Heatherdowns Rehab & Residential Care CenterCMS ratings, inspections and fines
- Address
- 2401 Cass Rd, Toledo, OH 43614
- CCN
- 365737
- Ownership type
- For-profit, limited liability company
- Certified beds
- 84
- Chain
- Lionstone Care
- Residents per day
- 77
- 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 Heatherdowns Rehab & Residential Care Center an overall rating of 2 of 5 stars. The last standard survey was on 10 Feb 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Ohio is 8. CMS lists no fines 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 | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 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) | 10 Feb 2025 | 16 | 8 |
| Cycle 2 | 22 Sep 2022 | 17 | 8 |
| Cycle 3 | No date | 21 | 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 | C0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 6 May 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 | 8 May 2026 |
| 6 May 2026 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Complaint investigation | 8 May 2026 |
| 28 Jan 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 Jan 2026 |
| 28 Jan 2026 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 30 Jan 2026 |
| 28 Jan 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 12 Jan 2026 |
| 26 Nov 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 | 2 Dec 2025 |
| 18 Sep 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | G | Complaint investigation | 10 Aug 2025 |
| 10 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0687 | Provide appropriate foot care. | D | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | 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 | 21 Feb 2025 |
| 10 Feb 2025 | F0803 | 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. | E | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 21 Feb 2025 |
| 10 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2025 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Feb 2025 |
| 19 Nov 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 29 Nov 2024 |
| 16 Oct 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 26 Oct 2024 |
| 22 Sep 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 21 Oct 2022 |
| 22 Sep 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 | 21 Oct 2022 |
| 22 Sep 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | 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 | 21 Oct 2022 |
| 22 Sep 2022 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0758 | 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. | D | Standard survey | 21 Oct 2022 |
| 22 Sep 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Oct 2022 |
Survey cycle 3: 21 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 |
|---|---|---|---|---|---|
| 23 May 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 1 Jun 2024 |
| 18 Apr 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Jun 2024 |
| 28 Feb 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint investigation | 7 Mar 2024 |
| 28 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 7 Mar 2024 |
| 11 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 29 Dec 2023 |
| 11 Dec 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint investigation | 29 Dec 2023 |
| 11 Dec 2023 | 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 | Complaint investigation | 29 Dec 2023 |
| 16 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 29 Dec 2023 |
| 16 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 29 Dec 2023 |
| 16 Nov 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 29 Dec 2023 |
| 10 Oct 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 23 Oct 2023 |
| 12 Sep 2019 | 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 | 18 Oct 2019 |
| 12 Sep 2019 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | 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 | 18 Oct 2019 |
| 12 Sep 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. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0688 | 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. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 18 Oct 2019 |
| 12 Sep 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 18 Oct 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.
CMS lists no fine and no payment denial for this home in its penalties file.
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 | 3.09 | 3.60 | 3.69 |
| Registered nurses (RN) | 0.37 | 0.60 | 0.64 |
| Licensed practical nurses (LPN) | 1.10 | 0.95 | |
| Nurse aides | 1.62 | 2.09 | |
| All nurse staff, weekends | 2.80 | 3.20 | 3.28 |
- Nurse staff turnover in a year
- 68.8%
- Nurse staff turnover, Ohio median
- 48.5%
- RN turnover in a year
- 70.0%
- Administrators who left in a year
- 2
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 | 2.6% | 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 | 0.0% | 0.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.0% | 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 | 3.9% | 4.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.0% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 11.7% | 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
- Heatherdowns Operating Company LLC
- Chain
- Lionstone Care (24 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Lionstone HZ Opco Holdings LLC | 5% or greater direct ownership interest | 100% | 1 Jan 2023 |
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 | |
|---|---|---|---|---|---|---|
| Ohio Living Swan Creek | Toledo | 3 of 5 | 11 | $34,873 | 2 Apr 2026 | |
| Foundation Park Care Center | Toledo | 2 of 5 | 25 | $91,025 | 12 Mar 2026 | |
| Concord Care Center of Toledo | Toledo | 2 of 5 | 17 | $29,198 | 31 Jul 2025 | |
| Lutheran Village at Wolfcreek | Holland | 4 of 5 | 9 | $0 | 8 Sep 2025 | |
| Continuing Healthcare of Toledo | Toledo | 2 of 5 | 19 | $21,598 | 15 Aug 2024 | |
| Ridgewood Manor | Maumee | 3 of 5 | 4 | $89,055 | 4 Dec 2025 | |
| Spring Meadows Nursing, A Villa Center | Holland | 3 of 5 | 5 | $45,766 | 28 Aug 2025 | |
| Addison Heights Health and Rehabilitation CenterSpecial Focus candidate | Maumee | 2 of 5 | 30 | $0 | 15 Sep 2025 | |
| Advanced Healthcare Center | Toledo | 4 of 5 | 7 | $0 | 29 Jan 2026 | |
| Lakes of Monclova Health Campus The | Maumee | 5 of 5 | 5 | $0 | 30 Apr 2026 | |
| Divine Rehabilitation and Nursing at ToledoSpecial Focus Facility | Toledo | Not rated | 22 | $72,324 | 5 Mar 2026 | |
| Elizabeth Scott Community | Maumee | 4 of 5 | 4 | $0 | 12 Sep 2024 |
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 Heatherdowns Rehab & Residential Care Center (CCN 365737). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/heatherdowns-rehab-residential-care-center-toledo-oh-365737/
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 Heatherdowns Rehab & Residential Care Center last inspected?
- The latest inspection with a citation in the CMS record was on 6 May 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 22 Sep 2022.
- Who operates Heatherdowns Rehab & Residential Care Center?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists the home in the chain Lionstone Care. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Heatherdowns Rehab & Residential Care Center 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.