Nursing homeFAID #9565
Continuing Healthcare of Toledo
4420 SOUTH AVENUE, TOLEDO, OH, 43615
(419) 531-4201
75 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
75
CMS facility ID
365488
Care type
Nursing home
County
Lucas
Facility name
Continuing Healthcare of Toledo
Street address
4420 SOUTH AVENUE
City / state / ZIP
Toledo, OH 43615
Phone
(419) 531-4201
About this facility — Continuing Healthcare of Toledo
Continuing Healthcare of Toledo is a Medicare/Medicaid-certified skilled nursing facility in Toledo, Ohio. It is licensed for 75 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 Continuing Healthcare of Toledo 90 times across 11 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $21,598 in fines. 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
Divine Healthcare Management
Ownership type
For profit - Limited Liability company
Registered owners & officers
Divine Rehabilitation and Nursing At Swan Creek Llc
Direct owner — 100% stake — since 2021
Markovits, Isaak
Indirect owner · Managing employee · Director · Officer — 50% stake — since 2021
Richland, Ilan
Indirect owner · Director · Officer — 50% stake — since 2021
Regulatory standing
Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1980-05-09
CMS overall rating
2 of 5 stars
Health deficiencies
19 at the last standard inspection
Federal fines
$21,598 total
Last standard inspection
2024-08-15
Nurse staffing
3.2 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$313 per day (≈ $9,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
23% Medicaid · 2% Medicare · 76% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
14% below the OH median of $364/day — full state cost breakdown
Services & coverage
Licensed beds
75
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.
2026-04-29Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-05-15
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-15
F-0761
D · No harm foundFrom a complaint
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 2026-05-15
2025-09-30Health inspectionComplaint-triggered2 citations
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 2025-10-08
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-10-08
9 earlier / fire-safety inspections (85 citations)
2025-08-28Health inspectionComplaint-triggered1 citation
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 2025-08-30
2025-07-30Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-08-14
F-0804
F · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-08-14
F-0921
F · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-08-14
2024-11-05Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-11-14
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 2024-11-14
2024-08-15Health inspection13 citations
F-0584
E · 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 2024-09-12
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-09-12
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-12
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-09-12
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-12
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 2024-09-12
F-0690
D · No harm found
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 2024-09-12
F-0812
E · 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 2024-09-12
F-0867
F · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-09-12
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-09-12
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 2024-09-12
F-0925
D · No harm found
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2024-09-12
F-0947
C · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2024-09-12
2022-08-02Health inspection15 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 2022-08-31
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-08-31
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2022-08-31
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 2022-08-31
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2022-08-31
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-31
F-0730
C · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2022-08-31
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2022-08-31
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-08-31
F-0761
D · 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 2022-08-31
F-0838
C · No harm found
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected 2022-08-31
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 2022-08-31
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2022-08-31
F-0888
C · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2022-08-31
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 2022-08-31
2019-08-07Health inspection22 citations
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2019-09-20
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 2019-09-20
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2019-09-20
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2019-09-20
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2019-09-20
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2019-09-20
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 2019-09-20
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2019-09-20
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2019-09-20
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-09-20
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2019-09-20
F-0686
G · Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2019-09-20
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2019-09-20
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2019-09-20
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2019-09-20
F-0727
F · No harm found
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2019-09-20
F-0730
F · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2019-09-20
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2019-09-20
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2019-09-20
F-0761
E · 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 2019-09-20
F-0812
E · 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 2019-09-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2019-09-20
2024-08-15Fire-safety inspection15 citations
E-0015
F · No harm found
Address subsistence needs for staff and patients.
Corrected 2024-09-12
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 2024-09-12
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 2024-09-12
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-09-12
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-09-12
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-12
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-12
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-12
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-09-12
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-09-12
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 2024-09-12
K-0761
F · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-09-12
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 2024-09-12
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-09-12
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-09-12
2022-08-02Fire-safety inspection8 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2022-08-31
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 2022-08-31
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2022-08-31
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-08-31
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2022-08-31
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 2022-08-31
K-0919
E · No harm found
Meet requirements for the use of electrical equipment.
Corrected 2022-08-31
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2022-08-31
2019-08-07Fire-safety inspection6 citations
K-0343
F · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2019-09-20
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2019-09-20
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2019-09-20
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2019-09-20
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2019-09-20
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2019-09-20
Federal penalties
2024-08-15Fine$21,598
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 365488.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 90 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 onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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