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Complaint Investigation

Franciscan Care Ctr Sylvania

November 20, 2025 · Toledo, OH · 4111 Holland Sylvania Rd
Citations 4
CMS Rating 2/5
Beds 96
Provider ID 365907
Healthcare Facility
Franciscan Care Ctr Sylvania
Toledo, OH  ·  View full profile →
Inspection Summary

FRANCISCAN CARE CTR SYLVANIA in TOLEDO, OH — inspection on November 20, 2025.

Found 4 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

completion prior to November 2025 as she was not employed with the facility at that time.Interview with Certified Nurse Aides (CNA) #171 and CNA #172 on 11/20/25 at 12:06 P.M. revealed staff were to document shower completions in the task area in the residents' EMR. CNA #171 and CNA #172 verified if the documentation was blank the shower task was not completed.

Review of the facility policy titled, Activities of Daily Living, dated 10/06/25, revealed the facility will, based on the resident's comprehensive assessment and consistent with the resident's needs and choices, ensure a resident abilities in ADLs do not deteriorate unless deterioration is unavoidable.

Care and services will be provided for the following activities of daily living: Bathing, dressing, grooming and oral care.This deficiency represents non-compliance investigated under Complaint Number 2637315, Complaint Number 2610132, and Complaint Number 1305370 (OH00164351).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Franciscan Care Ctr Sylvania

4111 Holland Sylvania Rd Toledo, OH 43623

SUMMARY STATEMENT OF DEFICIENCIES

become hard and dry, making it difficult to pass. A provider should be contacted after three days without a bowel movement.This deficiency represents an incidental finding discovered during the complaint investigations and continued non-compliance from the survey dated 11/13/25.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Franciscan Care Ctr Sylvania

4111 Holland Sylvania Rd Toledo, OH 43623

SUMMARY STATEMENT OF DEFICIENCIES

[DATE], revealed in the absence of treatment orders, the licensed nurse will notify the physician to obtain treatment orders.

This may be the treatment nurse, or the assigned licensed nurse in the absence of the treatment nurse.

Treatments will be provided in accordance with physician orders, including the cleansing method, type of dressing, and frequency of dressing change.This deficiency represents non-compliance investigated under Complaint Number 1305375 (OH00166629).

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Franciscan Care Ctr Sylvania

4111 Holland Sylvania Rd Toledo, OH 43623

SUMMARY STATEMENT OF DEFICIENCIES

Findings included: Review of Resident #572's medical record revealed an admission date of [DATE].

Diagnoses included bacteremia, chronic kidney disease, and neuromuscular dysfunction of the bladder.

The resident expired under hospice care on [DATE].

Review of Resident #572's Minimum Data Set assessment dated [DATE] revealed the resident had an intact cognitive function.

The resident was always incontinent of bowel and bladder and dependent on staff for all activities of daily living.

Review of Resident #572's care plan dated [DATE] revealed she had an indwelling Foley catheter due to a neurogenic bladder.

Interventions were to monitor for pain or discomfort due to the catheter.

Review of Resident #572's nursing progress note dated [DATE] at 2:47 P.M. revealed a nurse contacted urology for an order to remove the resident's urinary catheter (Foley).

Further review of the nursing progress notes and physician orders for Resident #572 revealed no return call nor orders were received to remove Resident #572's Foley catheter.

Review of a nursing progress note dated [DATE] revealed Resident #572 informed the nurse she was in severe urinary pain and rated her pain as a nine out of 10.

The nurse administered pain medication and then the nurse then removed the Resident #572's Foley catheter per resident request.

The resident was then transferred to the hospital to rule out a urinary tract infection.

Interview with the Director of Nursing (DON) on [DATE] at 12:40 P.M. verified that no physician order could be located in the medical record to removed Resident #572's Foley catheter.

Review of a bladder management protocol, revised [DATE], revealed staff are to confer with a provider and obtain an order for indwelling urinary catheter (IUC) if indicated. An order is needed from a physician for insertion of an IUC. If a registered nurse is uncertain as to whether to remove the IUC, the provider must be contacted.

This deficiency represents an incidental finding discovered during the complaint investigations.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in TOLEDO, OH, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from FRANCISCAN CARE CTR SYLVANIA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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