AYDEN HEALTHCARE OF TOLEDO
CCN: 365849 · TOLEDO, OH 43606 · Lucas County
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
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.
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
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Resident acuity
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 |
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).
| 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)
Operating performance
Revenue & costs
Balance sheet
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
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
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
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.
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 |