Quick answers
- Where is Merit House LLC?
- 4645 Lewis Ave, Toledo, OH 43612, in Lucas County, Ohio.
- What is the phone number of Merit House LLC?
- (419) 478-5131, as listed by Medicare (CMS).
- What is the Medicare star rating of Merit House LLC?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Merit House LLC been fined?
- Medicare lists no fines for Merit House LLC, but 1 payment denial.
- What did inspectors find at Merit House LLC?
- In its last three inspection cycles (May 30, 2019 to August 12, 2026), Medicare lists 45 health citations; the most serious was level F. See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 30, 2019 to August 12, 2026), Merit House LLC had 45 health citations; the most serious was level F (no actual harm, potential for more than minimal harm). It had 1 Medicare payment denial (the latest began September 23, 2024) and no fines. Nurse staffing is 3.91 hours per resident per day; the Ohio average is 3.71 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 23, 2024 — 24 health citations
Inspections in this cycle: September 23, 2024 (standard health inspection); December 3, 2025 (complaint investigation); January 28, 2026 (complaint investigation); April 23, 2026 (complaint investigation); June 16, 2026 (complaint investigation); August 12, 2026 (complaint investigation).
Show 24 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0729 Level F
“Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.”
F0761 Level F
“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.”
F0584 Level E
“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.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0610 Level E
“Respond appropriately to all alleged violations.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0774 Level D
“Help the resident with transportation to and from laboratory services outside of the facility.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0584 Level D
“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.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0635 Level D
“Provide doctor's orders for the resident's immediate care at the time the resident was admitted.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0685 Level D
“Assist a resident in gaining access to vision and hearing services.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0887 Level D
“Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.”
F0730 Level C
“Observe each nurse aide's job performance and give regular training.”
Previous cycle: April 28, 2022 — 16 health citations
Inspections in this cycle: April 28, 2022 (standard health inspection); November 6, 2024 (complaint investigation); December 31, 2024 (complaint investigation); December 31, 2024 (infection control inspection); January 30, 2025 (complaint investigation).
Show 16 citations (levels A to F, no actual harm)
F0880 Level F
“Provide and implement an infection prevention and control program.”
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0803 Level E
“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.”
F0561 Level E
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0570 Level E
“Assure the security of all personal funds of residents deposited with the facility.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0925 Level D
“Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.”
F0584 Level D
“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.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
Earlier cycle: May 30, 2019 — 5 health citations
Inspections in this cycle: May 30, 2019 (standard health inspection); September 23, 2024 (complaint investigation).
Show 5 citations (levels A to F, no actual harm)
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0558 Level D
“Reasonably accommodate the needs and preferences of each resident.”
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (41)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0013 Level F
“Develop Emergency Preparedness policies and procedures.”
E0039 Level F
“Conduct testing and exercise requirements.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level F
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0311 Level F
“Have an enclosure around a vertical opening shaft.”
K0321 Level F
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0372 Level F
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0700 Level F
“Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.”
K0711 Level F
“Provide a written emergency evacuation plan.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0741 Level F
“Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level F
“Ensure proper usage of power strips and extension cords.”
K0271 Level E
“Have exits that are accessible at all times.”
K0511 Level E
“Have properly installed electrical wiring and gas equipment.”
K0753 Level E
“Have restrictions on the use of highly flammable decorations.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0291 Level F
“Install emergency lighting that can last at least 1 1/2 hours.”
K0293 Level F
“Have properly located and lighted "Exit" signs.”
K0345 Level F
“Have approved installation, maintenance and testing program for fire alarm systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0363 Level F
“Install corridor and hallway doors that block smoke.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0914 Level F
“Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0923 Level E
“Have proper medical gas storage and administration areas.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
1 more fire safety citations are not listed here.
Fines and payment denials
Total fines over about the last three years: $0 (0 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 23, 2024 | Payment denial | from November 2, 2024, 62 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Ohio | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.38 | 0.64 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1.00 | 0.95 | 0.86 |
| Nurse aide hours per resident per day | 2.53 | 2.12 | 2.35 |
| Total nurse staff hours per resident per day | 3.91 | 3.71 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.47 | 3.29 | 3.43 |
| RN hours per resident per day on the weekend | 0.18 | 0.43 | 0.48 |
| Nursing staff turnover (per year) | 53.2% | 49.0% | 45.3% |
| RN turnover (per year) | 60.0% | 44.4% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 99 |
| Average residents per day | 75.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Legal business name | Legal Business Name Not Available |
| First approved by Medicare/Medicaid | 1972-06-01 |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 4645 Lewis Ave, Toledo, OH 43612 |
| County | Lucas County |
| State | Ohio |
| Phone | (419) 478‑5131 |
| CMS Certification Number | 365279 |
| Name in Medicare records | MERIT HOUSE LLC |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Ayden Healthcare of Toledo2.6 mi · Toledo, OH · 2 of 5 stars
- Hickory Ridge of Temperance2.8 mi · Temperance, MI · 4 of 5 stars
- Park Terrace Rehabilitation Center3.2 mi · Toledo, OH · 1 of 5 stars
- Otterbein Sunset House4.3 mi · Toledo, OH · 3 of 5 stars
- Divine Rehabilitation and Nursing at Toledo4.8 mi · Toledo, OH
Nearest hospital emergency rooms
- ProMedica Toledo Hospital2.6 mi · Toledo, OH · Acute Care Hospital
- Mercy St Vincent Medical Center2.7 mi · Toledo, OH · Acute Care Hospital
- Northwest Ohio Psychiatric Hospital5.8 mi · Toledo, OH · Psychiatric Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13