Astoria Skilled Nursing and Rehabilitation
3537 12th Street, Nw · Canton, OH · 44708 · 3304555500
83 certified beds For profit - Corporation Chain: Michael Slyk
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $59,833 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$59,833 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.71 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
71% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 2.36 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | 2 · $147,894 |
Inspection citations (48 in the current record)
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Actual harm · G November 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 28, 2025 · Quality of Life and Care
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Immediate jeopardy · J October 20, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 12, 2025 · Quality of Life and Care
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Potential for harm · D July 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 19, 2025 · Quality of Life and Care
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Actual harm · G June 4, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected June 24, 2025 · Resident Rights
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Potential for harm · D June 4, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected June 24, 2025 · Resident Rights
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Potential for harm · D June 4, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · D June 4, 2025 · found via complaint
Provide routine and 24-hour emergency dental care for each resident.
Corrected June 24, 2025 · Quality of Life and Care
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Potential for harm · E June 4, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 24, 2025 · Nutrition and Dietary
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Potential for harm · D June 4, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 24, 2025 · Infection Control
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Potential for harm · D February 13, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 7, 2025 · Quality of Life and Care
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Potential for harm · D February 13, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected March 7, 2025 · Pharmacy Service
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Potential for harm · D February 13, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 7, 2025 · Infection Control
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Potential for harm · D December 10, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 8, 2025 · Pharmacy Service
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Immediate jeopardy · J June 12, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J June 12, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 11, 2024 · Quality of Life and Care
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Potential for harm · D June 12, 2024 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected July 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected July 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 12, 2024 · found via complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected July 11, 2024 · Resident Rights
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Potential for harm · F June 12, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 11, 2024 · Nursing and Physician Services
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Potential for harm · F June 12, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2024 · Nutrition and Dietary
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Potential for harm · D March 11, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 9, 2024 · Resident Rights
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Potential for harm · E March 11, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 9, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 4, 2025 | Fine | $59,833 |
| June 12, 2024 | Fine | $88,061 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 366391 · certified since September 10, 2010. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.