SFF Candidate

Overview

Address
4111 HOLLAND SYLVANIA RD, TOLEDO, OH 43623
Phone
4198826582
Certified beds
96
Avg daily residents
76 (79% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1993-03-01
Setting
Urban
1 /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.
1/5
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.
1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
4/5
Quality Measures breakdown
Long-Stay Quality Measures 3/5
Short-Stay Quality Measures 4/5

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
2.83 5.82 1.88 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.56 1.02 0.37 ≥ 0.55
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.92 1.29 0.61
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
1.36 3.51 0.90
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.48
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.15

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)
2.41
hrs / resident / day
RN (weekend)
0.35
hrs / resident / day
Total nurse (adjusted, weekend)
1.60
hrs / resident / day

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

Resident acuity

Nursing Case-Mix Index
2.06
higher acuity than avg
Case-Mix Index Ratio
1.50
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) 2024-06-13 48 20 30 375 1 375
Cycle 2/3 (prior) 2022-06-16 28 6 22 136 1 136
Total weighted health score
315.3
lower is better

Deficiencies (86)

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).

2 A/B/C No actual harm — minor
81 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2025-12-22 2026-01-06
0610 Respond appropriately to all alleged violations. E 2025-12-22 2026-01-06
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-11-20 2025-12-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-11-20 2025-12-04
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2025-11-20 2025-12-04
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 2025-11-20 2025-12-04
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. E 2025-11-13 2025-12-04
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. F 2025-11-13 2025-12-04
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D 2025-11-13 2025-12-04
0610 Respond appropriately to all alleged violations. E 2025-11-13 2025-12-04
0645 PASARR screening for Mental disorders or Intellectual Disabilities D 2025-11-13 2025-12-04
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-11-13 2025-12-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2025-11-13 2025-12-04
0712 Ensure that the resident and his/her doctor meet face-to-face at all required visits. D 2025-11-13 2025-12-04
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-11-13 2025-12-04
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. D 2025-11-13 2025-12-04
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2025-11-13 2025-12-04
0880 Provide and implement an infection prevention and control program. E 2025-11-13 2025-12-04
0624 Prepare residents for a safe transfer or discharge from the nursing home. D 2025-04-03 2025-05-14
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. E 2025-04-03 2025-05-14
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2025-04-03 2025-05-14
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 2025-04-03 2025-05-14
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F 2025-04-03 2025-05-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. D 2025-04-03 2025-05-14
0760 Ensure that residents are free from significant medication errors. D 2025-04-03 2025-05-14
0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. D 2025-04-03 2025-05-14
0851 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F 2025-04-03 2025-05-14
0880 Provide and implement an infection prevention and control program. D 2025-04-03 2025-05-14
0624 Prepare residents for a safe transfer or discharge from the nursing home. D 2025-01-17 2025-01-31
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-08-08 2024-09-05
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-06-13 2024-09-05
0558 Reasonably accommodate the needs and preferences of each resident. D 2024-06-13 2024-09-05
0644 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. D 2024-06-13 2024-09-05
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-06-13 2024-09-05
0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. D 2024-06-13 2024-09-05
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-06-13 2024-09-05
0685 Assist a resident in gaining access to vision and hearing services. D 2024-06-13 2024-09-05
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-06-13 2024-09-05
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 2024-06-13 2024-09-05
0760 Ensure that residents are free from significant medication errors. D 2024-06-13 2024-09-05
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. E 2024-06-13 2024-09-05
0770 Provide timely, quality laboratory services/tests to meet the needs of residents. D 2024-06-13 2024-09-05
0791 Provide or obtain dental services for each resident. D 2024-06-13 2024-09-05
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. D 2024-06-13 2024-09-05
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-06-13 2024-09-05
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2024-06-13 2024-09-05
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 2024-06-13 2024-09-05
0919 Make sure that a working call system is available in each resident's bathroom and bathing area. D 2024-06-13 2024-09-05
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2024-06-13 2024-09-05
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. E 2024-06-13 2024-09-05

Showing 50 most recent of 86. See the All Data CSV for the full list.

Penalties (2)

Fines issued
1
last 3 years
Total fines
$337,580
Payment denials
1
Date Type Fine amount
2025-11-13 Fine $337,580
2023-10-05 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2024)

Payer mix (share of resident days)

Medicare 5.9% Medicaid 64.5% Other 29.7%

Operating performance

Operating Margin
-10.8%
Total Margin
-9.8%
Occupancy Rate
76.6%
Cost per Resident Day
$42

Revenue & costs

Net Patient Revenue
$8.2M
Total Costs
$1.1M
Net Income
-$804K

Balance sheet

Total Assets
$10.1M
Total Liabilities
$4.4M
Fund Balance
$5.7M
Current Ratio
0.53

Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: COMMONSPIRIT HEALTH

Chain ID
151
Facilities in chain
19
Legal business name
FRANCISCAN CARE CENTER
Chain-average star ratings (for peer context)
Overall
2.9
Health
2.7
Staffing
3.3
QM
4.1

Owner / manager organizations (4)

Organization Role Association
CHI LIVING COMMUNITIES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 11/01/2000
COMMONSPIRIT HEALTH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2014
SYLVANIA FRANCISCAN HEALTH 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 11/01/2014
CHI LIVING COMMUNITIES OPERATIONAL/MANAGERIAL CONTROL since 11/01/2000

Owner / manager individuals (21)

Name Role Association
BOEHME, LAURIE OPERATIONAL/MANAGERIAL CONTROL since 08/02/2021
HACKETT, DIONNE OPERATIONAL/MANAGERIAL CONTROL since 05/12/2025
HOWARD, CASEY OPERATIONAL/MANAGERIAL CONTROL since 05/01/2022
IFFLAND, ALISA OPERATIONAL/MANAGERIAL CONTROL since 06/13/2011
LONGHIN-HOWARD, JOAN OPERATIONAL/MANAGERIAL CONTROL since 04/16/2007
MCKINNEY, MARISSA OPERATIONAL/MANAGERIAL CONTROL since 10/20/2021
REHMER, HEATHER OPERATIONAL/MANAGERIAL CONTROL since 06/05/2024
SOUKUP-MCFARLAND, DIANNE OPERATIONAL/MANAGERIAL CONTROL since 12/18/2023
TYLER, SHAWN OPERATIONAL/MANAGERIAL CONTROL since 03/28/1977
CECIL, CAITLIN CORPORATE DIRECTOR since 06/18/2012
FINN, CHRISTINA CORPORATE DIRECTOR since 07/01/2017
GRUBBS, STACEY CORPORATE DIRECTOR since 03/26/2012
HAZARD, TED CORPORATE DIRECTOR since 11/08/2017
MUNROE, KYLE CORPORATE DIRECTOR since 09/08/2015
MURRIEL, SHELLY CORPORATE DIRECTOR since 09/09/2024
NAGEL, JENNIFER CORPORATE DIRECTOR since 11/12/2015
SNODGRASS, BARBARA CORPORATE DIRECTOR since 08/15/2016
WINE, MATTHEW CORPORATE DIRECTOR since 10/01/2018
IFFLAND, ALISA CORPORATE OFFICER since 01/06/2017
LIPSEY, PRENTICE CORPORATE OFFICER since 11/01/2021
REHMER, HEATHER CORPORATE OFFICER since 06/25/2024

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
Special focus status
SFF Candidate
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 ($) $42 metrics.cost_per_resident_day
Cost Report Current Ratio 0.53 metrics.current_ratio
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Medicaid Day Share (%) 64.5% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 5.9% metrics.medicare_day_share
Cost Report Net Income ($) $-803,743 metrics.net_income
Cost Report Net Patient Revenue ($) $8,156,903 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 76.6% metrics.occupancy_rate
Cost Report Operating Margin (%) -10.8% metrics.operating_margin
Cost Report Total Assets ($) $10,143,457 metrics.total_assets
Cost Report Total Costs ($) $1,124,815 metrics.total_costs
Cost Report Total Fund Balances ($) $5,744,338 metrics.fund_balance
Cost Report Total Liabilities ($) $4,399,119 metrics.total_liabilities
Cost Report Total Margin (%) -9.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.61043 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 0.89869 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.36903 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 1.87816 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 1.59686 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote 26 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 76.0 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 1.29221 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 3.51194 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 1.01855 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 5.82270 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 5.13209 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.9 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.1 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.3 Chain Average Staffing Rating
Provider Information Chain ID 151 Chain ID
Provider Information Chain Name COMMONSPIRIT HEALTH Chain Name
Provider Information City/Town TOLEDO City/Town
Provider Information CMS Certification Number (CCN) 365907 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 1993-03-01 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 41.6945 Latitude
Provider Information Legal Business Name FRANCISCAN CARE CENTER Legal Business Name
Provider Information Location 4111 HOLLAND SYLVANIA RD,TOLEDO,OH,43623 Location
Provider Information Long-Stay QM Rating 3 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -83.686 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 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 96 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 19 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 2.06272 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.49728 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation 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 4111 HOLLAND SYLVANIA RD Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name FRANCISCAN CARE CTR SYLVANIA 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 4 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 375 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 30 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 20 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2024-06-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 375 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 48 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 6 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-06-16 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 136 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 22 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 136 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 28 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.35287 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 26 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.47713 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.92060 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.35533 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.14857 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.55653 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 2.83246 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 4 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status SFF Candidate Special Focus Status
Provider Information Staffing Rating 1 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State OH State
Provider Information Telephone Number 4198826582 Telephone Number
Provider Information Total Amount of Fines in Dollars 337580.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.40824 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover Total nursing staff turnover
Provider Information Total nursing staff turnover footnote 26 Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 315.250 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 43623 ZIP Code