Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Advanced Healthcare Center during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, multiple comorbidities, and an indwelling urinary catheter had a care plan and physician orders requiring continuous drainage with the catheter bag kept below bladder level and off the floor. On several observations, surveyors found the drainage bag lying on the floor under or next to the bed, and at another time positioned at the level of the bladder rather than below it. A CNA and an RN both confirmed these positions were inconsistent with facility policy, which required the catheter bag to be secured to the bed, kept off the floor, and maintained below bladder level to prevent reflux.
Surveyors found that multiple resident rooms and equipment were not kept clean or properly maintained. In one room, walls near a bed had large gouges, exposed drywall, and visible splatter debris on both the wall and a floor mat, with the ES director unable to state when these areas were last cleaned. In another room, a wall near a bed had gouges and unpainted drywall patches confirmed by maintenance. In a third room, a tube feeding pump pole had fresh and dried tube feeding on its legs and a small puddle of tube feeding on the floor beneath it, verified by the director of risk management.
The facility did not timely report suspected abuse, neglect, or theft, nor did it report the results of the investigation to the proper authorities as required.
A resident with severe cognitive impairment and multiple chronic conditions did not receive scheduled doses of hydralazine and Insulin Aspart Flexpen within the required timeframe. The assigned LPN delayed administration because the resident was sleeping, failed to notify the physician, and did not document the reason for the late administration, contrary to facility policy. The DON confirmed the medications were given late and lacked proper documentation.
A resident with urinary and bowel incontinence, dependent on staff for toileting, was not provided timely incontinence care as required by facility policy. Observations showed the resident remained in a common area for several hours without being offered care, resulting in soiled clothing and a saturated incontinence brief. Staff confirmed care should be provided every two hours, but lapses in communication and documentation led to the deficiency.
A resident with a history of substance use and no current opioid prescriptions was given medications not ordered for him, including opioids and other drugs, on two separate occasions. In both cases, LPNs administered the wrong medications due to distractions and misidentification, despite facility policy requiring verification of the five rights of medication administration.
Improper Maintenance of Indwelling Urinary Catheter and Drainage Bag
Penalty
Summary
The deficiency involves the facility’s failure to maintain an indwelling urinary catheter in a sanitary and appropriate manner for one resident with multiple complex medical conditions, including metabolic encephalopathy, severe protein calorie malnutrition, benign prostatic hyperplasia, obstructive and reflux uropathy, hydronephrosis, hypertension, dementia, myocardial infarction, and resistance to Vancomycin. The resident had severely impaired cognition, behavioral symptoms, rejected care on some days, was dependent on staff for ADLs, used an indwelling urinary catheter, was bowel incontinent, and was at risk for pressure ulcer development. The care plan, initiated and later revised, included interventions to keep the catheter bag and tubing below the level of the bladder, provide a privacy bag, and secure the drainage catheter to the resident’s leg. Physician orders directed that the urinary catheter be on continuous drainage, and an antibiotic was ordered for a UTI with bacteremia. Surveyor observations on multiple occasions showed the catheter drainage bag was not maintained according to policy or care plan. On one evening observation, the drainage bag was lying on the floor under the bed, and a later observation that same evening confirmed it remained on the floor. A CNA acknowledged the resident was on contact isolation for a urine infection (MRSA), verified the bag was on the floor, and stated it should have been secured to the bed frame. A subsequent observation found the drainage bag again on the floor next to the bed. On another morning, the drainage bag was observed at the end of the bed at the level of the resident’s bladder rather than below it. The CNA confirmed the bag was not below bladder level and stated it should be to prevent backflow of urine. An RN confirmed that facility policy required the collection bag not be on the floor, to be draining properly, and to be secured below bladder level to prevent reflux, consistent with the written catheter care policy reviewed by surveyors.
Failure to Maintain Clean Resident Rooms and Tube Feeding Equipment
Penalty
Summary
Surveyors identified that resident rooms and equipment were not adequately cleaned or maintained. In one room, a wall behind a resident’s bed had gouges in the drywall with exposed underlayment over an area approximately five feet by five feet. In the same room, another wall to the right of the bed was observed with liquid-appearing splatter debris, and a maroon floor mat next to the bed had the same debris. The Director of Environmental Services confirmed the presence of the debris and stated the resident had a behavior of spitting but could not state when the wall or floor mat were last cleaned. In another room, a wall to the left of a resident’s bed had gouges in the drywall and white unpainted drywall patches over an area approximately five feet by three feet, which the Maintenance Director verified. In a separate room, a tube feeding pump mounted on a pole next to a resident’s bed was observed with a puddle of fresh tube feeding on the legs of the pole, along with older dried tube feeding covering the legs. A small puddle of tube feeding, approximately two inches in diameter, was also present on the floor under the pole. The Director of Risk Management confirmed the presence of tube feeding on the pole and the floor. These observations showed that the facility did not ensure resident rooms were clean and that equipment was adequately maintained for multiple residents.
Failure to Timely Report Suspected Abuse, Neglect, or Theft
Penalty
Summary
The facility failed to timely report suspected abuse, neglect, or theft and did not report the results of the investigation to the proper authorities. This deficiency was identified based on a review of facility practices and documentation, which showed that when an incident of suspected abuse, neglect, or theft occurred, the required notifications and reporting to authorities were not completed within the mandated timeframe. The report does not provide specific details about the individuals involved or the nature of the incident, but it clearly states that the reporting and follow-up requirements were not met.
Failure to Administer Critical Medications Within Prescribed Timeframe
Penalty
Summary
A deficiency occurred when a resident with multiple complex medical conditions, including chronic respiratory failure, diabetes mellitus, hypertension, congestive heart failure, and severe cognitive impairment, did not receive prescribed medications within the required timeframe. The resident was ordered to receive hydralazine, a diuretic, three times daily and Insulin Aspart Flexpen on a sliding scale before meals and at bedtime. On the evening in question, both medications scheduled for administration at 9:00 P.M. were not given until 12:28 A.M. the following day, exceeding the facility's policy of administering medications within one hour before or after the scheduled time. The LPN assigned to the resident confirmed that the medications were not administered on time because the resident was sleeping, and there was no documentation in the medical record explaining the delay. Additionally, the physician was not notified about the late administration of these critical medications, and no entry was made to indicate the reason for the delay. The facility's policy requires documentation of medications that are refused, withheld, or not given, and mandates physician contact for critical medications like insulin if not administered as ordered. The Director of Nursing confirmed the lack of documentation and the late administration of the medications.
Failure to Provide Timely Incontinence Care
Penalty
Summary
A deficiency was identified when a resident with a history of osteoporosis, urinary incontinence, hypertension, and dementia did not receive timely incontinence care. The resident, who was always incontinent of bladder and frequently incontinent of bowel, was dependent on staff for toileting. Documentation showed no record of incontinence care being provided from early morning until noon. Multiple observations throughout the morning revealed the resident remained in a common area in a wheelchair without being offered incontinence care, and by late morning, there were noticeable odors of urine and stool. Further investigation found the resident's clothing and wheelchair were wet with urine, and the incontinence brief was heavily saturated with urine and a small amount of stool. Staff interviews confirmed that incontinence care should be provided every two hours, but the assigned CNA was unaware of when the last care had been given due to lack of communication from the previous shift. The facility's policy required routine incontinence care, but this was not followed, resulting in the resident remaining in soiled conditions for an extended period.
Medication Administration Errors Due to Distractions and Misidentification
Penalty
Summary
The facility failed to ensure that medications were administered to the correct resident, resulting in significant medication errors affecting one resident. The resident, who had a history of joint replacement surgery, depression, anxiety, alcohol abuse, and cocaine abuse, was cognitively intact and did not have orders for opioid or several other medications. Despite this, the resident was administered medications including Gabapentin, Doxycycline, Metoprolol, Norco, and Oxycodone, none of which were prescribed to him. The errors were documented in nursing progress notes and confirmed through internal investigations. Interviews with the LPNs involved revealed that both medication errors occurred during periods of distraction and high activity, such as multiple resident requests, similar resident names, and other urgent events on the unit. In both incidents, the LPNs prepared and administered medications intended for other residents to the affected resident, only realizing the mistake after the medications had been ingested. The facility's policy on medication administration emphasizes the importance of verifying the five rights and minimizing distractions, but these procedures were not followed, leading to the errors.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 421 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Toledo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Foundation Park Care Center | 1.8 mi | — | 29 | 0 |
| Concord Care Center Of Toledo | 1.9 mi | — | 5 | 0 |
| Divine Rehabilitation And Nursing At Toledo | 2.5 mi | — | 25 | 0 |
| Continuing Healthcare Of Toledo | 2.7 mi | — | 5 | 0 |
| Park Terrace Rehabilitation Center | 3.3 mi | — | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Advanced Healthcare Center.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.