Divine Rehabilitation and Nursing at Toledo

1011 North Byrne Road · Toledo, OH · 43607 · 4195367600

93 certified beds For profit - Corporation Chain: Divine Healthcare Management

Why this verdict

  • On the federal Special Focus list of the most persistently poor performers.
  • Carries CMS’s abuse warning icon.
  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $81,664 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

Special Focus Facility

CMS has designated this facility one of the most persistently poor performers in the country — it is under increased inspection and enforcement.

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

2 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

4 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$81,664 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 17
Serious harm & abuse 20% 18
Staffing 20% 64
Federal penalties 15% 13
Trend 10% 83
Context 5% 0

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: not rated Inspections: not rated Staffing: not rated Quality measures: not rated

Total nurse hours / resident-day3.773.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.33≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)2 · $81,664

Inspection citations (108 in the current record)

  • Potential for harm · D March 16, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 25, 2026 · Resident Rights

  • Potential for harm · D March 5, 2026

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected March 25, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 5, 2026

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected March 25, 2026 · Quality of Life and Care

  • Potential for harm · D March 5, 2026

    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.

    Corrected March 25, 2026 · Pharmacy Service

  • Potential for harm · D March 5, 2026

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

    Corrected March 25, 2026 · Administration

  • Potential for harm · D March 5, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected March 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · E March 5, 2026

    Provide and implement an infection prevention and control program.

    Corrected March 25, 2026 · Infection Control

  • Potential for harm · D December 23, 2025 · found via complaint

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected January 12, 2026 · Pharmacy Service

  • Actual harm · G December 1, 2025 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected January 12, 2026 · Resident Rights

  • Actual harm · G December 1, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected November 2, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D October 27, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 7, 2025 · Quality of Life and Care

  • Potential for harm · D October 27, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected November 7, 2025 · Quality of Life and Care

  • Potential for harm · F October 27, 2025 · found via complaint

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected November 7, 2025 · Environmental

  • Actual harm · G August 20, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected August 28, 2025 · Nutrition and Dietary

  • Potential for harm · D August 20, 2025 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected August 28, 2025 · Pharmacy Service

  • Potential for harm · E August 20, 2025 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 28, 2025 · Nutrition and Dietary

  • Potential for harm · D July 22, 2025 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2025 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected August 7, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 22, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 7, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
December 1, 2025Payment Denial16 days
August 20, 2025Fine$26,685
May 22, 2025Fine$54,979
May 22, 2025Payment Denial49 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366328 · certified since September 6, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.