Nursing homeActive

Advanced Healthcare Center

955 Garden Lake Pkwy, Toledo, OH 43614419382220099 certified beds · 84 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
10
since 2023
Deficiencies
39
0390
Penalties · 3 yrs
none on file
Last survey
2026-06-02
Complaint
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 2
Quality 5
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Ohio Department of Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-02Complaint010CMS-2567 (Care Compare)
2026-01-29Standard060CMS-2567 (Care Compare)
2025-07-14Complaint030CMS-2567 (Care Compare)
2025-05-28Complaint010CMS-2567 (Care Compare)
2025-04-03Complaint010CMS-2567 (Care Compare)
2024-01-09Complaint010CMS-2567 (Care Compare)
2023-12-14Standard070CMS-2567 (Care Compare)
2023-10-12Complaint010CMS-2567 (Care Compare)
2023-09-07Complaint080CMS-2567 (Care Compare)
2023-07-13Standard0100CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Ohio Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-02Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-26Record 365704-20260602-F580
2026-01-29Standard survey · 6 deficienciesOfficial report
F685Assist a resident in gaining access to vision and hearing services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F685
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F755
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-20Record 365704-20260129-F921
2025-07-14Complaint survey · 3 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-13Record 365704-20250714-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-13Record 365704-20250714-F610
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-13Record 365704-20250714-F760
2025-05-28Complaint survey · 1 deficiencyOfficial report
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-10Record 365704-20250528-F690
2025-04-03Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-16Record 365704-20250403-F760
2024-01-09Complaint survey · 1 deficiencyOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20240109-F583
2023-12-14Standard survey · 7 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F558
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F580
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F686
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F690
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F755
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F759
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-11Record 365704-20231214-F880
2023-10-12Complaint survey · 1 deficiencyOfficial report
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 365704-20231012-F760
2023-09-07Complaint survey · 8 deficienciesOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F623
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F636
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F755
F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F810
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-25Record 365704-20230907-F880
2023-07-13Standard survey · 10 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F677
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F690
F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F694
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F755
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F760
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F812
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 365704-20230713-F921

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.44
Facility
Ohio
National
Ohio 0.64 · National 0.69
Total nurse hours per resident day3.39
Facility
Ohio
National
Ohio 3.69 · National 3.86
Weekend total nurse hours3.06
Facility
Ohio
National
Ohio 3.28 · National 3.42
Total nursing staff turnover45%
Facility
Ohio
National
Ohio 49% · National 46%
Registered nurse turnover33%
Facility
Ohio
National
Ohio 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityOhioNational
Percentage of long-stay residents with pressure ulcers
lower is better
3.8%3.4%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.3%3.2%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
6.9%8.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.0%0.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
4.0%5.3%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.1%6.2%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
14.5%25.5%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Toledo Mstr Co LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Georgakopoulos, Toula
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Groves, Donna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Kayyali, Ammar
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Parkway Mgt Co LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Romeo, Dominic
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Cobalt I Irrevocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Cobalt II Irrevocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Cobalt III Irrevocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Cobalt IV Irrevocable Trust
Organization
ADP OF THE SNFNOT APPLICABLE
Georgakopoulos, Toula
Individual
ADP OF THE SNFNOT APPLICABLE
Kayyali, Ammar
Individual
ADP OF THE SNFNOT APPLICABLE
Marino, Peter
Individual
CORPORATE OFFICERNOT APPLICABLE
Minority Report LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Parkway Mgt Co LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Parkway Re Holdings I, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Toledo Hc Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Toledo Mstr Co LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Tranquillo, Deborah
Individual
CORPORATE OFFICERNOT APPLICABLE
Part of a chain
Health Care Facility Management, LLC5 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Ohio.

No county cost figures on file for Lucas.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Concord Care Center Of Toledo
Toledo
1.9 mi2026-03-200392
Foundation Park Care Center
Toledo
1.8 mi2026-04-160362
Divine Rehabilitation And Nursing At Toledo
Toledo
2.5 mi2026-03-160848
Park Terrace Rehabilitation Center
Toledo
3.3 mi2026-03-111685
Continuing Healthcare Of Toledo
Toledo
2.7 mi2026-04-291221
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01