Overview

Address
4293 MONROE ST, TOLEDO, OH 43606
Phone
4194746021
Certified beds
98
Avg daily residents
79 (81% of beds filled)
Ownership
For-profit LLC
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1991-07-29
Setting
Urban
2 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
3/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
5/5
Quality Measures breakdown
Long-Stay Quality Measures 5/5
Short-Stay Quality Measures Data not available.

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.56 3.65 3.77 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.46 0.64 0.48 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
1.11 0.81 1.17
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.99 2.20 2.11
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.57
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.03

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.23
hrs / resident / day
RN (weekend)
0.42
hrs / resident / day
Total nurse (adjusted, weekend)
3.41
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
68.5%
annual
RN turnover
22.2%
annual
Administrators departed
0
last 12 months

Resident acuity

Nursing Case-Mix Index
1.29
higher acuity than avg
Case-Mix Index Ratio
0.94
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2024-07-17 31 26 10 172 1 172
Cycle 2/3 (prior) 2022-09-02 18 11 7 120 2 180
Total weighted health score
174.0
lower is better

Deficiencies (58)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
56 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-03-27 2025-04-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-03-27 2025-04-21
0687 Provide appropriate foot care. D 2025-03-27 2025-04-21
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-03-27 2025-04-21
0880 Provide and implement an infection prevention and control program. D 2025-03-27 2025-04-21
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2024-07-17 2024-08-13
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2024-07-17 2024-08-13
0577 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. C 2024-07-17 2024-08-13
0640 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D 2024-07-17 2024-08-13
0641 Ensure each resident receives an accurate assessment. D 2024-07-17 2024-08-13
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-07-17 2024-08-13
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. E 2024-07-17 2024-08-13
0685 Assist a resident in gaining access to vision and hearing services. D 2024-07-17 2024-08-13
0692 Provide enough food/fluids to maintain a resident's health. D 2024-07-17 2024-08-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-07-17 2024-08-13
0730 Observe each nurse aide's job performance and give regular training. F 2024-07-17 2024-08-13
0756 Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. D 2024-07-17 2024-08-13
0758 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 2024-07-17 2024-08-13
0761 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. F 2024-07-17 2024-08-13
0773 Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. D 2024-07-17 2024-08-13
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-07-17 2024-08-13
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-07-17 2024-08-13
0881 Implement a program that monitors antibiotic use. D 2024-07-17 2024-08-13
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-07-17 2024-08-13
0887 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 2024-07-17 2024-08-13
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2024-07-17 2024-08-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-07-17 2024-08-13
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-07-17 2024-08-13
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-07-17 2024-08-13
0690 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 2024-07-17 2024-08-13
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-07-17 2024-08-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-06 2024-08-13
0760 Ensure that residents are free from significant medication errors. D 2024-06-06 2024-07-17
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-03-28 2024-04-10
0690 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 2024-03-28 2024-04-10
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2024-01-24 2024-02-06
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2023-12-07 2023-11-27
0690 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 2023-12-07 2024-01-04
0558 Reasonably accommodate the needs and preferences of each resident. D 2022-09-02 2022-10-20
0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. D 2022-09-02 2022-10-20
0565 Honor the resident's right to organize and participate in resident/family groups in the facility. E 2022-09-02 2022-10-20
0584 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 2022-09-02 2022-10-20
0679 Provide activities to meet all resident's needs. E 2022-09-02 2022-10-20
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2022-09-02 2022-10-20
0759 Ensure medication error rates are not 5 percent or greater. D 2022-09-02 2022-10-20
0810 Provide special eating equipment and utensils for residents who need them and appropriate assistance. D 2022-09-02 2022-10-20
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2022-09-02 2022-11-03
0880 Provide and implement an infection prevention and control program. F 2022-09-02 2022-10-20
0888 Ensure staff are vaccinated for COVID-19 D 2022-09-02 2022-10-20
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. D 2019-09-19 2019-11-05

Showing 50 most recent of 58. See the All Data CSV for the full list.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 2.8% Medicaid 83.2% Other 14.0%

Operating performance

Operating Margin
-17.2%
Total Margin
-13.1%
Occupancy Rate
69.1%
Cost per Resident Day
$29

Revenue & costs

Net Patient Revenue
$6.7M
Total Costs
$714K
Net Income
-$908K

Balance sheet

Total Assets
-$439K
Total Liabilities
$475K
Fund Balance
-$914K
Current Ratio
0.11

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: AYDEN HEALTHCARE

Chain ID
63
Facilities in chain
11
Legal business name
BUCKEYE FOREST AT TOLEDO LLC
Chain-average star ratings (for peer context)
Overall
2.5
Health
2.1
Staffing
1.7
QM
4.8

Owner / manager individuals (7)

Name Role Association
KAPLAN, YISROEL 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/01/2025
LAHASKY, EPHRAM 5% OR GREATER DIRECT OWNERSHIP INTEREST since 02/01/2025
AFTAB, ZAHRA OPERATIONAL/MANAGERIAL CONTROL since 07/01/2024
ASCHENDORF, JONATHAN OPERATIONAL/MANAGERIAL CONTROL since 05/01/2023
KAPLAN, YISROEL OPERATIONAL/MANAGERIAL CONTROL since 12/31/2021
LAHASKY, EPHRAM OPERATIONAL/MANAGERIAL CONTROL since 02/01/2025
WASHINGTON, KATINA OPERATIONAL/MANAGERIAL CONTROL since 10/22/2022

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $29 metrics.cost_per_resident_day
Cost Report Current Ratio 0.11 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 83.2% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 2.8% metrics.medicare_day_share
Cost Report Net Income ($) $-907,661 metrics.net_income
Cost Report Net Patient Revenue ($) $6,674,394 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 69.1% metrics.occupancy_rate
Cost Report Operating Margin (%) -17.2% metrics.operating_margin
Cost Report Total Assets ($) $-439,044 metrics.total_assets
Cost Report Total Costs ($) $714,219 metrics.total_costs
Cost Report Total Fund Balances ($) $-913,913 metrics.fund_balance
Cost Report Total Liabilities ($) $474,869 metrics.total_liabilities
Cost Report Total Margin (%) -13.1% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.17240 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 2.10907 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.48402 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 3.76549 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 3.41175 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 78.9 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.81043 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.20256 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.63879 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.65179 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.21866 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.1 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.5 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.8 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 1.7 Chain Average Staffing Rating
Provider Information Chain ID 63 Chain ID
Provider Information Chain Name AYDEN HEALTHCARE Chain Name
Provider Information City/Town TOLEDO City/Town
Provider Information CMS Certification Number (CCN) 365849 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Lucas County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1991-07-29 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.6837 Latitude
Provider Information Legal Business Name BUCKEYE FOREST AT TOLEDO LLC Legal Business Name
Provider Information Location 4293 MONROE ST,TOLEDO,OH,43606 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -83.61 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 0 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 98 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 11 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.29366 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.93904 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Limited Liability company Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 4293 MONROE ST Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name AYDEN HEALTHCARE OF TOLEDO Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 490 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 172 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 10 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 26 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-07-17 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 172 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 31 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 11 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-09-02 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 120 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 60 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 7 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 2 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 180 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 18 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.41923 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 22.2 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.56670 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.10890 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.99482 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.02922 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.45781 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.56152 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote 2 Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 3 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 4194746021 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.22693 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 68.5 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 174.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 43606 ZIP Code