Merit House LLC
4645 Lewis Ave · Toledo, OH · 43612 · 4194785131
99 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
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
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
62% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 4.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.40 | 0.55–0.75 |
| Weekend hours / resident-day | 3.88 | ≈ weekday level |
| Nursing turnover / year | 62% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (42 in the current record)
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Potential for harm · E April 23, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Past Non-Compliance · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · F January 28, 2026 · found via complaint
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Corrected February 23, 2026 · Nursing and Physician Services
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Potential for harm · D January 28, 2026 · found via complaint
Help the resident with transportation to and from laboratory services outside of the facility.
Corrected February 23, 2026 · Administration
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Potential for harm · F December 3, 2025 · found via complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · D January 30, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 21, 2025 · Resident Rights
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Potential for harm · D December 31, 2024
Provide and implement an infection prevention and control program.
Corrected January 29, 2025 · Infection Control
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Potential for harm · E December 31, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected January 29, 2025 · Resident Rights
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Potential for harm · D December 31, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D December 31, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected January 29, 2025 · Quality of Life and Care
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Potential for harm · D December 31, 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 29, 2025 · Pharmacy Service
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Potential for harm · E December 31, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected January 29, 2025 · Nutrition and Dietary
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Potential for harm · D November 6, 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 29, 2025 · Pharmacy Service
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Potential for harm · D November 6, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 31, 2024 · Environmental
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Potential for harm · D September 23, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · D September 23, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · D September 23, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · D September 23, 2024
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 November 6, 2024 · Resident Rights
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Potential for harm · D September 23, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E September 23, 2024
Respond appropriately to all alleged violations.
Corrected November 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 23, 2024
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Corrected November 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 23, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 6, 2024 · Quality of Life and Care
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Potential for harm · D September 23, 2024
Assist a resident in gaining access to vision and hearing services.
Corrected November 6, 2024 · Quality of Life and Care
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Potential for harm · D September 23, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected November 6, 2024 · Quality of Life and Care
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Potential for harm · D September 23, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected November 6, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 23, 2024 | Payment Denial | 62 days |
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 365279 · certified since June 1, 1972. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.