Heatherdowns Rehab & Residential Care Center
2401 Cass Rd · Toledo, OH · 43614 · 4193825050
84 certified beds For profit - Limited Liability company Chain: Lionstone Care
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.34 | 0.55–0.75 |
| Weekend hours / resident-day | 2.77 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (52 in the current record)
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Potential for harm · D January 28, 2026 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected January 30, 2026 · Resident Rights
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Potential for harm · D January 28, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 30, 2026 · Quality of Life and Care
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Potential for harm · E January 28, 2026 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected January 12, 2026 · Environmental
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Potential for harm · D November 26, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected December 2, 2025 · Quality of Life and Care
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Actual harm · G September 18, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected August 10, 2025 · Resident Rights
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Potential for harm · D February 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D February 10, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 21, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 10, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected February 21, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025
Provide appropriate foot care.
Corrected February 21, 2025 · Quality of Life and Care
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Potential for harm · D February 10, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected February 21, 2025 · Pharmacy Service
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Potential for harm · E February 10, 2025
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 February 21, 2025 · Pharmacy Service
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Potential for harm · E February 10, 2025
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected February 21, 2025 · Nutrition and Dietary
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Potential for harm · F February 10, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 21, 2025 · Nutrition and Dietary
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Potential for harm · E February 10, 2025
Provide and implement an infection prevention and control program.
Corrected February 21, 2025 · Infection Control
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Potential for harm · D December 31, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2025 · Quality of Life and Care
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Potential for harm · D November 19, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected November 29, 2024 · Resident Rights
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Potential for harm · D October 16, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 26, 2024 · Quality of Life and Care
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Potential for harm · D May 23, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected June 1, 2024 · Pharmacy Service
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Potential for harm · D April 18, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 1, 2024 · Quality of Life and Care
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Potential for harm · D February 28, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected March 7, 2024 · Resident Rights
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Potential for harm · D February 28, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 7, 2024 · Quality of Life and Care
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Potential for harm · F December 11, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 29, 2023 · Infection Control
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Potential for harm · D December 11, 2023 · found via complaint
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected December 29, 2023 · Infection Control
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Potential for harm · D December 11, 2023 · found via complaint
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.
Corrected December 29, 2023 · Infection Control
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Actual harm · G November 16, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 29, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 365737 · certified since June 15, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.