Advanced Healthcare Center

Name: Advanced Healthcare Center
Address: 955 GARDEN LAKE PKWY, Toledo, OH, 43614, US
Telephone: 4193822200

955 Garden Lake Pkwy, Toledo, OH 43614 · Lucas County · 99 certified beds · avg 84 residents/day · certified since Oct 7, 1987

Part of chain: HEALTH CARE FACILITY MANAGEMENT, LLC (5 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.06

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (39)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 2, 2026	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Jan 29, 2026	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 29, 2026	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 29, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Jan 29, 2026	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Jul 14, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Jul 14, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jul 14, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
May 28, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
Apr 3, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jan 9, 2024	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Dec 14, 2023	E · Potential for harm, repeated	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away.
Dec 14, 2023	E · Potential for harm, repeated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Dec 14, 2023	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 14, 2023	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Dec 14, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Dec 14, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 14, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Oct 12, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Sep 7, 2023	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Sep 7, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not provide special eating equipment and utensils — like adaptive cups or easy-grip silverware — for residents who need them, along with appropriate help at meals. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 7, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jul 13, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 13, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 6).

Year	Citations	Worst severity that year
2023	26	F
2024	1	E
2025	5	D
2026	7	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Ohio avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.06	3.45	3.95	bottom 30% in Ohio; bottom 16% in the U.S.
Registered Nurse hours	0.40	0.60	0.69	bottom 20% in Ohio; bottom 22% in the U.S.
Weekend total nurse staffing	2.76	3.07	3.50	bottom 33% in Ohio; bottom 19% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.42	0.48	bottom 20% in Ohio; bottom 23% in the U.S.
Total nursing staff turnover (%)	45.1	48.7	45.8	top 41% in Ohio; bottom 50% in the U.S.
RN turnover (%)	33.3	43.9	42.9	top 31% in Ohio; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.39, RN 0.44, weekend 3.06. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Toledo MSTR Co LLC	Organization	5% or Greater Direct Ownership Interest	100%	11/01/2018
Cobalt I Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Cobalt II Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Cobalt III Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Cobalt IV Irrevocable Trust	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Georgakopoulos, Toula	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2021
Georgakopoulos, Toula	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2021
Groves, Donna	Individual	Operational/Managerial Control	NOT APPLICABLE	04/14/2023
Kayyali, Ammar	Individual	Operational/Managerial Control	NOT APPLICABLE	06/14/2018
Kayyali, Ammar	Individual	ADP of the SNF	NOT APPLICABLE	02/11/2025
Marino, Peter	Individual	Corporate Officer	NOT APPLICABLE	01/04/2021
Minority Report LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Parkway Mgt Co LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	11/01/2018
Parkway Mgt Co LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/26/2025
Parkway Re Holdings I, LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/23/2025
Romeo, Dominic	Individual	Operational/Managerial Control	NOT APPLICABLE	04/01/2023
Toledo HC Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Toledo MSTR Co LLC	Organization	ADP of the SNF	NOT APPLICABLE	11/01/2018
Tranquillo, Deborah	Individual	Corporate Officer	NOT APPLICABLE	11/01/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"If my family member falls or their condition changes, exactly when and how will I be notified?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Foundation Park Care Center	1.8 mi	Toledo, OH	★★☆☆☆	1/5
Concord Care Center of Toledo	1.9 mi	Toledo, OH	★★☆☆☆	1/5
Divine Rehabilitation and Nursing at Toledo	2.5 mi	Toledo, OH		—/5	abuseSFF
Continuing Healthcare of Toledo	2.7 mi	Toledo, OH	★★☆☆☆	2/5
Park Terrace Rehabilitation Center	3.3 mi	Toledo, OH	★☆☆☆☆	1/5
Heatherdowns Rehab & Residential Care Center	3.6 mi	Toledo, OH	★★☆☆☆	2/5
Ohio Living Swan Creek	3.9 mi	Toledo, OH	★★★☆☆	2/5
Otterbein Sunset House	4.0 mi	Toledo, OH	★★★☆☆	3/5
Kingston Health Center of Perrysburg	4.3 mi	Perrysburg, OH	★★★★☆	4/5
Ayden Healthcare of Toledo	4.3 mi	Toledo, OH	★★☆☆☆	1/5
Manor at Perrysburg	4.7 mi	Perrysburg, OH	★★☆☆☆	2/5
Majestic Care of Perrysburg	5.0 mi	Perrysburg, OH	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Toledo →

Facility data as of CMS processing date 2026-08-01. CCN 365704.

The Care File

Visit checklist — Advanced Healthcare Center

955 Garden Lake Pkwy, Toledo, OH 43614 · 4193822200

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "If my family member falls or their condition changes, exactly when and how will I be notified?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How do you arrange eye and hearing care for residents, including appointments and equipment like glasses or hearing aids?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 365704 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)