Cycle 1
Health 2023-06-08 · Fire 2023-06-08
9 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sylvania, OH
Kingston Care Center Of Sylvania
4-star overall rating with 3-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
4121 King Road, Sylvania, OH
(419) 517-4666
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
127
Certified beds
Average residents
121
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Kingston Healthcare
Operator or chain grouping
Approved since
2005-01-10
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
6 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
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
0.70
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.10
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.62
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
4.42
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
1.80
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
3.96
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.25
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.57
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.68
Higher values indicate more complex resident acuity
RN turnover
26%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,447
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.73
Composite VBP score used to determine payment impact.
Payment multiplier
0.9856
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.02
Baseline 18.81% · Performance 20.96% · Measure score 1.02 · Achievement 1.02 · Improvement 0
Healthcare-associated infections
5.39
Baseline 5.14% · Performance 6.22% · Measure score 5.39 · Achievement 5.39 · Improvement 0
Total nurse turnover
3.61
Baseline 48.00% · Performance 48.94% · Measure score 3.61 · Achievement 3.61 · Improvement 0
Adjusted total nurse staffing
1.87
Baseline 3.67 hours · Performance 3.61 hours · Measure score 1.87 · Achievement 1.87 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.03% |
10.72%
1.7 pts better
|
No Different than the National Rate · Eligible stays 502 · Observed rate 8.57% · Lower 95% interval 7.16% |
| Discharge to community | 58.37% |
50.57%
7.8 pts better
|
Better than the National Rate · Eligible stays 534 · Observed rate 53.18% · Lower 95% interval 54.33% |
| Medicare spending per beneficiary | 1.03 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 98.44% |
95.27%
3.2 pts better
|
Numerator 315 · Denominator 320 |
| Falls with major injury | 0.63% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 320 |
| Discharge self-care score | 62.77% |
53.69%
9.1 pts better
|
Numerator 145 · Denominator 231 |
| Discharge mobility score | 44.59% |
50.94%
6.3 pts worse
|
Numerator 103 · Denominator 231 |
| Pressure ulcers or injuries, new or worsened | 1.88% |
2.29%
0.4 pts better
|
Numerator 6 · Denominator 320 · Adjusted rate 2.06% |
| Healthcare-associated infections requiring hospitalization | 6.22% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 311 · Observed rate 5.47% · Lower 95% interval 4.4% |
| Staff COVID-19 vaccination coverage | 7.54% |
8.2%
0.7 pts worse
|
Numerator 15 · Denominator 199 |
| Staff flu vaccination coverage | 26.36% |
42%
15.6 pts worse
|
Numerator 87 · Denominator 330 |
| Discharge function score | 63.2% |
56.45%
6.8 pts better
|
Numerator 146 · Denominator 231 |
| Transfer of health information to provider | 93.18% |
95.95%
2.8 pts worse
|
Numerator 123 · Denominator 132 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 169 · Denominator 169 |
| Resident COVID-19 vaccinations up to date | 28.07% |
25.2%
2.9 pts better
|
Numerator 48 · Denominator 171 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 0.7 |
1.8
1.1 pts better
|
1.9
1.2 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.7 · Observed 1.2 · Expected 3.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0 |
1.8
1.8 pts better
|
1.8
1.8 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0 · Observed 0 · Expected 2.0 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.3% |
92.4%
1.9 pts better
|
93.4%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 76.5% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 94.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.9% |
94.5%
0.4 pts better
|
95.5%
0.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.3% |
3.3%
About the same
|
3.3%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 3.9% · Q3 3.9% · Q4 1.8% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 11.2% |
26.1%
14.9 pts better
|
11.4%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 12.8% · Q3 7.5% · Q4 15.9% · 4Q avg 11.2% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
6.2%
1 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 2.2% · Q3 10.9% · Q4 8.5% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.9% |
25.4%
11.5 pts better
|
19.6%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 13.3% · Q3 13.0% · Q4 14.9% · 4Q avg 13.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 0.7% |
11.5%
10.8 pts better
|
16.7%
16 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.7% · 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 | 6.5% |
7.7%
1.2 pts better
|
16.3%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 6.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.3% |
6.2%
1.9 pts better
|
14.9%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 5.1% · Q3 2.4% · Q4 6.7% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.2%
0.2 pts better
|
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% · 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 | 31.5% |
21.7%
9.8 pts worse
|
19.8%
11.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 33.4% · Q3 30.4% · Q4 27.4% · 4Q avg 31.5% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
3.7%
0.5 pts worse
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 5.3% · Q3 1.6% · Q4 3.7% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.4% |
78.1%
13.3 pts better
|
81.7%
9.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.2% · Q2 94.3% · Q3 97.1% · Q4 97.2% · 4Q avg 91.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.1% |
12.5%
3.4 pts better
|
12.0%
2.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 8.0% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.1% |
1.2%
1.1 pts better
|
1.6%
1.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.8% |
75.6%
15.2 pts better
|
79.7%
11.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.7% |
25.1%
1.4 pts better
|
23.9%
0.2 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 21.2% · Expected 21.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-02-27 · Fire 2020-02-27
10 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
1 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Cycle 3
Health 2018-12-13 · Fire 2018-12-13
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-06-08
E6 · Emergency Preparedness Deficiencies
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-08-10
F · Potential for more than minimal harm
2023-06-08
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-10
F · Potential for more than minimal harm
2023-06-08
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-10
F · Potential for more than minimal harm
2023-06-08
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-10
F · Potential for more than minimal harm
2023-06-08
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-10
F · Potential for more than minimal harm
2020-02-27
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 2020-04-03
E · Potential for more than minimal harm
2018-12-13
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2019-01-21
E · Potential for more than minimal harm
2018-12-13
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-01-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2026-01-12
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Not marked corrected
E · Potential for more than minimal harm
2026-01-12
F803 · Nutrition and Dietary Deficiencies
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Not marked corrected
D · Potential for more than minimal harm
2025-10-08
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Not marked corrected
D · Potential for more than minimal harm
2025-10-08
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.
Not marked corrected
E · Potential for more than minimal harm
2025-03-11
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 2025-04-04
F · Potential for more than minimal harm
2024-10-24
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-11-11
D · Potential for more than minimal harm
2024-06-20
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 2024-07-03
G · Actual harm
2023-09-11
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 2023-08-30
D · Potential for more than minimal harm
2023-09-11
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-09-29
D · Potential for more than minimal harm
2023-06-08
F584 · Resident Rights Deficiencies
Health
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.
Corrected 2023-08-10
D · Potential for more than minimal harm
2023-06-08
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 2023-08-10
D · Potential for more than minimal harm
2023-06-08
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 2023-08-10
D · Potential for more than minimal harm
2023-06-08
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2023-08-10
E · Potential for more than minimal harm
2020-02-27
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 2020-04-03
D · Potential for more than minimal harm
2020-02-27
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 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F625 · Resident Rights Deficiencies
Health
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.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2020-04-03
D · Potential for more than minimal harm
2020-02-27
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2020-04-03
E · Potential for more than minimal harm
2018-12-13
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 2019-01-21
D · Potential for more than minimal harm
2018-12-13
F569 · Resident Rights Deficiencies
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2019-01-21
D · Potential for more than minimal harm
2018-12-13
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-01-21
D · Potential for more than minimal harm
2018-12-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-01-21
D · Potential for more than minimal harm
2018-12-13
F688 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2019-01-21
Penalties and ownership
What sits behind the stars
Ownership
Kingston Healthcare Inc
5% Or Greater Direct Ownership Interest · Organization
Rumman, George
5% Or Greater Indirect Ownership Interest · Individual
Nichols, Christine
5% Or Greater Indirect Ownership Interest · Individual
Wolfe, Elizabeth
5% Or Greater Indirect Ownership Interest · Individual
Baxter, Robert
Corporate Director · Individual
Biedenharn, Jill
Operational/Managerial Control · Individual
Biedenharn, Jill
W-2 Managing Employee · Individual
Dukeman, Bruce
Corporate Director · Individual
French, Diane
Corporate Officer · Individual
French, Diane
W-2 Managing Employee · Individual
Kingston Healthcare Company LLC
Operational/Managerial Control · Organization
Libbe, Kent
Corporate Officer · Individual
Louk, Sara
Operational/Managerial Control · Individual
Miller, Jeffrey
Corporate Director · Individual
Nichols, Christine
Corporate Director · Individual
Nichols, William
Corporate Director · Individual
Perkins, Benjamin
W-2 Managing Employee · Individual
Rumman, George
Corporate Director · Individual
Rumman, George
Corporate Officer · Individual
Rumman, Michael
Corporate Director · Individual
Warburton, Mari
Corporate Director · Individual
Wolfe, Frederica
5% Or Greater Indirect Ownership Interest · Individual
Nearby options
Other facilities in reach
#1
Arbors At Sylvania
Toledo, OH
3-star overall rating with 3-star inspections with 12 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
Rosary Care Center
Sylvania, OH
3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
#3
Franciscan Care Ctr Sylvania
Toledo, OH
1-star overall rating with 1-star inspections with Special Focus status with $337,580 in total fines with 48 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle
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