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Nursing HomeMedicaid Investigative

Franciscan Care Ctr Sylvania

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

4111 Holland Sylvania Rd, Toledo, OH 4362396 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.2/5

based on 64 Google reviews

5
4
3
2
1

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7/ 10
critical Risk

Quality Concerns Identified

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

  • Special Focus Facility (under heightened CMS scrutiny)
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (48 vs median 8.0)

Bottom 25% in OH · Below recommended RN staffing · Worst in COMMONSPIRIT HEALTH chain · $337,580 in fines · Special Focus Facility (CMS)

Source: Medicare data

What this means for your family

While the facility's physical therapy program is frequently praised, the high volume of reports regarding neglect, hygiene, and medication errors is concerning. If you choose this facility, we strongly recommend frequent, unannounced visits and active daily advocacy to ensure your loved one's basic needs are being met.

Google Reviews

Google Reviews

64 reviews on Google
Franciscan Care Center in Sylvania receives highly polarized feedback, with some families praising the rehabilitation therapy and individual staff members, while others report severe neglect and systemic staffing issues. Recurring complaints highlight long wait times for call lights, poor hygiene, and medication management errors, suggesting that the quality of care may be inconsistent depending on the shift or unit.

Quality Themes

Tap a score for details
Food4.0Staff3.0Clean4.0Activities6.0Meds1.0Memory3.0Comms2.0ValueN/A

Strengths

  • Effective physical and rehabilitation therapy
  • Clean, well-maintained facility environment
  • Compassionate individual nursing and aide staff
  • Welcoming atmosphere for short-term rehab

Concerns

  • Severe understaffing leading to neglect (mentioned by 14 reviewers)
  • Hygiene issues (lack of showers, soiled linens/diapers) (mentioned by 9 reviewers)
  • Slow or non-responsive call light system (mentioned by 5 reviewers)
  • Medication management and wound care errors (mentioned by 4 reviewers)
  • Theft of personal belongings (mentioned by 3 reviewers)
  • Poor communication and difficulty reaching staff by phone (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

234'16(2)'18(4)'20(2)'22(10)'24(14)'26(5)

Distribution · 68 analyzed

5
33
4
2
3
3
2
4
1
26

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1Given the current staffing levels, what specific protocols are in place to ensure that call lights are answered promptly and residents' hygiene needs are met in a timely manner?
  • 2I noticed the facility has had a high number of state violations recently; what concrete steps is leadership taking to improve these oversight and safety metrics?
  • 3How does your team ensure accuracy and safety in medication administration and wound care for residents with complex health needs?
  • 4I see you actively respond to feedback online; how do you use that input to improve the day-to-day experience and communication with families?
  • 5What measures are in place to secure residents' personal belongings and prevent the loss of items?
  • 6Could you walk me through the daily activity schedule and how you tailor these programs to keep residents engaged and socially active?

Personalized based on this facility's data


Key Review Excerpts

I have not received a shower two weeks that I've been here I sit with a dirty diaper for hours won't because they would only have one a for 20 patients which is outrageous

Rehab patient · 2024☆☆☆☆

My mom has been to several different rehab facilities and Franciscan is by far the best. The staff is friendly and willing to help my mom with whatever she needs.

Long-term resident's family · 2022★★★★★

The facility was very clean , no odors, pleasant staff especially the front desk staff, aides ( Shantell, TJ and Ethel) , nurse Angela. Our only reservation about the facility was staffing ratios.

Respite care family member · 2025★★★☆☆
Source: 64 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
86%
Registered nurses for medical care
Total Nursing
3.17hrs
77%
All nurses + aides combined

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
3/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility67.5%
Worse than Avg
Here
67.5%
US
12.1%
OH
28.2%
Lucas
21.3%

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

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility68.3%
Worse than Avg
Here
68.3%
US
93.4%
OH
92.6%
Lucas
93.3%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility72.1%
Worse than Avg
Here
72.1%
US
95.5%
OH
94.5%
Lucas
92.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility27.1%
Worse than Avg
Here
27.1%
US
15.3%
OH
6.9%
Lucas
6.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility16.0%
Worse than Avg
Here
16.0%
US
14.4%
OH
5.8%
Lucas
5.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.5%
OH
25.4%
Lucas
24.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility29.3%
Worse than Avg
Here
29.3%
US
79.7%
OH
75.6%
Lucas
68.4%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility31.8%
Worse than Avg
Here
31.8%
US
81.8%
OH
78.4%
Lucas
75.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.0%
Worse than Avg
Here
2.0%
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

47deficiencies
2penalties
Well above state avg (10.1)
67 complaint-triggered
$337,580 in fines

Families have filed numerous complaints that triggered over half of the 101 deficiencies found across 16 surveys. The most recurring problems involve nursing staff shortages, medication management errors, and wound/pressure sore care. Issues with daily living assistance, accident prevention, and infection control also appear repeatedly, with some problems like staffing and medication errors persisting from 2023 through 2025 despite reported corrections.

Feb 24, 2026Complaint
9
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0835Potential for harm · WidespreadCorrected

Administration Deficiencies

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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.

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.

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0800Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Dec 22, 2025Complaint
2
0609Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Nov 20, 2025Complaint
4
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

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.

Nov 13, 2025Complaint
12
0689Immediate jeopardy · 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.

0585Potential for harm · WidespreadCorrected

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0842Potential for harm · PatternCorrected

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 · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0712Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0742Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Apr 3, 2025Complaint
20
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0677Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jan 17, 2025Complaint
1
0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Prepare residents for a safe transfer or discharge from the nursing home.

Federal Penalties

Fine

Nov 13, 2025

$337,580

Payment Denial

Oct 5, 2023

26-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Franciscan Care Ctr Sylvania

Organization Type

for profit

Chain Affiliation

Chain Name

Commonspirit Health

Chain Size

19 facilities nationwide

Chain avg rating: 3.0/5 · Rank 18 of 19 (Worst)

Ownership & Management

Owners

Chi Living Communities

Owner · Organization

100%

Commonspirit Health

Owner (parent company) · Organization

100%

Key personnel

Iffland, AlisaManaging Control - Governing BodyLipsey, PrenticeManaging Control - Governing BodyMelfi, MitchManaging Control - Governing BodyRehmer, HeatherManaging Control - Governing BodyRichardson Mbanu, TerikaManaging Control - Governing Body
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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