Federal inspection record · CMS data as of October 1, 2026
Astoria Skilled Nursing And Rehabilitation
3537 12th Street, Nw, Canton, OH · (330) 455-5500
- Certified beds
- 83
- Residents per day
- 67
- Ownership
- For-Profit
- Chain
- Michael Slyk
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 10, 2010
1
How this home got 2 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
-
Staffing
★★★★★no change (already 1)
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Astoria Skilled Nursing And Rehabilitation carries 165.5 inspection points. That is fewer than 10% of Ohio's 913 rated homes.
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
56 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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.
Harm and immediate-jeopardy citations (5)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide safe and appropriate respiratory care for a resident when needed.
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J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care16D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide routine and 24-hour emergency dental care for each resident.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights12E
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- B
The resident has the right to receive notices in a format and a language he or she understands.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- D
Prepare residents for a safe transfer or discharge from the nursing home.
- E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Nutrition and Dietary7F
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service5E
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
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.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning2D
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Environmental1D
- D
Have policies on smoking.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-06-08
20 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
2024-03-11
20 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2022-03-17
16 health deficiencies · 3 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 21 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 21 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 70% of nursing staff and 71% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$184,940 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-05 | Fine | $26,685 |
| 2025-10-20 | Fine | $10,361 |
| 2025-06-04 | Fine | $59,833 |
| 2024-06-12 | Fine | $88,061 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine1.9 pts better | 94.6% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.4 pts worse | 93.3% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury5.9 pts worse | 9.0% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms43.8 pts worse | 75.4% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 5.1% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.9 pts worse | 28.4% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4 pts worse | 12.5% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.8 pts worse | 8.1% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.2 pts worse | 5.2% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 0.0% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts better | 0.0% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.5 pts worse | 29.4% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.5 pts worse | 3.7% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better | 83.6% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication3.2 pts worse | 4.4% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts worse | 74.0% | 76.4% | 80.1% |
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Who owns and runs it
12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Slyk, Michael | 5% Or Greater Direct Ownership Interest · Individual | 100% | 8 facilities |
| Chesney, Timothy | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 3 facilities |
| Coleman, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| D'amico, Daniel | Operational/Managerial Control · Individual | 0% | 8 facilities |
| D'amico, Daniel | Adp Of The SNF · Individual | 0% | 8 facilities |
| Jilltin Of Meyers Lake, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Jones, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mstc Development Inc | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Mstc Development Inc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Ryder, Gwynn | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Ryder, Gwynn | Adp Of The SNF · Individual | 0% | 8 facilities |
| Slyk, Michael | Adp Of The SNF · Individual | 0% | 8 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke4F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1E
- E
Have proper power supply for life support equipment.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
-
The Pines Healthcare Center
Canton, OH · Communicare Health
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 18 min
- Fines
- $0
-
Hall Of Fame Rehabilitation And Nursing Center
Canton, OH · Divine Healthcare Management
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 3 h 20 min
- Fines
- $0
-
Canton Christian Home
Canton, OH
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 2 min
- Fines
- $9,113