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Nursing HomeMedicaid Investigative

Heatherdowns Rehab & Residential Care Center

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

2401 Cass Rd, Toledo, OH 4361484 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Heatherdowns Rehab & Residential Care Center Nursing Home in Toledo, OH — Street View
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6/ 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 (14 vs median 8.0)
  • High staff turnover (64%)
  • High RN turnover (64%)

Bottom 25% in OH · Critically understaffed (RN) · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 46% of the national benchmark, which can affect medication management and response times. The facility has 14 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.34hrs
46%
Registered nurses for medical care
Total Nursing
3.11hrs
76%
All nurses + aides combined
Staff Turnover
62%
Lower is better (< 30% = good)
RN Turnover
63%
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

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility69.2%
Worse than Avg
Here
69.2%
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 needing more daily help over time

↓ Lower is better
This Facility1.7%
Better than Avg
Here
1.7%
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 whose bladder or bowel control got worse

↓ Lower is better
This Facility26.1%
Worse than Avg
Here
26.1%
US
19.4%
OH
21.6%
Lucas
22.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility19.7%
Mixed vs Avgs
Here
19.7%
US
19.5%
OH
25.4%
Lucas
24.1%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility13.8%
Mixed vs Avgs
Here
13.8%
US
15.4%
OH
9.4%
Lucas
9.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility59.8%
Worse than Avg
Here
59.8%
US
79.7%
OH
75.6%
Lucas
67.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility77.8%
Mixed vs Avgs
Here
77.8%
US
81.8%
OH
78.4%
Lucas
73.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.5%
Better than Avg
Here
0.5%
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

14deficiencies
Above state avg (10.1)
20 complaint-triggered

Heatherdowns has a concerning pattern of recurring deficiencies with 26 complaint-triggered violations, indicating families have reported problems. The facility repeatedly struggles with medication management, resident safety and accident prevention, and care planning across multiple years. Most issues appear corrected after citation, but the frequency of complaints and recurring problems in core care areas like medication errors and safety hazards suggest ongoing quality challenges families should investigate thoroughly before placement.

Jan 28, 2026Complaint
3
0921Potential for harm · PatternResolved (past non-compliance)

Environmental Deficiencies

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

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Nov 26, 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.

Sep 18, 2025Complaint
1
0627Actual harm · IsolatedResolved (past non-compliance)

Resident Rights Deficiencies

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Feb 10, 2025Routine
12
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.

0293Potential for harm · WidespreadCorrected

Egress Deficiencies

Have properly located and lighted "Exit" signs.

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 · PatternCorrected

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

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.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0687Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

Dec 31, 2024Complaint
1
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.

Nov 19, 2024Complaint
1
0624Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

Ownership & Operations

Who Operates This Facility

Owner / Operator

Heatherdowns Rehab & Residential Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Lionstone Care

Chain Size

22 facilities nationwide

Chain avg rating: 2.6/5 · Rank 14 of 22

Ownership & Management

Owners

Lionstone Hz Opco Holdings LLC

Owner · Organization

100%

Kazarnovsky, Solomon

Owner (parent company)

50%

Stein, Abba

Owner (parent company)

50%

Key personnel

Cusner, AdamOfficer / DirectorDegyansky, JeffreyOfficer / DirectorGoldish, EliezerOfficer / DirectorKazarnovsky, SolomonOfficer / DirectorStein, AbbaOfficer / 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

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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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