The Lakes of Sylvania
A nursing home in Sylvania, Ohio 43560
5351 Mitchaw Road, Sylvania, Ohio 43560. (419) 824-6699.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 5 health citations at the latest inspection cycle Ohio average: 10.5
- 4.00 nurse hours per resident per day Ohio average: 3.71
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- 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.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
5 health citations at the latest inspection cycle
The Ohio average is 10.5.
Last standard inspection Feb 12, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
5 citations in 1 month of the last 36. Last cited Feb 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 6 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Feb 12, 2026: standard inspection5 citations
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Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Provide care and assistance to perform activities of daily living for any resident who is unable.
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Provide safe and appropriate respiratory care for a resident when needed.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nov 22, 2023: standard inspection1 citation
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Provide or obtain dental services for each resident.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 28, 2017.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 62 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 0 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
4.00 nurse hours per resident per day
The Ohio average is 3.71.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Ohio average |
|---|---|---|
| Nurse hours per resident per day | 4.00 | 3.71 |
| Of which registered nurses | 0.69 | 0.64 |
| At weekends | 3.51 | 3.29 |
| Nursing staff turnover | 38.5% | 49% |
| Registered nurse turnover | 25% | 44.4% |
| Administrators who left | 0 | Not given |
Who owns it?
- Trilogy Opco LLC owns 100% directly since Dec 1, 2015.
- Trilogy Management Services LLC runs it.
- 12 owners or officers are people: Emily Soles (runs it (operational or managerial control), 100%); Randall J Bufford (corporate officer, 11.11%); William Bryant (corporate officer, 11.11%); Cristina E Pietrowski (corporate officer, 11.11%); Gregory A. Conner (corporate officer, 11.11%); Danny Prosky (corporate officer, 11.11%); Leigh Ann Barney (corporate officer, 11.11%); Mathieu B Streiff (corporate officer, 11.11%); Todd B Mehaffey (corporate officer, 11.11%); David W Davis (corporate officer, 11.11%); Lisa Fightmaster (managing employee (on the payroll), 0%); Kathy M Corbin (managing employee (on the payroll), 0%).
- Part of Trilogy Health Services (127 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| American Healthcare Reit Inc. | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Northstar Healthcare Income Operating Partnership LP | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| American Healthcare REIT Holdings LP | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Trilogy Opco LLC | Owns 5% or more directly | 100% | Dec 1, 2015 |
| Trilogy Investors LLC | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Trilogy Healthcare Holdings Inc. | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Continental Merger Sub LLC | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Northstar Healthcare Income Inc. | Owns 5% or more through other companies | 100% | Oct 1, 2021 |
| Trilogy Real Estate Investment Trust | Owns 5% or more through other companies | 96.7% | Oct 1, 2021 |
| Trilogy REIT Holdings LLC | Owns 5% or more through other companies | 96.7% | Oct 1, 2021 |
| Gahc3 Trilogy Jv LLC | Owns 5% or more through other companies | 70% | Oct 1, 2021 |
| Trilogy Holdings Nt-Hci, LLC | Owns 5% or more through other companies | 24% | Oct 1, 2021 |
| Gahc4 Trilogy Jv LLC | Owns 5% or more through other companies | 6% | Oct 1, 2021 |
| Trilogy Management Services LLC | Runs it (operational or managerial control) | 0% | Oct 1, 2021 |
How do residents fare?
- CMS rates its quality measures 5 of 5 (Ohio average 4.5).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 5 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 8.0 miles, this one had the 11th most health citations at the latest inspection cycle (5; the middle value was 13).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| The Lakes of Sylvania This nursing home | 5 | |
| Otterbein Sunset Village | 1.0 | 18 |
| Kingston Health Center of Sylvania | 2.3 | 20 |
| Rosary Care Center | 2.8 | 7 |
| Arbors at Sylvania | 3.4 | 12 |
| Franciscan Care Ctr Sylvania | 4.0 | 46 |
| Divine Rehabilitation and Nursing at Sylvania | 5.0 | 34 |
| Spring Meadows Nursing, A Villa Center | 6.6 | 5 |
| Otterbein Sunset House | 6.9 | 8 |
| Lutheran Village at Wolfcreek | 7.9 | 9 |
| Continuing Healthcare of Toledo | 8.0 | 19 |
| Ayden Healthcare of Toledo | 8.0 | 14 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home 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 home”, and paying will never change a finding, a rating or the order of results.