Franciscan Care Ctr Sylvania: Fall Assessment Failures - OH
Inspectors found the facility wasn't doing it.
A complaint inspection completed May 26, 2026, at the Holland Sylvania Road facility documented that Franciscan Care Center failed to properly assess residents after falls and failed to document those assessments and the actions taken. The deficiency was recorded under Complaint Number 2982457.
The facility's own policy described the steps clearly. When a resident falls, staff assess the resident, complete a post-fall assessment, and document everything. Inspectors found the facility fell short of that standard.
CMS rated the harm level as minimal harm or potential for actual harm. A few residents were affected.
That classification sits at the lower end of the federal harm scale, but it describes a gap that nursing home safety experts have long identified as one of the most consequential in elder care. Falls are the leading cause of injury death among adults 65 and older in the United States. What happens in the minutes and hours after a fall, whether staff check for injury, whether a nurse reassesses the resident, whether the incident is recorded so the care team can identify patterns and adjust treatment, determines whether a fall that causes no immediate injury becomes one that does.
A post-fall assessment is not paperwork for its own sake. It is how a facility knows whether a resident hit their head, whether they are in pain they cannot articulate, whether their gait has changed, whether their medications need review. Without documentation, the next nurse on shift has no record. The physician has no record. If the resident falls again, the facility has no baseline to compare.
Franciscan Care Center Sylvania is a nursing and rehabilitation facility at 4111 Holland Sylvania Rd in Toledo. The inspection was conducted by the Ohio Department of Health on behalf of the Centers for Medicare and Medicaid Services. The facility's provider identification number is 365907.
The inspection report does not name the residents who were affected or describe the specific circumstances of the falls that triggered the complaint. It does not say how many falls went without proper assessment, how long the pattern continued, or whether any resident suffered injury as a result. What it records is that the failure happened, that a complaint was filed, and that inspectors confirmed the complaint had merit.
The plan of correction, if one has been submitted, is not included in the publicly available inspection document. CMS directs anyone seeking that information to contact the facility or the state survey agency directly.
What remains in the record is the gap between what the facility's own written policy required and what inspectors found when they looked. The policy was not vague. It did not leave room for interpretation about whether to assess a resident after a fall, or whether to write it down. The facility wrote the policy. The facility did not follow it.
For the residents affected, the inspection offers no resolution. The report does not say whether they recovered without incident, whether they were reassessed after the complaint was filed, or whether anyone reviewed their records to determine what the missing documentation should have captured. The complaint was investigated. The deficiency was confirmed. The residents who fell at Franciscan Care Center Sylvania, and went without the assessment their facility had promised them, remain unnamed in the record.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Franciscan Care Ctr Sylvania from 2026-05-26 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: August 15, 2026 · Our methodology
FRANCISCAN CARE CTR SYLVANIA in TOLEDO, OH was cited for violations during a health inspection on May 26, 2026.
Inspectors found the facility wasn't doing it.
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.