Cycle 1
Health 2023-05-04 · Fire 2023-05-04
11 health deficiencies
Top issue: Quality of Life and Care (9 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Toledo, OH
Ohio Living Swan Creek
4-star overall rating with 3-star inspections with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
1650 Swan Creek Lane, Toledo, OH
(419) 865-4445
Overall
4 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
34
Certified beds
Average residents
28
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Ohio Living Communities
Operator or chain grouping
Approved since
1995-04-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
11 facilities
Chain averages 5 overall / 4 health / 4 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
1.16
Registered nurse staffing · state 0.63 · national 0.68
LPN hours / resident day
1.30
Licensed practical nurse staffing · state 0.96 · national 0.87
Aide hours / resident day
2.69
Nurse aide staffing · state 2.14 · national 2.35
Total nurse hours
5.15
All reported nurse hours · state 3.72 · national 3.89
Licensed hours
2.46
RN + LPN hours · state 1.59 · national 1.54
Weekend hours
4.05
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.57
Weekend registered nurse coverage · state 0.41 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.09
CMS adjusted RN staffing hours
Adjusted total hours
4.85
CMS adjusted total nurse staffing hours
Case-mix index
1.45
Higher values indicate more complex resident acuity
RN turnover
17%
Annual RN turnover · state 47% · national 45%
Total nurse turnover
60%
Annual nurse turnover · state 50% · national 46%
SNF VBP
Value-based purchasing
Program rank
5,815
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.92
Composite VBP score used to determine payment impact.
Payment multiplier
0.9887
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.76
Baseline 20.50% · Performance 19.23% · Measure score 4.76 · Achievement 4.76 · Improvement 3.16
Healthcare-associated infections
5.38
Baseline 7.87% · Performance 6.23% · Measure score 5.38 · Achievement 5.38 · Improvement 5.22
Total nurse turnover
0
Baseline 54.72% · Performance 68.52% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.83
Baseline 5.40 hours · Performance 4.17 hours · Measure score 3.83 · Achievement 3.83 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.2% |
10.72%
1.5 pts better
|
No Different than the National Rate · Eligible stays 76 · Observed rate 3.95% · Lower 95% interval 6.05% |
| Discharge to community | 65.66% |
50.57%
15.1 pts better
|
Better than the National Rate · Eligible stays 52 · Observed rate 65.38% · Lower 95% interval 52.79% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 97.06% |
95.27%
1.8 pts better
|
Numerator 33 · Denominator 34 |
| Falls with major injury | 2.94% |
0.77%
2.2 pts worse
|
Numerator 1 · Denominator 34 |
| Discharge self-care score | 59.09% |
53.69%
5.4 pts better
|
Numerator 13 · Denominator 22 |
| Discharge mobility score | 68.18% |
50.94%
17.2 pts better
|
Numerator 15 · Denominator 22 |
| Pressure ulcers or injuries, new or worsened | 2.94% |
2.29%
0.6 pts worse
|
Numerator 1 · Denominator 34 · Adjusted rate 3.5% |
| Healthcare-associated infections requiring hospitalization | 6.23% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 31 · Observed rate 0% · Lower 95% interval 3.07% |
| Staff COVID-19 vaccination coverage | 17.11% |
8.2%
8.9 pts better
|
Numerator 13 · Denominator 76 |
| Staff flu vaccination coverage | 45.54% |
42%
3.5 pts better
|
Numerator 92 · Denominator 202 |
| Discharge function score | 54.55% |
56.45%
1.9 pts worse
|
Numerator 12 · Denominator 22 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 19 · 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 | 96.6% |
92.4%
4.2 pts better
|
93.4%
3.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.0% · Q2 95.5% · Q3 100.0% · 4Q avg 96.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 88.9% |
94.5%
5.6 pts worse
|
95.5%
6.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 88.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.1% |
3.3%
2.2 pts better
|
3.3%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.4% |
26.1%
20.7 pts better
|
11.4%
6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 4.8% · 4Q avg 5.4% |
| Percentage of long-stay residents who lose too much weight | 0.0% |
6.2%
6.2 pts better
|
5.4%
5.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
25.4%
13.6 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
11.5%
4.1 pts worse
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 15.6% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 5.9% |
6.2%
0.3 pts better
|
14.9%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.9% · 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 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.3% |
0.5%
1.8 pts worse
|
1.7%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 0.0% · Q3 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.6% |
21.7%
1.1 pts better
|
19.8%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 20.6% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
3.7%
1.3 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 0.0% · Q3 2.3% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 90.5% |
78.1%
12.4 pts better
|
81.7%
8.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 77.8% · Q2 88.9% · Q3 95.4% · Q4 94.9% · 4Q avg 90.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.4% |
12.5%
4.1 pts better
|
12.0%
3.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.4% · Observed 7.7% · Expected 10.2% · Used in QM five-star |
| 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 | 85.5% |
75.6%
9.9 pts better
|
79.7%
5.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 85.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.9% |
25.1%
5.8 pts worse
|
23.9%
7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 25.6% · Expected 19.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2020-01-30 · Fire 2020-01-30
4 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2018-11-15 · Fire 2018-11-15
4 health deficiencies
Top issue: Resident Rights (2 deficiencies)
3 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2023-05-04
K161 · Construction Deficiencies
Fire Safety
Use approved construction type or materials.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-04
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-04
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 2023-06-30
F · Potential for more than minimal harm
2023-05-04
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-04
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-04
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-06-30
F · Potential for more than minimal harm
2023-05-04
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-06-30
E · Potential for more than minimal harm
2020-01-30
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2020-02-20
E · Potential for more than minimal harm
2020-01-30
K920 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-20
F · Potential for more than minimal harm
2018-11-15
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2018-12-31
E · Potential for more than minimal harm
2018-11-15
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 2018-12-31
E · Potential for more than minimal harm
2018-11-15
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2018-12-31
Inspection history
Recent health citations
G · Actual harm
2025-08-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-23
D · Potential for more than minimal harm
2025-08-27
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-09-23
D · Potential for more than minimal harm
2025-08-27
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 2025-09-24
D · Potential for more than minimal harm
2024-04-29
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.
Corrected 2024-05-03
D · Potential for more than minimal harm
2024-04-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-03
G · Actual harm
2023-10-31
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-11-22
D · Potential for more than minimal harm
2023-10-31
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 2023-11-22
F · Potential for more than minimal harm
2023-05-04
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 2023-06-30
D · Potential for more than minimal harm
2023-05-04
F582 · Resident Rights Deficiencies
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-04
F676 · Quality of Life and Care Deficiencies
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-04
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-04
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-06-30
D · Potential for more than minimal harm
2023-05-04
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 2023-06-30
D · Potential for more than minimal harm
2023-05-04
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 2023-06-30
D · Potential for more than minimal harm
2023-05-04
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-06-30
D · Potential for more than minimal harm
2020-01-30
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 2020-02-20
D · Potential for more than minimal harm
2020-01-30
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2020-02-20
D · Potential for more than minimal harm
2018-11-15
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2018-12-31
C · Minimal harm
2018-11-15
F868 · Administration Deficiencies
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2018-12-14
Penalties and ownership
What sits behind the stars
Ownership
Adam, Sandra
Corporate Director · Individual
Belfance, Leslie
Corporate Director · Individual
Gumina, Laurence
Operational/Managerial Control · Individual
Gumina, Laurence
Corporate Officer · Individual
Ingwersen, Melissa
Corporate Director · Individual
Joyce, James
Corporate Director · Individual
Stillman, Robert
Corporate Officer · Individual
White, Terry
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Heatherdowns Rehab & Residential Care Center
Toledo, OH
2-star overall rating with 1-star inspections with 14 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Lutheran Village At Wolfcreek
Holland, OH
3-star overall rating with 3-star inspections with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Continuing Healthcare Of Toledo
Toledo, OH
2-star overall rating with 1-star inspections with $21,598 in total fines with 19 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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