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C
Below Standard

MERIT HOUSE LLC

4645 LEWIS AVE · TOLEDO, OH 43612

4194785131 · For profit - Limited Liability company

99 beds88.4 residents134 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

MERIT HOUSE LLC receives an overall staffing grade of C (Below Standard). With 4.1505 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.479 HPRD, below the recommended 0.75. It is 0.25 HPRD above the national average.

Weekend staffing stays relatively consistent — dropping 14.7% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.479 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.1505hrs/resident/day▲ 0.25
CMS benchmark: 3.48
RN HPRD
0.479hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
14.7%
4.3303 weekday → 3.6939 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0584hrs/resident/day
Direct care aides
LPN HPRD
1.1445hrs/resident/day
Licensed practical nurses
Consistency
0.3758std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Lucas County Average+0.42 HPRD
3.73
04.15 HPRD
vs. Ohio State Average+0.42 HPRD
3.73
04.15 HPRD
vs. National Average+0.25 HPRD
3.90
04.15 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
MERIT HOUSE LLC ★
TOLEDO · This facility
—
C
4.15050.479★☆☆☆☆
PARK TERRACE REHABILITATION CENTER
TOLEDO
3.2 mi
C
3.86460.5304★☆☆☆☆
AYDEN HEALTHCARE OF OREGON
OREGON
7.3 mi
D
3.62560.3537★★☆☆☆
CONCORD CARE CENTER OF TOLEDO
TOLEDO
7.5 mi
D
3.18980.3914★★☆☆☆
BOWLING GREEN MANOR
BOWLING GREEN
22.5 mi
C
3.5130.4879★★★★☆
WOOD HAVEN HEALTH CARE SENIOR LIVING & REHAB
BOWLING GREEN
24.4 mi
C
3.74560.5387★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
38
Total Deficiencies
$0
Fines Assessed
Dec 3, 2025Health
1 deficiency cited
▼
Jan 30, 2025Health
1 deficiency cited
▼
Dec 31, 2024Health
6 deficiencies cited
▼
Nov 6, 2024Health
2 deficiencies cited
▼
Sep 23, 2024Health
16 deficiencies cited
▼
Apr 28, 2022Health
7 deficiencies cited
▼
May 30, 2019Health
5 deficiencies cited
▼

Penalty History

Sep 23, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.