Avenue at Aurora
425 South Chillicothe Road, Aurora, OH 44202 · Portage County · (330) 995-0094
98 certified beds, about 93 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2015
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 366431 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 20, 2026, inspectors cited 1 health deficiency (the Ohio average is 10.5, the national average 9.2).
Of 12 health citations since August 2021, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.60 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
54.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Progressive Quality Care, an affiliated group of 11 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
108/21
209/23
505/24
104/25
108/25
112/25
101/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
0E
3F
Potential for minimal harm
0A
0B
0C
January 20, 2026Standard inspection · 1 citation
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, observation, interview and review of facility policy, the facility failed to ensure medications were accurately documented as administered. This affected one resident (Resident #83) of three residents who were observed for medication administration. The facility census was 96.
December 4, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, record review, review of facility fall investigations, review of hospital records, interviews and policy review, the facility failed to develop and implement a comprehensive, individualized and effective fall prevention program to ensure Resident #98's safety and supervisory needs were met to decrease the resident's risk of falls including a fall with major injury. The facility also failed to ensure fall safety interventions were in place as planned for Resident #53. This affected two (Resident #53 and #98) of three residents reviewed for falls. The facility census was 96. Actual Harm occurred on [DATE] when Resident #98, who was a new admission, was assessed at risk for falls with a history of falls following admission and with moderately impaired cognition, sustained an unwitnessed fall resulting in a cervical fracture and intracranial hemorrhage. [...]
August 18, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on record review, observation, interview and facility policy review, the facility failed to ensure fall prevention interventions were in place for Residents #59 and #86. This affected two (Residents #59 and #86) of three residents reviewed for accidents. The facility census was 91.
April 17, 2025Complaint inspection · 1 citation
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interviews, and facility policy, the facility failed to ensure infection control was maintained during incontinence care. This affected one resident (#32) of three residents reviewed for incontinence care. The facility census was 85.
May 20, 2024Complaint inspection · 5 citations
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, interview, record review, and policy review, the facility failed to provide sufficient staff to provide the needed care and services to all residents. This had the potential to affect all 91 residents in the facility. The facility census was 91.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, record review, and review of facility policy the facility failed to ensure a resident was assisted with dressing and provided incontinence care timely. This affected one resident (#57) of three residents reviewed for Activity of Daily Living. The facility census was 91.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and review of manufacturer's instructions the facility failed to ensure a resident had physician orders and instructions for the care and monitoring of her wound incision management system. This affected one resident (#92) out of three residents reviewed for post surgical care. The facility census was 91.
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review and review of facility policy the facility failed to ensure a resident had a comprehensive pain assessment upon admission and failed to ensure a comprehensive pain reevaluation after a narcotic medication was discontinued. Additionally the facility failed to ensure Resident #95's narcotic pain medication was available. This affected one resident (#95) out of three residents reviewed for pain.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on interview, record review and review of the facility policy the facility failed to ensure residents were free from significant medication errors. This affected one resident (#92) out of four residents reviewed for medications per physician orders. The facility census was 91.
September 21, 2023Standard inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the kitchen was maintained in a clean and sanitary condition and staff properly wore hair restraints while in the kitchen. This had the potential to affect all residents except one resident (#73) who received nothing by mouth. The facility census was 84.
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure call lights were within reach. This affected three residents (#23, #26, and #283) of 84 residents. The census was 84.
August 12, 2021Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on interview, observation, record review, review of the Centers for Disease Control and Prevention (CDC) guidance and policy review, the facility failed to ensure staff covered or changed their N95 masks or cleansed their goggles after exiting a room of a resident on droplet isolation precautions. This affected two residents (Resident #287 and #289) of four residents (Resident #2, #287, #288 and #289) on droplet isolation droplet precautions. This had the potential to affect all 82 residents.
Fire safety inspections
14 fire safety citations on file: 4 on January 20, 2026, 5 on September 21, 2023, 5 on August 12, 2021.
Every fire safety citation14 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly installed electrical wiring and gas equipment.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Install corridor and hallway doors that block smoke.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install an approved automatic sprinkler system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have properly installed electrical wiring and gas equipment.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.60 | 3.69 | 3.86 |
| Registered nurses | 0.80 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.24 | 3.28 | 3.42 |
| Nurse aides | 1.91 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 54.4% | 48.7% | 45.8% |
| Registered nurse turnover | 23.5% | 43.9% | 42.9% |
| Administrators who left | 0 |
CMS expects 4.64 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.75 on weekdays and 3.24 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.60 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.60 | 0.80 | 3.75 | 3.24 | 0.0% | 0 of 90 | 93 |
| Oct to Dec 2025 | 3.43 | 0.75 | 3.54 | 3.15 | 0.0% | 0 of 92 | 92 |
| Jul to Sep 2025 | 3.61 | 0.78 | 3.77 | 3.20 | 0.0% | 0 of 92 | 92 |
| Apr to Jun 2025 | 3.72 | 0.84 | 3.83 | 3.43 | 0.0% | 0 of 91 | 90 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Ohio
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Ohio, all employers | |||
| CNAs (nursing assistants) | $18.76 | $17.93 to $21.44 | 63,280 |
| LPNs and LVNs | $29.78 | $27.34 to $31.68 | 39,900 |
| Registered nurses | $39.67 | $38.08 to $47.61 | 143,730 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.3 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.9 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.8 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.4 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 13.2 | 12.9 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: PROGRESSIVE AURORA LLC. CMS links this home to Progressive Quality Care, a group of 11 nursing homes averaging 2.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Flank, Eitan | 5% or greater direct ownership interest | Individual | 20% | 06/10/2022 |
| Flank, Liat | 5% or greater direct ownership interest | Individual | 20% | 06/10/2022 |
| Flank, Matan | 5% or greater direct ownership interest | Individual | 20% | 06/10/2022 |
| Flank, Shaul | 5% or greater direct ownership interest | Individual | 20% | 06/10/2022 |
| Sausen, Joel | 5% or greater direct ownership interest | Individual | 20% | 06/10/2022 |
| Shiller, Daniel | Corporate director | Individual | 07/13/2011 | |
| Flank, Eitan | Corporate officer | Individual | 07/13/2011 | |
| Flank, Liat | Corporate officer | Individual | 07/13/2011 | |
| Flank, Matan | Corporate officer | Individual | 07/13/2011 | |
| Flank, Shaul | Corporate officer | Individual | 07/13/2011 | |
| Sausen, Joel | Corporate officer | Individual | 07/13/2011 | |
| Progressive Quality Care Inc | Operational/managerial control | Organization | 02/05/2015 | |
| Stahlman, Karen | Operational/managerial control | Individual | 11/12/2018 | |
| Zivic, Miodrag | Operational/managerial control | Individual | 09/01/2015 | |
| Progressive Quality Care Inc | Adp of the SNF | Organization | 03/31/2025 | |
| Flank, Eitan | Adp of the SNF | Individual | 06/10/2022 | |
| Flank, Liat | Adp of the SNF | Individual | 06/10/2022 | |
| Flank, Matan | Adp of the SNF | Individual | 06/10/2022 | |
| Flank, Shaul | Adp of the SNF | Individual | 06/10/2022 | |
| Sausen, Joel | Adp of the SNF | Individual | 06/10/2022 | |
| Shiller, Daniel | Adp of the SNF | Individual | 02/05/2015 | |
| Stahlman, Karen | Adp of the SNF | Individual | 11/12/2018 | |
| Zivic, Miodrag | Adp of the SNF | Individual | 07/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on December 4, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 17, 2025: "Provide and implement an infection prevention and control program."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on January 20, 2026: "Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on May 20, 2024: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.24 hours per resident per day, below the Ohio average of 3.28.
Other nursing homes nearby
- Aurora Manor Special Care Cent Aurora, 0.9 mi · 2 of 5 stars · 25 citations
- Kensington at Anna Maria Aurora, 2.7 mi · 5 of 5 stars · 4 citations
- Anna Maria of Aurora Aurora, 2.8 mi · 4 of 5 stars · 16 citations
- Twinsburg Post Acute Twinsburg, 4.9 mi · 1 of 5 stars · 73 citations
- Arbors at Streetsboro Streetsboro, 5 mi · 1 of 5 stars · 52 citations
- Canterbury of Twinsburg Twinsburg, 5.3 mi · 4 of 5 stars · 26 citations
- Manor of Grande Village Twinsburg, 5.5 mi · 3 of 5 stars · 27 citations
- Eliza at Chagrin Falls Chagrin Falls, 7.5 mi · 3 of 5 stars · 14 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Avenue at Aurora's Medicare star rating?
- CMS rates Avenue at Aurora 5 out of 5 stars overall, with 4 for health inspections, 2 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avenue at Aurora get at its last inspection?
- 1 health deficiency at the standard inspection on January 20, 2026. The Ohio average is 10.5.
- Has Avenue at Aurora been fined?
- CMS lists no fines in the last three years.
- Does Avenue at Aurora accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avenue at Aurora?
- CMS lists 23 owners and managers, and links the home to Progressive Quality Care. Legal business name: PROGRESSIVE AURORA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.