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Nursing HomeMedicaid Investigative

Continuing Healthcare of Toledo

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

4420 South Avenue, Reynolds Corners · Toledo, OH 4361575 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 23 Google reviews

5
4
3
2
1
Continuing Healthcare of Toledo Nursing Home in Toledo, OH — Street View
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5/ 10
high 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)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (19 vs median 8.0)
  • High RN turnover (78%)

Bottom 25% in OH · Critically understaffed (RN) · Worst in DIVINE HEALTHCARE MANAGEMENT chain · $21,598 in fines

Source: Medicare data

What this means for your family

While the facility's therapy department is frequently praised for helping patients return home, there are consistent and severe reports regarding facility cleanliness and slow response times to call lights. We strongly advise visiting the facility in person, specifically checking the cleanliness of resident rooms and observing staff response times, before making a decision.

Google Reviews

Google Reviews

23 reviews on Google
Continuing Healthcare of Toledo (often referred to as White Oak) receives highly polarized feedback, with some residents praising the therapy team and friendly staff, while others report severe neglect. Multiple families have raised urgent concerns regarding poor sanitation, including persistent odors and uncleaned rooms, as well as significant delays in staff responding to call lights.

Quality Themes

Tap a score for details
Food2.0Staff5.0Clean1.0Activities8.0Meds3.0MemoryN/AComms2.0ValueN/A

Strengths

  • Effective rehabilitation therapy
  • Friendly and welcoming staff
  • Private room availability
  • Engaging resident activities

Concerns

  • Poor facility cleanliness and hygiene (odors, uncleaned rooms) (mentioned by 6 reviewers)
  • Slow or non-existent response to call lights (mentioned by 3 reviewers)
  • Staff rudeness or lack of professionalism (mentioned by 3 reviewers)
  • Poor communication and difficulty reaching staff/administration (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2342.72022(3)3.92023(9)1.02024(2)4.02025(9)5.02026(1)

Distribution · 24 analyzed

5
13
4
3
3
0
2
1
1
7

How They Respond to Reviews

83%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1We've heard great things about the rehabilitation therapy and resident activities here; could you tell us more about what a typical day looks like for someone in our loved one's care?
  • 2How does the facility manage daily cleaning schedules and room maintenance to ensure a fresh and comfortable environment for all residents?
  • 3What is the protocol for responding to call lights, and how do you ensure staff are available to assist residents promptly throughout the night?
  • 4How do you ensure clear and consistent communication between the nursing staff and family members regarding updates on a resident's health?
  • 5Could you walk us through your process for medication management and how you ensure accuracy and safety for every resident?
  • 6In the event of a medical emergency after hours, what are the specific steps the on-site team takes to provide immediate care?

Personalized based on this facility's data


Key Review Excerpts

The lights for the patients are on for a long time before any assistance comes. The communication between the hospital visits and rehab is horrible. The rooms do not get cleaned. Trays of food sit for hours.

Family member · 2025☆☆☆☆

It smells like urine as soon as you walk in. I seen a woman MOPPING HER OWN FLOOR! Disgusting place.

Family member · 2025☆☆☆☆

The staff here are nice and friendly. The therapy department works well with the residents with getting us back on our feet and able to go home.

Rehab patient · 2025★★★★★
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.40hrs
54%
Registered nurses for medical care
Total Nursing
3.30hrs
81%
All nurses + aides combined
Staff Turnover
37%
Lower is better (< 30% = good)
RN Turnover
73%
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

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility83.5%
Worse than Avg
Here
83.5%
US
12.1%
OH
28.2%
Lucas
20.8%

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

🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
15.3%
OH
6.9%
Lucas
7.3%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility16.4%
Better than Avg
Here
16.4%
US
19.5%
OH
25.4%
Lucas
24.2%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility13.1%
Worse than Avg
Here
13.1%
US
5.3%
OH
6.3%
Lucas
6.5%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility87.7%
Worse than Avg
Here
87.7%
US
95.5%
OH
94.5%
Lucas
92.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
19.4%
OH
21.6%
Lucas
22.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility96.7%
Better than Avg
Here
96.7%
US
81.8%
OH
78.4%
Lucas
72.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility83.8%
Better than Avg
Here
83.8%
US
79.7%
OH
75.6%
Lucas
66.5%
💊

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

19deficiencies
1penalties
Well above state avg (10.1)
11 complaint-triggered
$21,598 in fines

This facility shows concerning patterns with 90 deficiencies across multiple inspections, including recurring issues with pressure ulcer care, environmental cleanliness, and infection control that persist across surveys. Families have filed complaints that triggered inspections, particularly regarding bowel/bladder care and notification of family members about resident incidents. While all deficiencies show correction dates, the repeated nature of problems across fire safety, medication management, and resident care suggests ongoing operational challenges families should carefully evaluate.

Sep 30, 2025Complaint
2
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.

0921Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

Aug 28, 2025Complaint
1
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.

Jul 30, 2025Complaint
3
0804Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0921Potential for harm · WidespreadCorrected

Environmental Deficiencies

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

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Nov 5, 2024Complaint
2
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.

Aug 15, 2024Routine
28
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0867Potential for harm · WidespreadCorrected

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

0015Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Address subsistence needs for staff and patients.

0222Potential for harm · WidespreadCorrected

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.

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.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

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.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

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.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

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.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

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.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

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.

0925Potential for harm · IsolatedCorrected

Environmental Deficiencies

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

0947Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

May 23, 2023Complaint
1
0883Potential for harm · PatternCorrected

Infection Control Deficiencies

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

Federal Penalties

Fine

Aug 15, 2024

$21,598

Ownership & Operations

Who Operates This Facility

Owner / Operator

Continuing Healthcare of Toledo

Organization Type

for profit

Chain Affiliation

Chain Name

Divine Healthcare Management

Chain Size

9 facilities nationwide

Chain avg rating: 2.3/5 · Rank 5 of 8 (Worst)

Ownership & Management

Owners

Divine Rehabilitation and Nursing at Swan Creek LLC

Owner · Organization

100%

Markovits, Isaak

Owner (parent company)

50%

Richland, Ilan

Owner (parent company)

50%

Key personnel

Markovits, IsaakW-2 Managing EmployeeMarkovits, IsaakOfficer / DirectorRichland, IlanOfficer / DirectorMarkovits, IsaakOfficer / DirectorRichland, IlanOfficer / Director
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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