ElderGrade
C

63.5/100

Average

Continuing Healthcare Of Toledo

4420 South Avenue, Toledo, OH 43615

CMS 1/5 stars #16 of 34 in Lucas County (419) 531-4201
Certified beds
75
Occupancy
88%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 2 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $21,598 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

23.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -2.5 for 24 total citations against a national median of 17

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.08 total nurse hours per resident per day (national median 3.77)
  • 0.45 RN hours per resident per day
  • Weekend staffing drops 7% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 36% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $21,598 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.23 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.45 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.01 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 36.10%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 61 citations

Last standard health inspection: August 15, 2024 (2 years ago).

D Apr 29, 2026 F0580 From a complaint

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0695 From a complaint

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

No actual harm, potential for more than minimal harm

D Apr 29, 2026 F0761 From a complaint

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

D Sep 30, 2025 F0690 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

D Sep 30, 2025 F0921 From a complaint

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

D Aug 28, 2025 F0690 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

No actual harm, potential for more than minimal harm

F Jul 30, 2025 F0804 From a complaint

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

F Jul 30, 2025 F0921 From a complaint

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of DIVINE HEALTHCARE MANAGEMENT, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MARKOVITS, ISAAK Individual W-2 MANAGING EMPLOYEE
MARKOVITS, ISAAK Individual CORPORATE DIRECTOR
RICHLAND, ILAN Individual CORPORATE DIRECTOR
MARKOVITS, ISAAK Individual CORPORATE OFFICER
RICHLAND, ILAN Individual CORPORATE OFFICER
MARKOVITS, ISAAK Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
RICHLAND, ILAN Individual 5% OR GREATER INDIRECT OWNERSHIP INTEREST
DIVINE REHABILITATION AND NURSING AT SWAN CREEK LLC Organization 5% OR GREATER DIRECT OWNERSHIP INTEREST

What families say

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Common questions about Continuing Healthcare Of Toledo

What is the ElderGrade for Continuing Healthcare Of Toledo? +

Continuing Healthcare Of Toledo holds an ElderGrade of C (63.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Continuing Healthcare Of Toledo? +

Residents receive an average of 3.23 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Continuing Healthcare Of Toledo been cited for harming residents? +

Yes. 2 of the 61 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Continuing Healthcare Of Toledo accept Medicaid? +

Yes, Continuing Healthcare Of Toledo is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.