Sylvania, OH

Rosary Care Center

3-star overall rating with 3-star inspections with 6 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle

6832 Convent Boulevard, Sylvania, OH

(419) 824-3600

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

76

Certified beds

Average residents

69

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-10-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.50

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.55

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.86

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.92

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

2.06

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.48

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.37

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

0.60

CMS adjusted RN staffing hours

Adjusted total hours

4.65

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

22%

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

5,684

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

Performance score

35.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9890

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.43

Performance 19.38% · Measure score 4.43 · Achievement 4.43 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

0.89

Baseline 6.93% · Performance 7.57% · Measure score 0.89 · Achievement 0.89 · Improvement 0

Total nurse turnover

4.80

Baseline 53.23% · Performance 44.07% · Measure score 4.80 · Achievement 4.80 · Improvement 2.73

Adjusted total nurse staffing

4

Baseline 4.17 hours · Performance 4.22 hours · Measure score 4 · Achievement 4 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.38%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 52 · Observed rate 7.69% · Lower 95% interval 6.71%
Discharge to community	41.12%	50.57% 9.5 pts worse	No Different than the National Rate · Eligible stays 35 · Observed rate 34.29% · Lower 95% interval 29.28%
Medicare spending per beneficiary	1.27	1.02 0.2 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
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	Not Available	2.29%	Numerator Not Available · Denominator 18 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	7.57%	7.12% 0.5 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	38.38%	8.2% 30.2 pts better	Numerator 38 · Denominator 99
Staff flu vaccination coverage	77.31%	42% 35.3 pts better	Numerator 92 · Denominator 119
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 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.8 0.4 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.8 0.1 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.3%	92.4% 4.9 pts better	93.4% 3.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 97.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.2%	94.5% 2.7 pts better	95.5% 1.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.2%
Percentage of long-stay residents experiencing one or more falls with major injury	4.9%	3.3% 1.6 pts worse	3.3% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 6.1% · Q3 7.7% · Q4 4.8% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.6%	26.1% 20.5 pts better	11.4% 5.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 6.2% · Q3 3.3% · Q4 1.8% · 4Q avg 5.6%
Percentage of long-stay residents who lose too much weight	6.4%	6.2% 0.2 pts worse	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 1.7% · Q3 10.3% · Q4 10.7% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.4%	25.4% 16 pts better	19.6% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 10.0% · Q3 9.8% · Q4 11.9% · 4Q avg 9.4%
Percentage of long-stay residents who received an antipsychotic medication	15.3%	11.5% 3.8 pts worse	16.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.3% · Q2 14.8% · Q3 16.7% · Q4 17.6% · 4Q avg 15.3% · 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	9.6%	7.7% 1.9 pts worse	16.3% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 20.6% · Q2 9.4% · Q3 2.3% · Q4 4.3% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.2%	6.2% 7 pts worse	14.9% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 25.0% · Q2 12.1% · Q3 7.1% · Q4 7.4% · 4Q avg 13.2% · 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	25.3%	21.7% 3.6 pts worse	19.8% 5.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 20.0% · Q3 36.2% · Q4 18.3% · 4Q avg 25.3%
Percentage of long-stay residents with pressure ulcers	4.3%	3.7% 0.6 pts worse	5.1% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.5% · Q3 4.3% · Q4 2.3% · 4Q avg 4.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.6%	78.1% 18.5 pts better	81.7% 14.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 96.6%
Percentage of short-stay residents who had an outpatient emergency department visit	21.5%	12.5% 9 pts worse	12.0% 9.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 18.2% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.9%	1.2% 0.7 pts worse	1.6% 0.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.0%	75.6% 16.4 pts better	79.7% 12.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.3%	25.1% 9.8 pts better	23.9% 8.6 pts better	Short Stay · 20240701-20250630 · Adjusted 15.3% · Observed 12.1% · Expected 18.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-09 · Fire 2025-01-09

6 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2022-10-06 · Fire 2022-10-06

11 health deficiencies

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

2 fire-safety deficiencies

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

Cycle 3 Health 2019-10-17 · Fire 2019-10-17

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-09

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-09

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-01-09

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-09

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-02-27

F · Potential for more than minimal harm 2025-01-09

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 2025-02-27

E · Potential for more than minimal harm 2025-01-09

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-27

F · Potential for more than minimal harm 2022-10-06

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-11-23

F · Potential for more than minimal harm 2022-10-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-11-23

F · Potential for more than minimal harm 2019-10-17

K161 · Construction Deficiencies

Fire Safety

Use approved construction type or materials.

Corrected 2019-11-27

F · Potential for more than minimal harm 2019-10-17

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-11-27

E · Potential for more than minimal harm 2019-10-17

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-11-27

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-01-09

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 2025-02-27

E · Potential for more than minimal harm 2025-01-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-27

E · Potential for more than minimal harm 2025-01-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-27

D · Potential for more than minimal harm 2025-01-09

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 2025-02-27

D · Potential for more than minimal harm 2025-01-09

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 2025-02-27

D · Potential for more than minimal harm 2025-01-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-02-27

D · Potential for more than minimal harm 2024-02-01

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 2024-03-01

E · Potential for more than minimal harm 2022-10-06

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2022-11-23

E · Potential for more than minimal harm 2022-10-06

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 2022-11-23

E · Potential for more than minimal harm 2022-10-06

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 2022-11-23