Merit House LLC

Name: Merit House LLC
Address: 4645 LEWIS AVE, Toledo, OH, 43612, US
Telephone: 4194785131

4645 Lewis Ave, Toledo, OH 43612 · Lucas County · 99 certified beds · avg 84 residents/day · certified since Jun 1, 1972 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.86

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 2/5

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 (43)

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 16, 2026	E · Potential for harm, repeated	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. · from a complaint
Apr 23, 2026	E · Potential for harm, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Jan 28, 2026	F · Potential for harm, facility-wide	The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. · from a complaint
Jan 28, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 28, 2026	D · Potential for harm, one-off	The facility did not help residents with transportation to and from laboratory services outside the facility. · from a complaint
Dec 3, 2025	F · Potential for harm, facility-wide	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. · from a complaint
Jan 30, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 31, 2024	E · Potential for harm, repeated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 31, 2024	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint
Dec 31, 2024	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. · from a complaint
Dec 31, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Dec 31, 2024	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
Dec 31, 2024	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.
Nov 6, 2024	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
Nov 6, 2024	D · Potential for harm, one-off	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. · from a complaint
Sep 23, 2024	E · Potential for harm, repeated	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.
Sep 23, 2024	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Sep 23, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Sep 23, 2024	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.
Sep 23, 2024	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.
Sep 23, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Sep 23, 2024	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.
Sep 23, 2024	D · Potential for harm, one-off	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Sep 23, 2024	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.
Sep 23, 2024	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.
Sep 23, 2024	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Sep 23, 2024	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 23, 2024	D · Potential for harm, one-off	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.
Sep 23, 2024	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.
Sep 23, 2024	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 23, 2024	C · Minimal risk, facility-wide	The facility did not observe each nurse aide's job performance or provide regular training as required.
Apr 28, 2022	F · Potential for harm, facility-wide	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.
Apr 28, 2022	E · Potential for harm, repeated	The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time.
Apr 28, 2022	E · Potential for harm, repeated	The facility did not properly protect the personal money residents deposited with it for safekeeping.
Apr 28, 2022	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Apr 28, 2022	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Apr 28, 2022	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 28, 2022	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.
May 30, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
May 30, 2019	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.
May 30, 2019	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.
May 30, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 30, 2019	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.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (7 → 16).

Year	Citations	Worst severity that year
2019	5	D
2022	7	F
2024	24	E
2025	2	F
2026	5	F

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)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Sep 23, 2024	Payment Denial	62 days from Nov 2, 2024

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)	3.86	3.45	3.95	top 20% in Ohio; top 46% in the U.S.
Registered Nurse hours	0.27	0.60	0.69	bottom 3% in Ohio; bottom 7% in the U.S.
Weekend total nurse staffing	3.48	3.07	3.50	top 18% in Ohio; top 43% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.07	0.42	0.48	bottom 1% in Ohio; bottom 1% in the U.S.
Total nursing staff turnover (%)	60.2	48.7	45.8	bottom 20% in Ohio; bottom 16% in the U.S.
RN turnover (%)	63.6	43.9	42.9	bottom 20% in Ohio; bottom 17% 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 4.16, RN 0.29, weekend 3.75. Staffing rating: 1/5.

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 - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Stone, Jodie	Individual	5% or Greater Direct Ownership Interest	50%	01/04/2013
Stone, John	Individual	5% or Greater Direct Ownership Interest	50%	01/04/2013
Stone, Jodie	Individual	Corporate Officer	NOT APPLICABLE	01/04/2013
Stone, John	Individual	Corporate Officer	NOT APPLICABLE	01/04/2013
Stone, John	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2013

Questions to ask on your visit

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

"Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you confirm each aide's training and certification before they start caring for residents?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"How do you arrange transportation when a resident needs tests or appointments outside the facility?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"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
Ayden Healthcare of Toledo	2.6 mi	Toledo, OH	★★☆☆☆	1/5
Hickory Ridge of Temperance	2.8 mi	Temperance, MI	★★★★☆	4/5
Park Terrace Rehabilitation Center	3.2 mi	Toledo, OH	★☆☆☆☆	1/5
Otterbein Sunset House	4.3 mi	Toledo, OH	★★★☆☆	3/5
Divine Rehabilitation and Nursing at Toledo	4.8 mi	Toledo, OH		—/5	abuseSFF
Majestic Care of Point Place	4.8 mi	Toledo, OH	★☆☆☆☆	1/5
Divine Rehabilitation and Nursing at Sylvania	5.3 mi	Sylvania, OH	★★☆☆☆	1/5
Majestic Care of Toledo SNF	5.3 mi	Toledo, OH	★★★★★	4/5
Advanced Healthcare Center	5.8 mi	Toledo, OH	★★★★☆	3/5
Franciscan Care Ctr Sylvania	6.2 mi	Toledo, OH	★★☆☆☆	1/5	SFF
Arbors at Oregon	6.3 mi	Oregon, OH	★★☆☆☆	1/5
Continuing Healthcare of Toledo	6.5 mi	Toledo, OH	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Toledo →

Facility data as of CMS processing date 2026-08-01. CCN 365279.

The Care File

Visit checklist — Merit House LLC

4645 Lewis Ave, Toledo, OH 43612 · 4194785131

Health inspection rating 1/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you confirm each aide's training and certification before they start caring for residents?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "How do you arrange transportation when a resident needs tests or appointments outside the facility?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "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 365279 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)