Franciscan Care Ctr Sylvania: Record Falsification - OH
The resident, identified in inspection records as FR #106, declined the wound treatment. LPN #601 documented it anyway, or rather, documented around it, signing off medications and wound care simultaneously in the medical record as though both had been completed. The refusal was never recorded.
Federal inspectors flagged the violation during a complaint inspection on November 13, 2025. The complaint had come in under two separate complaint numbers, meaning someone had raised concerns about this resident's care before inspectors ever walked through the door.
What inspectors found was not a gap in care that slipped through a busy shift. LPN #601 told investigators directly what had happened: the medications and treatments were signed off at the same time, and she did not go back to document the refusal. That is not a charting delay. That is a medical record that says a wound was treated when it was not.
Wound care documentation exists for a reason. When a resident refuses treatment, that refusal needs to be in the record so the next nurse, the next physician, the next anyone reviewing that chart knows the wound has gone without care and for how long. A chart that says the treatment was done tells the opposite story. It tells the story that everything is fine.
The facility's own wound treatment policy, updated as recently as May 22, 2025, states that treatments will be documented in the resident's medical record, including the effectiveness of the treatment. A treatment that never happened has no effectiveness to record. The policy does not appear to have accounted for that gap, or if it did, LPN #601's practice did not follow it.
Inspectors classified the violation as causing minimal harm or potential for actual harm, and noted it affected some residents, not just FR #106. That language in a federal inspection report does not mean nothing happened. It means inspectors could not rule out that harm had occurred or could occur.
The facility sits on Holland Sylvania Road in Toledo, operating under the Franciscan name in a city where Catholic health systems have run long-term care for decades. None of that history appears in the inspection record. What appears is a single nurse, a single resident who said no to having a wound treated, and a medical record that did not reflect that conversation at all.
FR #106's wound, whatever its nature and severity, went without care during that encounter. How many times the same resident had refused before, or whether the wound had been deteriorating across undocumented refusals, is not something the inspection report addresses. The record as falsified would not reveal that pattern to anyone looking.
LPN #601 is not identified beyond her staff number. The inspection report does not describe her tenure at the facility, whether she had been counseled before, or what the facility did in response to discovering the discrepancy. Plans of correction are handled separately and not published in the deficiency statement itself.
What the record does show is that someone filed a complaint, then filed another one, and that when inspectors arrived they found exactly the kind of documentation failure the complaints had apparently described.
FR #106 refused wound care. That refusal, and whatever it meant for an open wound going untreated, was erased from the medical record the moment LPN #601 signed off and moved on.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Franciscan Care Ctr Sylvania from 2025-11-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 2, 2026 · Our methodology
FRANCISCAN CARE CTR SYLVANIA in TOLEDO, OH was cited for violations during a health inspection on November 13, 2025.
The resident, identified in inspection records as FR #106, declined the wound treatment.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.