Continuing Healthcare of ToledoCMS ratings, inspections and fines
- Address
- 4420 South Avenue, Toledo, OH 43615
- CCN
- 365488
- Ownership type
- For-profit, limited liability company
- Certified beds
- 75
- Residents per day
- 66
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Continuing Healthcare of Toledo an overall rating of 2 of 5 stars. The last standard survey was on 15 Aug 2024. The latest survey cycle has 19 health citations. The median for nursing homes in Ohio is 8. CMS lists 1 fine of $21,598 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Lucas County median | Ohio median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 2 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 5.0 | 5.0 | 3.6 |
A median is the middle value of the homes in the group: 34 homes in the county, 922 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Ohio median |
|---|---|---|---|
| Cycle 1 (latest) | 15 Aug 2024 | 19 | 8 |
| Cycle 2 | 2 Aug 2022 | 20 | 8 |
| Cycle 3 | No date | 22 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 15 May 2026 |
| 29 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 15 May 2026 |
| 29 Apr 2026 | F0761 | 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. | D | Complaint investigation | 15 May 2026 |
| 30 Sep 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 8 Oct 2025 |
| 30 Sep 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Complaint investigation | 8 Oct 2025 |
| 28 Aug 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 30 Aug 2025 |
| 15 Aug 2024 | F0584 | 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. | E | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Standard survey | 12 Sep 2024 |
| 15 Aug 2024 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | C | Standard survey | 12 Sep 2024 |
Survey cycle 2: 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jul 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 14 Aug 2025 |
| 30 Jul 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Complaint investigation | 14 Aug 2025 |
| 30 Jul 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Complaint investigation | 14 Aug 2025 |
| 5 Nov 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 Nov 2024 |
| 5 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 14 Nov 2024 |
| 2 Aug 2022 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0625 | 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. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0730 | Observe each nurse aide's job performance and give regular training. | C | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0732 | Post nurse staffing information every day. | C | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0761 | 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. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 31 Aug 2022 |
| 2 Aug 2022 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 31 Aug 2022 |
Survey cycle 3: 22 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 7 Aug 2019 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0584 | 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 | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0687 | Provide appropriate foot care. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0730 | Observe each nurse aide's job performance and give regular training. | F | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0761 | 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. | E | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Sep 2019 |
| 7 Aug 2019 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Sep 2019 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 15 Aug 2024 | Fine | $21,598 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Ohio median | Ohio average (CMS) |
|---|---|---|---|
| All nurse staff | 3.23 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.45 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 0.99 | 0.95 | |
| Nurse aides | 1.79 | 2.09 | |
| All nurse staff, weekends | 3.01 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 36.1%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 66.7%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Ohio median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 10.4% | 4.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.8% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.7% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.6% | 7.5% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Continuing Healthcare of Toledo LLC
- Chain
- Divine Healthcare Management (9 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Divine Rehabilitation and Nursing at Swan Creek LLC | 5% or greater direct ownership interest | 100% | 1 Jul 2021 |
The site shows organisations only. It does not show the names of persons.
Other homes in Lucas County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Divine Rehabilitation and Nursing at ToledoSpecial Focus Facility | Toledo | Not rated | 22 | $72,324 | 5 Mar 2026 | |
| Foundation Park Care Center | Toledo | 2 of 5 | 25 | $91,025 | 12 Mar 2026 | |
| Ohio Living Swan Creek | Toledo | 3 of 5 | 11 | $34,873 | 2 Apr 2026 | |
| Concord Care Center of Toledo | Toledo | 2 of 5 | 17 | $29,198 | 31 Jul 2025 | |
| Heatherdowns Rehab & Residential Care Center | Toledo | 2 of 5 | 16 | $0 | 10 Feb 2025 | |
| Advanced Healthcare Center | Toledo | 4 of 5 | 7 | $0 | 29 Jan 2026 | |
| Otterbein Sunset House | Toledo | 3 of 5 | 8 | $0 | 1 May 2025 | |
| Lutheran Village at Wolfcreek | Holland | 4 of 5 | 9 | $0 | 8 Sep 2025 | |
| Park Terrace Rehabilitation Center | Toledo | 1 of 5 | 27 | $121,954 | 20 Mar 2025 | |
| Spring Meadows Nursing, A Villa Center | Holland | 3 of 5 | 5 | $45,766 | 28 Aug 2025 | |
| Ayden Healthcare of Toledo | Toledo | 2 of 5 | 30 | $0 | 17 Jul 2024 | |
| Ridgewood Manor | Maumee | 3 of 5 | 4 | $89,055 | 4 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Continuing Healthcare of Toledo (CCN 365488). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/continuing-healthcare-of-toledo-toledo-oh-365488/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Continuing Healthcare of Toledo last inspected?
- The latest inspection with a citation in the CMS record was on 29 Apr 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 2 Aug 2022.
- Who operates Continuing Healthcare of Toledo?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Divine Healthcare Management. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Continuing Healthcare of Toledo a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 5 homes in Ohio as Special Focus Facilities and 25 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.