Advanced Healthcare Center operates 99 skilled nursing beds in Toledo as a privately-owned, for-profit facility. The community has executed a dramatic occupancy recovery: from 55.4% in 2022 to 83.6% in 2024, now exceeding Ohio’s average of 78.7%.
This recovery corresponds with payer mix transformation. Current residents comprise 80.5% Medicaid, 14.6% private-pay, and 4.9% Medicare. However, new admissions show the opposite pattern: 91% private-pay and 9% Medicare, with zero Medicaid admissions. Average resident tenure runs 144 days.
The facility’s 2-star CMS rating reflects profound staffing constraints.
Nursing staff delivers 3 hours 6 minutes of care per resident daily, ranked 160th of 203 Ohio nursing homes and 13% below state average. This approaches the national red-flag threshold of 3.0 hours. CMS Staffing rating falls 59.1% below state norms. Staff-to-resident ratio of 1.48:1 trails the state average of 2.04:1 by 28%.
Total staffing comprises 121 staff members: 8 registered nurses, 21 licensed practical nurses, and 52 certified nursing assistants, with 21 contractors supplementing the payroll.
High-risk clinical events score 3.2, 46% better than state average. Functional decline scores of 8.2 represent 35% improvement. Walking ability worsened in only 2.9% of residents versus the state rate of 8.9%. Falls with major injury occurred in 1.0% of residents, 72% superior to Ohio averages.
Unintended weight loss affected 1.4% of residents, 78% better than state baseline. Urinary tract infection rates of 0.3% run 41% below state incidence. Antipsychotic medication use of 8.0% demonstrates 6% improvement. Pressure ulcers present a notable exception: 7.6% of high-risk residents develop pressure ulcers, 96% above the state average of 3.9%.
Depressive symptoms appear in 25.8% of residents, 8% above state average.
2024 net income of negative $1.1 million represents improvement from negative $1.9 million in 2023 and negative $2.3 million in 2021. Annual revenue totals $10.7 million, ranking 110th of 203 Ohio facilities. Payroll of $5.5 million represents 51.3% of revenue. Federal penalty history shows zero cumulative fines, which is the lowest in the state, despite the 2-star rating.
Advanced Healthcare Center demonstrates a nursing home with staffing metrics far below state standards yet clinical quality outcomes exceeding state performance on most measures.















