Above average — CMS composite of the measures below.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lakes Of Sylvania, The during CMS and state inspections, most recent first.
Incomplete Admission MDS Assessment: A resident’s admission comprehensive assessment was not completed within the required timeframe. The admission MDS was started but remained incomplete, and an RN confirmed the assessment was still unfinished after day 16. An RNCS also stated the facility did not have a policy for completing MDS assessments.
Failure to provide nail care was identified for a dependent resident with epilepsy, morbid obesity, lymphedema, anxiety, and impaired cognition. The resident required staff assistance for ADLs, including personal hygiene and bathing, yet observations showed a dark substance under the fingernails on multiple occasions. The DON confirmed the finding, and a CNA stated the resident's fingernails were often dirty.
Failure to offload pressure for a resident with a stage 3 coccyx wound. The resident had impaired cognition, was dependent for bed mobility and transfers, and had risk factors including obesity, incontinence, and prior pressure ulcers. Although wound care was completed as ordered and the wound was improving, staff repeatedly observed the resident lying on her back without pillows or other pressure-relieving devices under the hips, and the heels were not offloaded as ordered. CNA and DON interviews confirmed the resident accepted repositioning, but staff were not consistently using positioning devices to relieve pressure from the wound.
Oxygen was not administered per physician order for a resident with acute and chronic respiratory failure with hypoxia and COPD. The resident was ordered oxygen at 2 L/min, but surveyors observed it running at 2.5 L/min and later at 3 L/min. An LPN confirmed the oxygen was set above the ordered rate, and the facility policy required verifying the physician’s order before administration.
Inaccurate documentation was maintained for a pressure relieving device for a resident with spinal stenosis, disc degeneration, paraplegia, and altered mental status. The MDS showed the resident was at risk for pressure injuries and had a bed pressure-reducing device ordered, but the MAH documented an air mattress was in place and properly inflated even though staff observed the resident did not have an inflatable air mattress.
Incomplete Admission MDS Assessment
Penalty
Summary
The facility failed to ensure a comprehensive admission assessment was completed within the required timeframe for Resident #73, who was admitted on 01/26/26. Review of the admission MDS showed it was initiated on 02/02/26 but remained incomplete. During interview on 02/11/2026, RN #211 confirmed the admission comprehensive assessment had not been completed within 14 days and stated that day 16 had passed and the assessment was still not finished. RN Clinical Support RN #327 also stated the facility did not have a policy for completion of MDS assessments.
Failure to Provide Nail Care for a Dependent Resident
Penalty
Summary
The facility failed to ensure nail care was provided to a dependent resident. Resident #11 was admitted with diagnoses of epilepsy, morbid obesity, lymphedema, and anxiety, and a significant change MDS assessment showed impaired cognition, dependence on staff for bed mobility and transfers, substantial/maximal assistance needed for personal hygiene, and dependence for bathing. The care plan stated the resident required staff assistance to complete ADL tasks completely and safely, but it did not indicate the level of care required for personal hygiene. During observations on 02/09/26 and 02/10/26, the resident was seen sitting up in bed and later lying in bed with a dark substance underneath the fingernails. The DON observed the fingernails with the same finding and confirmed the dark substance was present, and a CNA stated the resident's fingernails were often dirty. The DON later confirmed residents' fingernails should be cleaned as needed.
Failure to Offload Pressure for Resident With Coccyx Wound
Penalty
Summary
The facility failed to ensure pressure relieving interventions were implemented for a resident with a stage three pressure ulcer. The resident had a history of epilepsy, morbid obesity, lymphedema, anxiety, impaired cognition, and dependence on staff for bed mobility, transfers, and transitioning from lying to sitting. The care plan identified the resident as at risk for skin breakdown related to impaired mobility, bowel and bladder incontinence, history of pressure ulcers, and obesity, and included interventions to encourage and assist with turning and repositioning, keep the resident clean and dry, and minimize moisture exposure. The resident developed an abrasion to the right buttock that progressed to a stage three pressure ulcer to the coccyx. Wound care orders were carried out as ordered, and weekly wound assessments showed the wound was improving. However, observations on multiple occasions showed the resident lying on her back in bed without pillows or other pressure relieving devices under the hips to offload pressure from the coccyx wound. The resident was also observed without heels offloaded as ordered, including while in bed and while eating breakfast with the head of the bed elevated. Staff interviews confirmed the resident allowed repositioning every two hours and did not refuse care. A CNA stated repositioning was done by adjusting the head or foot of the bed and placing pillows under the knees, but no pillows had been placed under the hips or behind the back to offload the coccyx wound. The DON confirmed the heels were not offloaded as ordered. Facility policy required turning and repositioning immobile residents according to the care plan and using pillows or wedges for positioning to avoid skin-on-skin contact.
Oxygen Administered Above Ordered Rate
Penalty
Summary
Failure to provide oxygen per physician orders occurred for one resident who was admitted with acute and chronic respiratory failure with hypoxia and COPD. The resident had a current order for oxygen at 2 liters per minute and a care plan intervention to administer oxygen per physician orders for shortness of breath. However, survey observations found the resident’s oxygen running at 2.5 liters per minute and later at 3 liters per minute. An LPN verified that the oxygen was running at 3 liters per minute and confirmed the physician order was for 2 liters per minute. The facility policy on Administration of Oxygen stated to verify the physician’s order for the procedure.
Inaccurate Documentation of Pressure Relieving Device
Penalty
Summary
Accurate documentation was not maintained for a pressure relieving device for Resident #28, who was admitted with spinal stenosis, intervertebral disc degeneration, paraplegia, and altered mental status. The quarterly MDS dated 01/16/26 indicated the resident had intact cognition, bilateral upper and lower extremity impairment, used a wheelchair for mobility, and was at risk for pressure injuries with a pressure reducing device for the bed. A physician order initiated 10/15/25 required an air mattress and staff checks for proper inflation, but the order was discontinued on 02/10/26. Despite this, the MAH for December 2025, January 2026, and February 2026 documented that the resident's air mattress was in place and properly inflated. During observation on 02/10/26, RNCS #325 confirmed the resident did not have an inflatable air mattress, and on 02/11/26 RNCS #327 confirmed the MAH documentation was completed in error because the resident did not have an inflatable air mattress.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Sylvania
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Otterbein Sunset Village | 1 mi | ★★★★★ | 5 | 0 |
| Kingston Health Center Of Sylvania | 2.3 mi | ★★★★★ | 37 | 0 |
| Rosary Care Center | 2.8 mi | ★★★★★ | 0 | 0 |
| Arbors At Sylvania | 3.4 mi | ★★★★★ | 1 | 0 |
| Franciscan Care Ctr Sylvania | 4 mi | ★★★★★ | 27 | 1 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.