All 15 Medicare-certified nursing homes in Toledo,
side by side on the things that separate them: how many nursing hours each resident gets, how much of the
staff leaves each year, and what inspectors found on their last visit.
Ohio Living Swan Creek runs 34 certified beds in Toledo, and the nursing hours look solid on paper: 4.02 per resident day, roughly 4% above the national average. But that average hides a dip, weekends run about 13% thinner than weekdays, which is when families tend to visit and notice. Staff turnover sits at 45.7%, essentially matching the national rate, so retention isn't the problem here. The inspection record is: 25 deficiencies, two serious enough to reach harm or jeopardy level, one tied to abuse, and a $34,873 fine. A 5/5 on quality measures and 4/5 on staffing sit alongside a 2/5 inspection rating and a recent April 2026 survey. The care metrics look strong; the compliance history is what pulls this down.
Merit House in Toledo runs 99 beds under for-profit LLC ownership, and the inspection record is the part that stands out. Forty-two deficiencies on the current record, including two abuse-related citations, with a one-star health inspection rating. The last inspection was in September 2024, so the findings are recent, not stale.
Staffing is the puzzle. Total nurse hours sit about 8% above the national average, yet the staffing star rating is one out of five, and turnover is 60.2% against a national 45.8%. Weekend coverage drops roughly 10% below weekday levels. High turnover and thin weekends can undercut raw hours on paper. The five-star quality measure rating reflects resident outcome data, which is a different measure entirely.
Otterbein Sunset House is a small nonprofit home, just 24 certified beds, and its clinical quality scores are genuinely strong, with a top CMS rating on quality measures and no deficiencies at the harm or jeopardy level. The staffing picture is more complicated than the headline number suggests. Average nurse hours run slightly above the national figure, but weekends drop about 16% below the home's own weekday coverage, and annual turnover sits at 64.3% against a national average of 45.8%. That churn, plus 24 deficiencies on the current record including one abuse-related citation, is what pulls the grade down to a B despite the quality scores. The most recent inspection was May 2025, so the record is current.
Concord Care Center Of Toledo runs on 3.00 nurse hours per resident day, about 22% under the national average, and weekend coverage drops roughly another 10% below its own weekday levels. The inspection record is where the real trouble sits: 57 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with $29,198 in fines across two incidents and a 1-out-of-5 health inspection rating. Staff turnover of 40.9% is actually a bit better than the 45.8% national figure, and the 5-out-of-5 quality measure rating stands out. But thin daily staffing combined with that many serious citations is the tradeoff families should weigh.
Ayden Healthcare of Toledo runs 98 certified beds under for-profit LLC ownership, and its staffing tells a mixed story: 3.45 nurse hours per resident day sits about 11% under the national average of 3.86, and weekends dip roughly 10% below its own weekday coverage. That thinner weekend presence matters more given 60% annual turnover, well above the 45.8% national figure. The current inspection record carries 62 deficiencies, including one at harm or jeopardy level and one abuse-related citation, with the last inspection dated July 2024. Its quality measure rating is strong, but that sits alongside a one-star health inspection rating, worth asking about directly before deciding.
Arbors At Sylvania runs 77 certified beds in Toledo under corporate, for-profit ownership. Nurse staffing sits at 3.86 hours per resident day, almost exactly the national average, but weekends drop about 14% below what the home staffs on weekdays, so coverage thins out when families tend to visit. Turnover lands at 47.4%, slightly above the national 45.8%, meaning nearly half the nursing staff turns over in a year. The inspection record shows 32 deficiencies, none at harm or jeopardy level, though two are abuse-related. Its last inspection was April 2025, so the record is recent. Quality measures score well; the staffing picture is average at best.
Advanced Healthcare Center runs 99 certified beds in Toledo under corporate ownership, and its staffing sits at 3.39 nurse hours per resident day, roughly 12% under the national average of 3.86. Weekends dip about 10% below its own weekday levels, so coverage is thinnest exactly when families tend to visit. Turnover is 45.1%, essentially tracking the national figure of 45.8%, which means this isn't a retention crisis so much as a home that simply staffs fewer people per resident than most. The inspection record shows 38 deficiencies, two tied to abuse, though none rose to harm or jeopardy, and the most recent survey came in January 2026. Quality measures score well; staffing is where the shortfall lives.
Majestic Care of Toledo is a for-profit LLC home with 85 beds, and its numbers pull in two directions. On the care side, it earns four stars for health inspections as recently as September 2025 and a perfect five for quality measures, but 25 deficiencies sit on the current record, including one at the harm level and one abuse-related, plus a $22,432 fine. Staffing tells the harder story: 3.15 nurse hours per resident day, roughly 18% under the national average, with weekends about 16% below its own weekday level. Turnover runs 45.2%, essentially the national norm. Inspections look solid; the day-to-day staffing doesn't match.
Foundation Park runs on 2.89 nurse hours per resident day, roughly a quarter below the national average, and weekends dip another 7% under its own weekday level, so care thins out exactly when families tend to visit. The inspection record is the real weight here: 55 deficiencies, three of them at harm or jeopardy level and five tied to abuse, plus two fines totaling $32,025. One genuinely good sign is turnover at 28.2%, well under the 45.8% national figure, which suggests a steadier crew than most. But a for-profit LLC with a one-star health inspection rating and that deficiency count carries real risk, whatever the quality measures say.
Continuing Healthcare of Toledo runs 75 beds under for-profit LLC ownership, and its staffing sits at 3.23 nurse hours per resident day, roughly 16% under the national average of 3.86, with weekends about 7% thinner than its own weekdays. Turnover is 36.1%, which actually beats the 45.8% national figure, so the people who stay tend to stay. The problem is the record: 61 deficiencies, including two at harm or jeopardy level and three tied to abuse, plus a $21,598 fine. Its last inspection was August 2024. Quality measures score well, but a 1-star inspection rating and thin staffing are what a family should weigh.
Heatherdowns runs on 3.09 nurse hours per resident per day, roughly a fifth less than the national average of 3.86, and weekends drop about 9% below what it manages during the week. That thin coverage is the backdrop for a 68.8% annual turnover rate, well above the 45.8% national figure, meaning most of the people caring for residents this year likely won't be there next year. The current record lists 54 deficiencies, including two at the harm or jeopardy level and one tied to abuse, following a February 2025 inspection. The 5/5 quality measure score and 2/5 inspection rating sit oddly against those numbers; the staffing rating is 1/5.
Majestic Care Of Point Place runs a for-profit corporate operation with 82 certified beds in Toledo, and the numbers that stand out most are about people, not buildings. Nurses provide about 3.57 hours of care per resident per day against a national average of 3.86, and weekends dip roughly 14% below what the home manages Monday through Friday, so the thinnest coverage lands exactly when families tend to visit. Staff turnover sits at 58.4%, well above the 45.8% national figure, which means the people caring for your relative are cycling out faster than average. The current record carries 41 deficiencies, including one at the harm level and one tied to abuse. That abuse citation and the harm-level finding are the details worth pressing the administrator on directly.
If you're weighing Franciscan Care Center Sylvania for someone you love, the staffing numbers deserve your attention first. Nurses provide about 3.18 hours of care per resident per day, roughly 18 percent under the national average, and weekends drop about 11 percent below the home's own weekday levels. Nearly 80 percent of staff turned over in a year, against a national rate near 46 percent, and CMS gives staffing one star out of five.
The inspection record is heavier still: 94 deficiencies currently on file, including 3 at the harm or jeopardy level and 4 tied to abuse. One fine totals $337,580, and CMS has placed this for-profit corporate home in its Special Focus Facility program, reserved for the country's poorest performers. The most recent inspection was June 13, 2024. Strong quality-measure scores don't offset what surveyors keep finding.
Divine Rehabilitation And Nursing At Toledo runs 93 certified beds as a for-profit corporation, and the staffing numbers don't keep pace with what residents need. Nurse staffing sits at 3.77 hours per resident day, just under the national average, but weekends drop about 10% below the home's own weekday level, so the thinnest coverage lands when families often visit. The bigger problem is turnover: 70.5% annually against a national 45.8% means most of the people caring for your relative are new or on their way out.
The inspection record is worse. CMS counts 107 deficiencies, including 9 at harm or jeopardy level and 10 abuse-related, plus $72,324 in fines. The home is in CMS's Special Focus Facility program, which is reserved for the country's most persistently troubled homes. Its last inspection was March 5, 2026.
Park Terrace runs on thin staffing even before you look closely: 3.74 nurse hours per resident day against a national average of 3.86, and weekends drop about 11% below its own weekday coverage, which is when families tend to visit and notice. The bigger issue is who's left to provide that care, turnover sits at 65.8%, well above the 45.8% national figure, meaning two out of three staff members cycle out in a year. The inspection record backs that up: 109 deficiencies, six serious enough to cause harm, twelve tied to abuse, and $121,954 in fines. State inspectors were last in on March 20, 2025.