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Nursing HomeMedicaid Investigative

Ayden Healthcare of Toledo

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

4293 Monroe St, Westgate · Toledo, OH 4360698 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 28 Google reviews

5
4
3
2
1
Ayden Healthcare of Toledo Nursing Home in Toledo, OH — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (31 vs median 8.0)
  • High staff turnover (68%)

Bottom 25% in OH · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While the facility is frequently praised for its rehabilitation therapy and friendly staff, there are recurring, serious reports of neglect, poor hygiene, and missing personal property. If you are considering this facility, we strongly recommend conducting an unannounced visit to inspect the cleanliness of the rooms and asking management specifically about their policies for safeguarding resident valuables and medication administration consistency.

Google Reviews

Google Reviews

28 reviews on Google
Ayden Healthcare of Toledo receives highly polarized feedback, with many short-term rehabilitation patients praising the therapy team and staff friendliness, while long-term residents and their families report severe issues regarding basic care. Critical concerns include inconsistent medication management, poor hygiene, and allegations of missing personal property. Families should be aware that while the facility is frequently recommended for short-term recovery, there are significant reports of neglect and communication failures.

Quality Themes

Tap a score for details
Food4.0Staff5.0Clean3.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Effective rehabilitation and therapy services
  • Friendly and supportive nursing staff
  • Engaging activities and social atmosphere
  • Welcoming admissions process

Concerns

  • Poor facility cleanliness and hygiene (mentioned by 3 reviewers)
  • Missing personal belongings and clothing (mentioned by 2 reviewers)
  • Inconsistent medication management and care response times (mentioned by 2 reviewers)
  • Staff communication and professional conduct issues (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02023(1)4.12024(9)3.62025(14)4.02026(8)

Distribution · 32 analyzed

5
21
4
3
3
0
2
0
1
8

How They Respond to Reviews

93%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to online feedback; how do you use that family input to improve the daily experience for residents?
  • 2Given that rehabilitation and therapy are noted as strengths here, how do you ensure that progress carries over into the resident's daily routine and care plan?
  • 3Could you walk me through your current protocols for ensuring personal belongings and clothing are tracked and kept secure for each resident?
  • 4With the recent focus on facility maintenance, what specific steps are being taken to improve the cleanliness and hygiene standards in resident living areas?
  • 5How do you manage medication administration and ensure that staff are able to respond promptly when a resident needs assistance?
  • 6What does a typical social calendar look like for residents, and how do you encourage participation in activities to foster a sense of community?

Personalized based on this facility's data


Key Review Excerpts

The staff,shows you daily exactly how little they care. You never get your meds the same time daily. God help you if you have to request a med. Ive had diahrea for 5 days. No immodium in the building.

Current resident · 2025☆☆☆☆

My dad was there for 13 days. Was the worst experience in my life. I won't even send my cat there. His room was always dirty. Nurse never check on him.

Long-term resident's family · 2025☆☆☆☆

I have been a resident here on and off for eight years, through the many ups and downs the fact they always try to hire kind and caring staff. I return each for the rehabilitation it's great!

Long-term resident · 2025★★★★
Source: 28 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
64%
Registered nurses for medical care
Total Nursing
3.43hrs
84%
All nurses + aides combined
Staff Turnover
66%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

11

measures

Worse Than Avg

5

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.2%
Better than Avg
Here
1.2%
US
12.1%
OH
28.2%
Lucas
23.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility69.4%
Worse than Avg
Here
69.4%
US
95.5%
OH
94.5%
Lucas
93.0%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility8.9%
Better than Avg
Here
8.9%
US
19.4%
OH
21.6%
Lucas
23.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility3.3%
Better than Avg
Here
3.3%
US
14.4%
OH
5.8%
Lucas
5.5%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility4.3%
Better than Avg
Here
4.3%
US
15.3%
OH
6.9%
Lucas
7.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.4%
OH
9.4%
Lucas
9.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility20.5%
Worse than Avg
Here
20.5%
US
79.7%
OH
75.6%
Lucas
68.7%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility39.4%
Worse than Avg
Here
39.4%
US
81.8%
OH
78.4%
Lucas
74.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
OH
1.2%
Lucas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
Well above state avg (10.1)
17 complaint-triggered

Ayden Healthcare has significant recurring problems across multiple care areas, with 17 complaint-triggered violations indicating families have filed reports about care concerns. The facility consistently struggles with medication management, accident prevention and safety, and infection control across all recent surveys. While violations appear to be corrected when identified, the same issues repeatedly resurface, particularly around resident safety and pharmaceutical services, suggesting ongoing operational challenges that families should carefully consider.

Mar 27, 2025Complaint
5
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 17, 2024Routine
35
0730Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Observe each nurse aide's job performance and give regular training.

0761Potential for harm · WidespreadCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0363Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0511Potential for harm · WidespreadCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0541Potential for harm · WidespreadCorrected

Services Deficiencies

Install properly constructed and protected linen or trash chutes.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0741Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0920Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0657Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0211Potential for harm · PatternCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0222Potential for harm · PatternCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0225Potential for harm · PatternCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0781Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Assist a resident in gaining access to vision and hearing services.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0773Potential for harm · IsolatedCorrected

Administration Deficiencies

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

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Jul 17, 2024Complaint
5
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Jun 6, 2024Complaint
2
0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 28, 2024Complaint
2
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Jan 24, 2024Complaint
1
0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ayden Healthcare of Toledo

Organization Type

for profit

Chain Affiliation

Chain Name

Ayden Healthcare

Chain Size

11 facilities nationwide

Chain avg rating: 2.5/5 · Rank 8 of 11

Ownership & Management

Key personnel

Aschendorf, JonathanManaging Control - Governing BodyKaplan, YisroelManaging Control - Governing BodyAftab, ZahraManagerAschendorf, JonathanManagerKaplan, YisroelManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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