Advanced Healthcare Center: Sanitation Failures - Toledo, OH
That exchange, on the morning of January 28, was one of several moments during a complaint inspection of Advanced Healthcare Center where staff confirmed what inspectors had already seen, and had no answer for how long it had been that way.
The facility, which had 83 residents at the time of the inspection, was cited for failing to keep resident rooms clean and equipment adequately maintained. Three residents were affected.
The wall in the room belonging to Resident 37 was the most documented problem. Inspectors first noted it on the evening of January 26, when they observed a roughly five-foot-by-five-foot section of wall behind the head of the bed with gouges in the drywall and exposed underlayment showing through. Two days later, early in the morning, they returned and found the wall to the right of the bed covered in what the report described as liquid appearing splatter debris. The floor mat beside the bed had the same debris on it.
The Director of Environmental Services, identified in the report as staff member 499, walked through the room with inspectors at 8:21 that morning. She confirmed what they were looking at. She said the resident had a behavior of spitting. She could not say when the wall or the mat had last been cleaned.
The Maintenance Director, staff member 319, had also walked through the room earlier that morning and confirmed the gouges in the wall behind the bed.
A second room told a similar story. Inspectors observing Resident 11's room on January 28 found a section of wall to the left of the bed, approximately five feet by three feet, with gouges in the drywall and white unpainted drywall patches. The Maintenance Director confirmed those findings as well, during a walkthrough two minutes after inspectors first noted them.
Neither room showed evidence of recent repair or cleaning. The unpainted patches in Resident 11's room indicated repair work that had been started and not finished. The exposed underlayment in Resident 37's room indicated damage that had not been addressed at all.
The third finding involved a tube feeding pump on a pole beside the bed of Resident 30. Inspectors observed it on the morning of January 27. The legs of the pole had a puddle of fresh tube feeding formula on them, and older dried formula coating the legs beneath that. On the floor under the pole sat a small puddle of formula, about two inches across. The fresh pooling on top of the dried residue indicated the equipment had not been cleaned after previous use, and had continued to be used in that condition.
The Director of Risk Management, staff member 500, confirmed the tube feeding on the legs and the floor during an interview seven minutes after inspectors first documented it.
The inspection was classified as a complaint investigation. The level of harm was assessed as minimal harm or potential for actual harm, the lower end of the federal harm scale. Three of 24 residents reviewed for environmental services issues were found to be affected.
What the inspection did not establish was how long any of it had been that way. The gouges and unpainted patches in two rooms, the dried formula layered under fresh formula on medical equipment, the spit-covered wall and floor mat in a room where staff acknowledged the resident's behavior and still had no answer for when it was last cleaned. The Director of Environmental Services could not say. Nobody else, in the report, could either.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Advanced Healthcare Center from 2026-01-29 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
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 19, 2026 · Our methodology
ADVANCED HEALTHCARE CENTER in TOLEDO, OH was cited for violations during a health inspection on January 29, 2026.
The facility, which had 83 residents at the time of the inspection, was cited for failing to keep resident rooms clean and equipment adequately maintained.
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.