Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before 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 Majestic Care Of Toledo Snf during CMS and state inspections, most recent first.
A cognitively impaired, wheelchair-dependent resident with multiple chronic conditions developed new, red, quarter-sized, symmetrical discoloration on both cheeks, identified during a skin assessment by an RN after prior documentation that the resident would not open her mouth for medications. The RN notified the DON, hospice, and the resident’s family, but no self-reported incident was filed and no investigation or report to the State Survey Agency was made. The DON stated she assumed the discoloration was self-inflicted based on the resident’s history of flailing, and the incident was not treated as an injury of unknown origin, contrary to the facility’s abuse prevention policy requiring such injuries to be reported and investigated.
Failure to Investigate and Report Injury of Unknown Origin
Penalty
Summary
The deficiency involves the facility’s failure to thoroughly investigate and report an injury of unknown origin to the State Survey Agency as required by its abuse prevention policy. A cognitively impaired resident with diagnoses including COPD, heart failure, anxiety, depression, type 2 diabetes mellitus, and dementia was dependent for ADLs, used a wheelchair, and required assistance for transfers and mobility. Progress notes documented that on one day the resident would not open her mouth to take medications during two separate medication administration attempts. The following day, a progress note indicated the resident was assessed for discoloration on both sides of her face. A skin assessment completed by an RN described new discoloration on the bilateral sides of the resident’s face, located under the cheekbones, red in color, symmetrical, and approximately the size of a quarter, with notifications made to the DON, hospice, and the resident’s family. The RN later confirmed these characteristics in interview. Review of self-reported incidents showed there was no investigation initiated or report made to the State Survey Agency regarding this new bilateral facial discoloration. In interview, the DON stated she assumed, based on the resident’s history of flailing herself, that the discoloration was self-inflicted due to behaviors, and confirmed it was not reported or investigated as an injury of unknown origin, despite facility policy stating that suspicious injuries of unknown origin must be reported and investigated.
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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.
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Nursing homes near Toledo
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Arbors At Oregon | 1.3 mi | — | 5 | 0 |
| Orchard Villa | 1.6 mi | — | 0 | 0 |
| Ayden Healthcare Of Oregon | 2 mi | — | 11 | 0 |
| The Gardens Of St. Francis | 3.3 mi | — | 0 | 0 |
| Majestic Care Of Point Place | 5.3 mi | — | 14 | 0 |
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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.