potential for more than minimal harm 2023-01-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-26

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-26

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-26

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-02-24

E · Potential for more than minimal harm 2023-01-26

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2023-02-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-29

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Not marked corrected

D · Potential for more than minimal harm 2026-01-29

F921 · Environmental Deficiencies

Health

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

Not marked corrected

D · Potential for more than minimal harm 2025-07-14

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-07-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-07-14

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-08-13

D · Potential for more than minimal harm 2025-05-28

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-06-10

D · Potential for more than minimal harm 2025-04-03

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-16

E · Potential for more than minimal harm 2024-01-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-01-11

E · Potential for more than minimal harm 2023-12-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-11

D · Potential for more than minimal harm 2023-12-14

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-01-11

D · Potential for more than minimal harm 2023-12-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-11

D · Potential for more than minimal harm 2023-12-14

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-01-11

D · Potential for more than minimal harm 2023-10-12

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-10-20

E · Potential for more than minimal harm 2023-09-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-09-07

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-25

F · Potential for more than minimal harm 2023-07-13

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F694 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-08-04

D · Potential for more than minimal harm 2023-07-13

F921 · Environmental Deficiencies

Health

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

Corrected 2023-08-04

F · Potential for more than minimal harm 2023-01-26

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-02-24