The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
OHIO LIVING SWAN CREEK
TOLEDO, OH · Medicare-certified · 34 beds
Needs attention
Non-profitChain member
4 of 5 overall
Ohio Living Swan Creek has an overall rating of 4 out of 5 stars, with strong quality measures (5/5) and staffing (4/5), and reported nurse staffing above the federal benchmark (4.72 vs. 4.1 hours per resident per day). It also had a recent federal penalty and $53,650 in fines over the last 24 months, while its health inspection rating was 3/5.
Facility ratings
Health inspections
Staffing
4.725 hrs/resident/day
Quality measures
Last inspection: August 27, 2025Penalties, last 24 months: $53,650recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.725.
Staffing detail
- Registered nurses
- 1.14
- Licensed practical nurses
- 1.14
- Nurse aides
- 2.44
- Weekend nursing
- 3.73
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 17%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
12.1%Steady
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
2.6%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.8%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
5.6%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
16.7%Steady
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
10.8%Steady
Residents with depressive symptoms
5.3%Worsening
Long-stay residents given the seasonal flu vaccine
88.9%Steady
Long-stay residents given the pneumonia vaccine
98.8%Improving
Short-stay residents given the seasonal flu vaccine
85.5%Steady
Short-stay residents given the pneumonia vaccine
94.8%Improving
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited May 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited August 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $53,650 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $53,650 in total fines.
- $53,650
Federal fine
Aug 27, 2025
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of OHIO LIVING COMMUNITIES · 11 homes · 4.7 stars avg
- Occupancy
- 31.3 residents on an average day (92% of 34 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 years
The most recent standard health inspection was more than two years ago.
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.