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Nursing homeFAID #9812

Ayden Healthcare of Toledo

4293 MONROE ST, TOLEDO, OH, 43606

(419) 474-6021

98 licensed beds

★★★★★2/5CMS Five-Star overall1/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

4293 Monroe St

Toledo, OH 43606

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

365849

Care type

Nursing home

County

Lucas

Facility name

Ayden Healthcare of Toledo

Street address

4293 MONROE ST

City / state / ZIP

Toledo, OH 43606

Phone

(419) 474-6021

About this facility — Ayden Healthcare of Toledo

Ayden Healthcare of Toledo is a Medicare/Medicaid-certified skilled nursing facility in Toledo, Ohio. It is licensed for 98 beds — close to the median for skilled nursing facilities in Ohio (86 beds).

It is one of 43 senior care facilities in Toledo and 922 skilled nursing facilities across Ohio. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Ayden Healthcare of Toledo 94 times across 13 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Ayden Healthcare

Ownership type

For profit - Limited Liability company

Registered owners & officers

Buckeye Family Trust

Direct owner · Operational control — 51% stake — since 2025

Aftab, Zahra

Operational control · Additional disclosable party — since 2024

Aschendorf, Jonathan

Governing body · Operational control · Additional disclosable party — since 2023

Kaplan, Yisroel

Governing body · Operational control — since 2021

Lahasky, Ephram

Governing body · Officer · Operational control — since 2025

Washington, Katina

Operational control · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since

1991-07-29

CMS overall rating

2 of 5 stars

Health deficiencies

30 at the last standard inspection

Federal fines

None on record

Last standard inspection

2024-07-17

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$288 per day (≈ $8,760/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

83% Medicaid · 3% Medicare · 14% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

21% below the OH median of $364/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-12Health inspectionComplaint-triggered4 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2026-06-10

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-02-23

F-0676

D · No harm foundFrom a complaint

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2026-06-10

F-0880

F · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2026-06-10

2025-03-27Health inspectionComplaint-triggered5 citations

F-0677

D · No harm foundFrom a complaint

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

Corrected 2025-04-21

F-0686

D · No harm foundFrom a complaint

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

Corrected 2025-04-21

F-0687

D · No harm foundFrom a complaint

Provide appropriate foot care.

Corrected 2025-04-21

F-0842

D · No harm foundFrom a complaint

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

Corrected 2025-04-21

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-04-21

10 earlier / fire-safety inspections (85 citations)

2024-07-17Health inspectionComplaint-triggered26 citations

F-0561

D · No harm found

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

Corrected 2024-08-13

F-0565

E · No harm found

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

Corrected 2024-08-13

F-0577

C · No harm found

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

Corrected 2024-08-13

F-0640

D · No harm found

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

Corrected 2024-08-13

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-13

F-0656

D · No harm found

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

Corrected 2024-08-13

F-0657

E · No harm found

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

Corrected 2024-08-13

F-0684

D · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0685

D · No harm found

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

Corrected 2024-08-13

F-0686

D · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0689

E · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0690

D · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0692

D · No harm found

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

Corrected 2024-08-13

F-0695

D · No harm found

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

Corrected 2024-08-13

F-0730

F · No harm found

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

Corrected 2024-08-13

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0756

D · No harm found

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

Corrected 2024-08-13

F-0758

D · No harm found

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.

Corrected 2024-08-13

F-0761

F · No harm found

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.

Corrected 2024-08-13

F-0773

D · No harm found

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

Corrected 2024-08-13

F-0812

F · No harm foundFood safety

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

Corrected 2024-08-13

F-0842

D · No harm found

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

Corrected 2024-08-13

F-0881

D · No harm found

Implement a program that monitors antibiotic use.

Corrected 2024-08-13

F-0883

D · No harm found

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

Corrected 2024-08-13

F-0887

D · No harm found

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.

Corrected 2024-08-13

F-0921

E · No harm found

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

Corrected 2024-08-13

2024-06-06Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

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

Corrected 2024-08-13

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2024-07-17

2024-03-28Health inspectionComplaint-triggered2 citations

F-0677

D · No harm foundFrom a complaint

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

Corrected 2024-04-10

F-0690

D · No harm foundFrom a complaint

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

Corrected 2024-04-10

2024-01-24Health inspectionComplaint-triggered1 citation

F-0755

D · No harm foundFrom a complaint

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

Corrected 2024-02-06

2023-12-07Health inspectionComplaint-triggered2 citations

F-0689

G · Actual harmFrom a complaint

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

Corrected 2023-11-27

F-0690

D · No harm foundFrom a complaint

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

Corrected 2024-01-04

2022-09-02Health inspection11 citations

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2022-10-20

F-0561

D · No harm found

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

Corrected 2022-10-20

F-0565

E · No harm found

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

Corrected 2022-10-20

F-0584

D · No harm found

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.

Corrected 2022-10-20

F-0679

E · No harm found

Provide activities to meet all resident's needs.

Corrected 2022-10-20

F-0686

D · No harm found

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

Corrected 2022-10-20

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-10-20

F-0810

D · No harm foundFood safety

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2022-10-20

F-0812

F · No harm foundFood safety

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

Corrected 2022-11-03

F-0880

F · No harm found

Provide and implement an infection prevention and control program.

Corrected 2022-10-20

F-0888

D · No harm found

Ensure staff are vaccinated for COVID-19

Corrected 2022-10-20

2019-09-19Health inspection9 citations

F-0582

D · No harm found

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2019-11-05

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2019-11-05

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2019-11-05

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2019-11-05

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2019-11-05

F-0684

D · No harm found

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

Corrected 2019-11-05

F-0689

D · No harm found

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

Corrected 2019-11-05

F-0692

D · No harm found

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

Corrected 2019-11-05

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2019-11-05

2024-07-17Fire-safety inspection14 citations

K-0211

E · No harm found

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

Corrected 2024-08-13

K-0222

E · No harm found

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.

Corrected 2024-08-13

K-0225

E · No harm found

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

Corrected 2024-08-13

K-0321

F · No harm found

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

Corrected 2024-08-13

K-0345

F · No harm found

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

Corrected 2024-08-13

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-13

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2024-08-13

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2024-08-13

K-0541

F · No harm found

Install properly constructed and protected linen or trash chutes.

Corrected 2024-08-13

K-0711

F · No harm found

Provide a written emergency evacuation plan.

Corrected 2024-08-13

K-0741

F · No harm found

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

Corrected 2024-08-13

K-0781

E · No harm found

Have restrictions on the use of portable space heaters.

Corrected 2024-08-13

K-0914

F · No harm found

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

Corrected 2024-08-13

K-0920

F · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-08-13

2022-09-02Fire-safety inspection9 citations

E-0001

F · No harm found

Establish an Emergency Preparedness Program (EP).

Corrected 2022-10-20

K-0211

F · No harm found

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

Corrected 2022-10-20

K-0222

F · No harm found

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.

Corrected 2022-10-20

K-0321

F · No harm found

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

Corrected 2022-10-20

K-0345

F · No harm found

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

Corrected 2022-10-20

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-10-20

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2022-10-20

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2022-10-20

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2022-10-20

2019-09-19Fire-safety inspection9 citations

E-0001

F · No harm found

Establish an Emergency Preparedness Program (EP).

Corrected 2019-11-05

K-0222

F · No harm found

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.

Corrected 2019-11-05

K-0321

E · No harm found

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

Corrected 2019-11-05

K-0351

E · No harm found

Install an approved automatic sprinkler system.

Corrected 2019-11-05

K-0355

F · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2019-11-05

K-0363

F · No harm found

Install corridor and hallway doors that block smoke.

Corrected 2019-11-05

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2019-11-05

K-0521

F · No harm found

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

Corrected 2019-11-05

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2019-11-05

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 365849.

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 94 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered