Hearth Record

University of Toledo Medical Center

An acute care hospital in Toledo, Ohio 43614

3000 Arlington Avenue, Toledo, Ohio 43614. (419) 383-3407.

  • Medicare payments cut under the HAC Reduction Program (fiscal year 2026)
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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 2 deficiencies in 1 month of the last 36. Last cited Aug 2024. Most serious: Condition-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean4
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Condition-level deficiency
For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual.

What did inspectors find?

The last inspection on record was on May 28, 2026: a complaint inspection.

2 deficiencies cited in the last three years, 1 of them at condition level, the most serious.

1 deficiency at condition level, the more serious of CMS’s two levels

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

2 deficiencies in 1 month of the last 36. Last cited Aug 2024. Most serious: Condition-level. The last 3 years, to Nov 5, 2026.

2 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Aug 12, 2024: complaint inspection2 deficiencies

  • Nursing Services

    The inspectors’ words, 126 words

    “NURSING SERVICES CFR(s): 482.23 The hospital must have an organized nursing service that provides 24-hour nursing services. The nursing services must be furnished or supervised by a registered nurse. This Condition is not met as evidenced by: 29000 Based on medical record review, policy review, guideline review, and staff interview, the facility failed to provide skin assessments upon admission to assess for the presence of a pressure ulcer, failed to notify the physician of a wound, and failed to obtain a timely wound consult. This affected two (Patient #5 and Patient #6) with the potential to affect all patients cared for in this facility. (A0395) . The cumulative effects of these systemic practices resulted in the agency’s inability to ensure patient care needs would be met.”

    Rule A0385. Condition-level. From a complaint.

  • Rn Supervision Of Nursing Care

    The inspectors’ words, 1,064 words

    “RN SUPERVISION OF NURSING CARE CFR(s): 482.23(b)(3) A registered nurse must supervise and evaluate the nursing care for each patient. This Standard is not met as evidenced by: 29000 Based on medical record review, policy review, guideline review, and staff interview, the facility failed to provide skin assessments upon admission to assess for the presence of a pressure ulcer, failed to notify the physician of a wound, and failed to obtain a timely wound consult. This affected two (Patient #5 and Patient #6) with the potential to affect all patients cared for in this facility. Findings include: 1. Review of the medical record revealed Patient #5 admitted on 01/14/24 at 4:45 AM by squad after a fall at her home. The emergency department history and physical dated 01/14/24 listed diagnoses as congestive heart failure, end stage renal disease with dialysis three times per week, diabetes mellitus, hypothyroidism, and schizophrenia. The history and physical states the patient had no wounds. Emergency room notes stated X-ray’s were completed of Patient # 5’s neck, arms and right hip with a fracture noted in the right hip. Patient # 5 was transferred and admitted to the medical-surgical floor on 01/14/24 at 12:30 PM. A care plan was completed by Staff H stating to monitor the skin for breakdown or redness. No documentation was found a skin assessment was completed for Patient #5 upon arrival to this unit. Patient #5 had a open reduction internal fixation (ORIF) to the right hip on 01/15/24. Documentation was found of incisional assessment. There continued to be no documentation of a skin assessment until a deep tissue injury (DTI) wound was documented to the right heel and sacral area on 01/24/24, 10 days after admission. Wound measurements were documented by the wound care nurse on 01/25/24 with the sacral area measuring 8.0 centimeters (cm) in length by 6 cm width with no documentation of depth. A mepilex foam dressing was applied. The physician notes of 01/26/24 document the presence of a DTI to the coccygeal area and heel. It was unknown if the patient had the DTI upon arrival, but it was noticed the prior day. There are no signs of infection and the areas were likely to evolve and open up. Wound care included mepilex, aggressive offloading, turning every two hours, elevate heels off bed with pillows, heel suspension boots, high protein diet, and follow up with wound care after discharge. Dressing changes of silver alginate and foam dressing were ordered and completed three times per week for Patient #5. Documentation on 01/29/24 at 8:00 AM stated the sacral area had red and black areas with tan drainage noted. The right heel had orders to apply a foam dressing change three times a week and as needed and to keep the heel elevated to prevent friction. Notes on 02/01/24 had measurements for the right heel listed as 2.5 cm length by 2.0 cm width, with no depth and purple in color. The sacral area listed a necrotic area of thick, leathery, eschar measurements of 7 cm length by 8.5 cm width, 0.3 cm depth, with watery bloody drainage noted. Notes from the vascular surgery nurse practitioner on 02/05/24 state DTIs to sacral area and right heel, unsure if present upon admission. The sacral wound was unstageable with leathery eschar centrally, which is stable. Surrounding tissue has yellow slough and pink granulation with small amount of drainage no redness or odor. Right heel small DTI with skin intact and non-infected. Infectious disease physician discharge notes on 02/09/24 revealed the presence of unstageable sacral ulcer and DTI to right heel with complaints of intermittent pain to both these areas. Patient #5 was discharged to a skilled nursing facility on 02/09/24 at 7:30 PM with orders to complete dressing changes three times per week, skin prep to the right heel, and to follow up with vascular surgeon related to the deep tissue injuries. Review of the facility policy titled “Assessment/Reassessment” lists a registered nurse (RN) assesses the patient’s needs for nursing care on admission to any area/department in which nursing care is provided and the nursing assessment will be completed within 24 hours of admission. The RN will report assessment and screening data to other members of the health care team. Review of a “Skills Admission or Guideline to Assess for Pressure Injuries” reveals to complete a skin assessment upon admission and clearly document any wounds and their characteristics. Start by assessing the patients skin over pressure points, inspect for skin discoloration (redness, purplish or bluish in dark pigmented skin) palpate the discolored area for blanching and notify the practitioner of any abnormal findings. Interview on on 8/08/24 at 3:00 PM Staff B, Staff C, and Staff D verified the findings of not completing a skin assessment upon admission and per shift. Staff B stated all admissions now should have two registered nurses assess skin and signing. This began sometime in April 2024. 2. Review of the medical record revealed Patient #6 was transferred from an outside hospital on 07/21/24 with a diagnosis of congestive heart failure. On 07/21/24 at 3:51 PM an admission skin assessment was completed by two RNs with pictures completed. The photos showed redness with a measuring tape next to it to represent the size. The nurse documented in the medical record the redness to the buttocks with peeling skin, redness to bilateral heels, scrotum, abdominal fold and back. No documentation was found the physician was informed of this or the wound care nurse to follow as per the policy. An order to consult wound care was not placed until nine days later on 07/30/24. The wound care nurse assessed the patient 07/31/24 at 9:27 AM. The sacral area measured 4.3 cm length by 4.3 cm wide with no depth. Wound care orders were received on 07/31/24 to wash the coccyx wound area with normal saline, apply a foam dressing and to change every other day. Orders for the groin area and bilateral buttocks were to wash with mild soap and water, pat dry and apply zinc oxide. On 08/08/24 the sacral area measured 6.5 cm length by 4 cm wide with a depth of 0.1 cm. The findings of not notifying the provider when the abnormal skin findings were discovered on admission for Patient #6 per the Skill Admission Guidelines was verified with Staff B on 08/08/24 at 3:00 PM.”

    Rule A0395. Standard-level. From a complaint.

All 8 inspections in the last three years
Inspections on record
DateVisitWhat the record says
May 28, 2026Complaint inspectionNo deficiencies cited
Jan 22, 2026Complaint inspectionNo deficiencies cited
Oct 15, 2025Complaint inspectionNo deficiencies cited
Apr 8, 2025Complaint inspectionNo deficiencies cited
Jan 22, 2025Complaint inspectionNo deficiencies cited
Oct 23, 2024Complaint inspectionNo deficiencies cited
Aug 12, 2024Complaint inspection2 deficiencies cited
Nov 20, 2023Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 3 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 1 better and 1 worse of 6; readmission, 0 better and 0 worse of 10.
  • Patients rate it 3 of 5 in CMS’s patient survey (1,136 surveys completed, Oct 1, 2024 to Sep 30, 2025): 68% rated it 9 or 10 out of 10, and 66% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: worse than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 12%, heart failure 10%, pneumonia 15.9%, COPD 8.1%, stroke 12.8%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.2%, heart failure 21.5%, pneumonia 18.2%, COPD 19.5%, heart bypass surgery 11.9%, hip or knee replacement 5.5%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 171 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 3% left before being seen.
  • 72% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.02 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Dec 13, 1970.
  • Ownership: government - state.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • Cited at in the last three years: it didn’t meet a whole condition of Medicare’s rules for hospitals.
  • Government - State.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • CMS cut its Medicare payments by 1% for fiscal year 2026 under the Hospital-Acquired Condition Reduction Program, which does so for the quarter of hospitals that fare worst on conditions patients get in hospital.
  • 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

On record, newest first
DateWhatDetail
Medicare payment reduction (HAC Reduction Program)Fiscal year 2026: 1% of Medicare payments

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 96% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • 9 owners or officers are people: Troy Holmes (managing employee (on the payroll), 100%); Troy Holmes (runs it (operational or managerial control), 100%); Daniel Barbee (corporate officer, 14.29%); Matthew Schroeder (corporate officer, 14.29%); Michael W Ellis (corporate officer, 14.29%); Kurt Kless (corporate officer, 14.29%); Russell Smith (corporate officer, 14.29%); Christine Stesney-Ridenour (corporate officer, 14.29%); Troy Holmes (corporate officer, 14.29%).
  • CMS’s Provider of Services file records 1 change of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 8 hospitals CMS lists in Lucas County, 4 have an overall star rating from CMS: 1 rated 4 of 5, 3 rated 3 of 5.
  • CMS rates this one 3 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

7 compared
PlaceOverall star rating
Northwest Ohio Psychiatric HospitalNot given
Promedica Toledo Hospital4
Mercy St Vincent Medical Center3
Bay Park Community Hospital3
Nationwide Children’s Hospital Toledo, LLCNot given
Arrowhead Behavioral HealthNot given
Assurance Health Toledo LLCNot given

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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