The home failed to make sure the resident’s transfer or discharge met their needs and preferences and was safe. Cited September 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 627 — 42 CFR §483.15(c) — S/S: G
Nursing home report
HEATHERDOWNS REHAB & RESIDENTIAL CARE CENTER
TOLEDO, OH · Medicare-certified · 84 beds
In good standing
For-profitChain member
2 of 5 overall
2 of 5 stars overall. Health inspections are 2 stars and staffing is 1 star, with reported nurse staffing of 3.11 hours per resident per day below the federal benchmark of 4.1; quality measures are 5 stars and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.1105 hrs/resident/day
Quality measures
Last inspection: January 28, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1105.
Staffing detail
- Registered nurses
- 0.34
- Licensed practical nurses
- 1.17
- Nurse aides
- 1.60
- Weekend nursing
- 2.77
Hours per resident per day.
Total staff turnover: 62%
Registered nurse turnover: 63%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
13.8%Improving
Residents with a fall causing major injury
3.7%Improving
Residents with pressure ulcers (bedsores)
3.3%Improving
Residents with a urinary tract infection
0.4%Improving
Residents who lost too much weight
4.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
1.7%Steady
Residents whose ability to walk got worse
4.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
19.7%Improving
Short-stay residents newly given an antipsychotic
0.5%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
26.1%Worsening
Residents with depressive symptoms
69.2%Worsening
Long-stay residents given the seasonal flu vaccine
91.5%Steady
Long-stay residents given the pneumonia vaccine
92.5%Improving
Short-stay residents given the seasonal flu vaccine
59.8%Steady
Short-stay residents given the pneumonia vaccine
77.8%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Chain
- Part of LIONSTONE CARE · 22 homes · 2.6 stars avg
- Occupancy
- 77.7 residents on an average day (92% of 84 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.